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<publisher>HAL CCSD</publisher>
<title lang=en>Medical and sociodemographic risk factors for preterm birth in a French Caribbean population of African descent.</title>
<creator>Rouget, Florence</creator>
<creator>Lebreton, Jennifer</creator>
<creator>Kadhel, Philippe</creator>
<creator>Monfort, Christine</creator>
<creator>Bodeau-Livinec, Florence</creator>
<creator>Janky, Eustase</creator>
<creator>Multigner, Luc</creator>
<creator>Cordier, Sylvaine</creator>
<contributor>Institut de recherche, santé, environnement et travail [Rennes] (Irset) ; Université d'Angers (UA) - Université des Antilles et de la Guyane (UAG) - Université de Rennes 1 (UR1) - École des Hautes Études en Santé Publique [EHESP] (EHESP) - Institut National de la Santé et de la Recherche Médicale (INSERM) - Structure Fédérative de Recherche en Biologie et Santé de Rennes ( Biosit : Biologie - Santé - Innovation Technologique )</contributor>
<contributor>Service de Pédiatrie ; Hôpital Pontchaillou - CHU Pontchaillou [Rennes]</contributor>
<contributor>Service de gynécologie-obstétrique ; Université des Antilles et de la Guyane (UAG) - CHU Pointe à Pitre</contributor>
<contributor>Université des Antilles et de la Guyane (UAG)</contributor>
<contributor>Study was supported by the French National Health Directorate, the National Endocrine. Disruptor Research Programme, the French Agency for Food, Environmental and Occupational Health & Safety, and the Departmental Public Health Services of Guadeloupe. We thank Evelyne Delver, Josy Goudou, P. Lancelot, midwives, and maternity staff at the University hospital of Guadeloupe and the general hospital of Basse-Terre for collecting and forwarding data.</contributor>
<description>International audience</description>
<source>ISSN: 1092-7875</source>
<source>EISSN: 1573-6628</source>
<source>Maternal and Child Health Journal</source>
<publisher>Springer Verlag</publisher>
<identifier>hal-00860340</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-00860340</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-00860340/document</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-00860340/file/rouget_mat_child_health-accepted.pdf</identifier>
<source>https://hal-univ-rennes1.archives-ouvertes.fr/hal-00860340</source>
<source>Maternal and Child Health Journal, Springer Verlag, 2013, 17 (6), pp.1103-11. 〈10.1007/s10995-012-1112-x〉</source>
<identifier>DOI : 10.1007/s10995-012-1112-x</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1007/s10995-012-1112-x</relation>
<identifier>PUBMED : 22923284</identifier>
<relation>info:eu-repo/semantics/altIdentifier/pmid/22923284</relation>
<language>en</language>
<subject lang=en>Preterm birth</subject>
<subject lang=en>Induced preterm birth</subject>
<subject lang=en>Spontaneous preterm birth</subject>
<subject lang=en>Caribbean</subject>
<subject lang=en>Risk factor</subject>
<subject>[SDV] Life Sciences [q-bio]</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>There appears to be an incompressible high rate of preterm births among populations of African origin irrespective of their geographic location. The objective of this study was to assess the risk factors for preterm birth in a French Caribbean population of African descent, offered medical care comparable to that on the French mainland, but presenting a higher rate of preterm birth. The study was based on a birth cohort at maternity hospitals in Guadeloupe (French West Indies) including 911 singleton pregnancies enrolled during their third trimester check-up visits. Associations between risk factors and the risk of preterm delivery (spontaneous and induced) were assessed using a multivariate Cox model. In addition, prevalences of sociodemographic and medical factors in Guadeloupe were compared with those on the French mainland. 144 women (15.8 %) delivered preterm, medically induced in 52 %. Women delivering preterm were more often over 35 years old (37 %), single (54 %), and had higher prevalence of prior preterm birth (20 %), prior miscarriage (37 %), lupus (3 %), asthma (14 %), gestational hypertension (26 %), gestational diabetes (13 %) and urinary tract infection (24 %) than women with term births. In the whole cohort, these risk factors were also more frequent than in mainland France. Our results suggest highly prevalent medical risk factors for preterm births in Guadeloupe. This observation combined with specific social risk factors (older maternal age, single living) less frequent on the French mainland probably explains a large part of a higher prevalence of preterm births in this population despite similar medical provision.</description>
<date>2013-08</date>
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