Socioeconomic disparities in changes to preterm birth and stillbirth rates during the first year of the COVID-19 pandemic: a study of 21 European countries.

Autor:	Zeitlin J; Obstetrical, Perinatal and Pediatric Epidemiology Research Team (EPOpé), Centre for Research in Epidemiology and Statistics (CRESS), INSERM, INRAE, Paris Cité University, Paris, France., Philibert M; Obstetrical, Perinatal and Pediatric Epidemiology Research Team (EPOpé), Centre for Research in Epidemiology and Statistics (CRESS), INSERM, INRAE, Paris Cité University, Paris, France., Barros H; EPIUnit, University of Porto, Porto, Portugal., Broeders L; The Netherlands Perinatal Registry (Perined), Utrecht, Netherlands., Cap J; National Health Information Center, Bratislava, Slovakia., Draušnik Ž; Division of Public Health, Croatian Institute of Public Health, Zagreb, Croatia., Engjom H; Division of Mental and Physical Health, Norwegian Institute of Public Health, Bergen, Norway., Farr A; Division of Obstetrics and Feto-Maternal Medicine, Department of Obstetrics and Gynecology, Medical University of Vienna, Vienna, Austria., Fresson J; Department for Research, Studies, Assessment and Statistics (DREES), French Ministry of Health, Paris, France., Gatt M; National Obstetric Information System, Directorate for Health Information and Research, Pieta, Malta., Gissler M; Department of Knowledge Brokers, THL Finnish Institute for Health and Welfare, Helsinki, Finland.; Institute of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden., Heller G; Social Data Department, Institute for Quality Assurance and Transparency in Healthcare (IQTIG), Berlin, Germany., Isakova J; Health Statistics Department, Health Information Centre, Institute of Hygiene, Vilnius, Lithuania., Källén K; Department of Evaluation and Analysis, Epidemiology and Methodological Support Unit, Karolinska Institute, Stockholm, Sweden., Kyprianou T; Health Monitoring Unit, Ministry of Health, Nicosia, Cyprus., Loghi M; Directorate for Social Statistics and Welfare, Italian Statistical Institute (ISTAT), Rome, Italy., Monteath K; Information Services Division, Public Health Scotland, Edinburgh, UK.; Department of Child Life and Health, University of Edinburgh, Edinburgh, UK., Mortensen L; Department of Public Health, University of Copenhagen, Copenhagen, Denmark.; Denmark Statistics, Copenhagen, Denmark., Rihs T; Federal Statistical Office (FSO), Neuchâtel, Switzerland., Sakkeus L; Estonian Institute for Population Studies, Tallinn University, Tallinn, Estonia., Sikora I; The National Perinatal Reporting System, Health Pricing Office, Dublin, Ireland., Szamotulska K; Department of Epidemiology and Biostatistics, National Research Institute of Mother and Child, Warsaw, Poland., Velebil P; Institute for the Care of Mother and Child, Prague, Czechia.; 3rd Faculty of Medicine, Charles University, Prague, Czechia., Verdenik I; Department of Obstetrics & Gynecology-Research Unit, University Medical Centre, Ljubljana, Slovenia., Weber G; Department of Epidemiology and Statistics, Directorate of Health, Luxembourg, Luxembourg., Zile I; The Centre for Disease Prevention and Control of Latvia, Riga, Latvia., Zurriaga O; Public Health General Directorate, Valencia Regional Public Health Authority, Valencia, Spain.; Public Health and Preventive Medicine Department, University of Valencia, Valencia, Spain.; Centre for Network Biomedical Research in Epidemiology and Public Health (CIBERESP), Madrid, Spain., Smith L; Department of Health Sciences, College of Life Sciences, University of Leicester, Leicester, UK.
Jazyk:	angličtina
Zdroj:	European journal of public health [Eur J Public Health] 2024 Jul 01; Vol. 34 (Supplement_1), pp. i58-i66.
DOI:	10.1093/eurpub/ckad186
Abstrakt:	Background: Despite concerns about worsening pregnancy outcomes resulting from healthcare restrictions, economic difficulties and increased stress during the COVID-19 pandemic, preterm birth (PTB) rates declined in some countries in 2020, while stillbirth rates appeared stable. Like other shocks, the pandemic may have exacerbated existing socioeconomic disparities in pregnancy, but this remains to be established. Our objective was to investigate changes in PTB and stillbirth by socioeconomic status (SES) in European countries. Methods: The Euro-Peristat network implemented this study within the Population Health Information Research Infrastructure (PHIRI) project. A common data model was developed to collect aggregated tables from routine birth data for 2015-2020. SES was based on mother's educational level or area-level deprivation/maternal occupation if education was unavailable and harmonized into low, medium and high SES. Country-specific relative risks (RRs) of PTB and stillbirth for March to December 2020, adjusted for linear trends from 2015 to 2019, by SES group were pooled using random effects meta-analysis. Results: Twenty-one countries provided data on perinatal outcomes by SES. PTB declined by an average 4% in 2020 {pooled RR: 0.96 [95% confidence intervals (CIs): 0.94-0.97]} with similar estimates across all SES groups. Stillbirths rose by 5% [RR: 1.05 (95% CI: 0.99-1.10)], with increases of between 3 and 6% across the three SES groups, with overlapping confidence limits. Conclusions: PTB decreases were similar regardless of SES group, while stillbirth rates rose without marked differences between groups. (© The Author(s) 2024. Published by Oxford University Press on behalf of the European Public Health Association.)
Databáze:	MEDLINE
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