Joint contribution of socioeconomic circumstances and ethnic group to variations in preterm birth, neonatal mortality and infant mortality in England and Wales: a population-based retrospective cohort study using routine data from 2006 to 2012.

ABSTRACT:

Objectives

This study aimed to describe the variation in risks of adverse birth outcomes across ethnic groups and socioeconomic circumstances, and to explore the evidence of mediation by socioeconomic circumstances of the effect of ethnicity on birth outcomes.

Setting

England and Wales.

Participants

The data came from the 4.6 million singleton live births between 2006 and 2012.

Exposure

The main exposure was ethnic group. Socioeconomic circumstances, the hypothesised mediator, were measured using the Index of Multiple Deprivation (IMD), an area-level measure of deprivation, based on the mother's place of residence.

Primary and secondary outcome measures

The primary outcomes were birth outcomes, namely: neonatal death, infant death and preterm birth. We e

SUBMITTER: Opondo C 

PROVIDER: S-EPMC6677942 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature