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<title lang=en>Socioeconomic Disparities in Adverse Birth Outcomes in Urban and Rural Contexts: a French Mother-Child Cohort</title>
<creator>Bertin, Mélanie</creator>
<creator>Viel, Jean-François</creator>
<creator>Monfort, Christine</creator>
<creator>Cordier, Sylvaine</creator>
<creator>Chevrier, Cécile</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 santé publique et d'épidémiologie ; CHU Pontchaillou [Rennes]</contributor>
<description>International audience</description>
<source>ISSN: 0269-5022</source>
<source>EISSN: 1365-3016</source>
<source>Paediatric and Perinatal Epidemiology</source>
<publisher>Wiley</publisher>
<identifier>hal-01187424</identifier>
<identifier>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01187424</identifier>
<source>https://hal-univ-rennes1.archives-ouvertes.fr/hal-01187424</source>
<source>Paediatric and Perinatal Epidemiology, Wiley, 2015, 29 (5), pp.426--435. 〈10.1111/ppe.12208〉</source>
<identifier>DOI : 10.1111/ppe.12208</identifier>
<relation>info:eu-repo/semantics/altIdentifier/doi/10.1111/ppe.12208</relation>
<identifier>PUBMED : 26186278</identifier>
<relation>info:eu-repo/semantics/altIdentifier/pmid/26186278</relation>
<language>en</language>
<subject>[SDV] Life Sciences [q-bio]</subject>
<type>info:eu-repo/semantics/article</type>
<type>Journal articles</type>
<description lang=en>BACKGROUND: Although adverse birth outcomes have been associated with neighbourhood deprivation in urban areas, few studies have addressed this issue in rural zones. This study examines whether associations between neighbourhood deprivation and adverse birth outcomes differ in urban and rural contexts, while taking individual characteristics and spatial accessibility of prenatal care (SAPC) into account. METHODS: Pregnant women from a French mother-child cohort were recruited from 2002 to 2006 in Brittany. Their residential addresses were geocoded into their census blocks (the finest geographical resolution available). Deprivation was assessed at the same neighbourhood level. Models to assess the associations of deprivation, stratified by urban/rural status, with preterm delivery (PTD), with small for gestational age birth weight (SGA) and with small for gestational age head circumference at birth (SHC), estimated odds ratios (ORs), adjusted for maternal socioeconomic characteristics and SAPC. RESULTS: This study considered 2929 liveborn singleton pregnancies from 780 census blocks. Neighbourhood deprivation was associated with increased risks of SGA and SHC (P trend extless 0.01 and 0.03 respectively), only among mothers residing in rural areas. Neighbourhood deprivation had statistically significantly heterogeneous effects on SGA and SHC according to the urban/rural status of maternal residence. CONCLUSION: These findings suggest that neighbourhood deprivation affects fetal growth differentially in urban and rural areas and that SAPC does not seem to be responsible for this difference. Comparison of these findings with the literature requires caution in the conceptualisation of urban and rural settings</description>
<date>2015</date>
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