Change in social status and risk of low birth weight in Denmark: population based cohort study.

Abstract:

OBJECTIVE:To estimate the risk of having a low birthweight infant associated with changes in social, environmental, and genetic factors. DESIGN:Population based, historical cohort study using the Danish medical birth registry and Statistic Denmark's fertility database. SUBJECTS:All women who had a low birthweight infant (< 2500 g) (index birth) and a subsequent liveborn infant (outcome birth) in Denmark between 1980 and 1992 (exposed cohort, n = 11,069) and a random sample of the population who gave birth to an infant weighing > or = 2500 g and to a subsequent liveborn infant (unexposed cohort, n = 10,211). MAIN OUTCOME MEASURES:Risk of having a low birthweight infant in the outcome birth as a function of changes in male partner, area of residence, type of job, and social status between the two births. RESULTS:Women in the exposed cohort showed a high risk (18.5%) of having a subsequent low birthweight infant while women in the unexposed cohort had a risk of 2.8%. After adjustment for initial social status, a decline in social status increased the absolute risk of having a low birthweight infant by about 5% in both cohorts, though this was significant only in the unexposed cohort. Change of male partner did not modify the risk of low birth weight in either cohort. CONCLUSION:Having had a low birthweight infant and a decline in social status are strong risk factors for having a low birthweight infant subsequently.

journal_name

BMJ

authors

Basso O,Olsen J,Johansen AM,Christensen K

doi

10.1136/bmj.315.7121.1498

subject

Has Abstract

pub_date

1997-12-06 00:00:00

pages

1498-502

issue

7121

eissn

0959-8138

issn

1756-1833

journal_volume

315

pub_type

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