umu.sePublications
Change search
ReferencesLink to record
Permanent link

Direct link
Large social disparities in spontaneous preterm birth rates in transitional Russia
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation. Unit for Preventive Nutrition, Department of Biosciences at Novum, Karolinska Institutet, 141 157 Huddinge, Sweden.
2005 (English)In: Public Health, ISSN 0033-3506, E-ISSN 1476-5616, Vol. 119, no 2, 77-86 p.Article in journal (Refereed) PublishedText
Abstract [en]

Objective. This study estimated the effect of maternal sociodemographic, obstetric and lifestyle factors on the risk of spontaneous preterm birth in a Russian town.

Methods. All women with singleton pregnancies registered at prenatal care centres in Severodvinsk in 1999 comprised the cohort for this study (n = 1559). Analysis was based on spontaneous live singleton births at the maternity home (n=1103). Muttivariable logistic regression was applied to quantify the effect of the studied factors on the risk of preterm birth. Differences in gestation duration were studied using multiple Linear regression.

Results. In total, 5.6% of all spontaneous births were preterm. Increased risks of preterm delivery were found in women with lower Levels of education and in students. Placental complications, stress and a history of fetal death in previous pregnancies were also associated with elevated risks for preterm delivery. Smoking, hypertension and multigravidity were associated with reduced length of pregnancy in metric form.

Conclusion. In addition to medical risk factors, social factors are important determinants of preterm birth in transitional Russia. Large disparities in preterm birth rates may reflect the level of inequalities in transitional Russia. Social variations in pregnancy outcomes should be monitored.

Place, publisher, year, edition, pages
London: Saunders Elsevier, 2005. Vol. 119, no 2, 77-86 p.
Keyword [en]
preterm birth, sociodemographic factors, Russia
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:umu:diva-120438DOI: 10.1016/j.puhe.2004.06.005ISI: 000225677600002PubMedID: 15694954OAI: oai:DiVA.org:umu-120438DiVA: diva2:930497
Available from: 2016-05-24 Created: 2016-05-16 Last updated: 2016-05-24Bibliographically approved

Open Access in DiVA

No full text

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Bygren, Lars OlovYngve, Agneta
By organisation
Department of Community Medicine and Rehabilitation
In the same journal
Public Health
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 25 hits
ReferencesLink to record
Permanent link

Direct link