論文

査読有り 国際誌
2020年1月

Association between socioeconomic status and small-for-gestational-age in Japan: A single center retrospective cohort study.

The journal of obstetrics and gynaecology research
  • Ikuyo Hayashi
  • ,
  • Kenji Takakura
  • ,
  • Ken Yamaguchi
  • ,
  • Masahiro Sumitomo
  • ,
  • Maki Suzuki
  • ,
  • Aya Sumitomo
  • ,
  • Satomi Minato
  • ,
  • Yoko Nose
  • ,
  • Narumi Nagai
  • ,
  • Naoki Sakane

46
1
開始ページ
110
終了ページ
118
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1111/jog.14069

AIM: Small-for-gestational-age (SGA) status has negative health consequences in neonates and later life. Low socioeconomic status (SES) is a reported risk factor for adverse birth outcomes, such as SGA and preterm birth (PTB). The present study investigated whether maternal SES is associated with adverse outcomes in Japanese pregnant women. METHODS: Retrospective data were collected for 1970 Japanese women with singleton pregnancies who delivered between January 2007 and December 2011 at a single center: low SES group (n = 197); and controls (n = 1773). Low SES was defined according to the criteria of the Japanese pregnant-childbirth hospitalization support policy system. RESULTS: The low SES group included a significantly higher proportion of young women, women with single marital status, greater parity, pre-pregnancy smoking and a lack of regular employment (P < 0.001, respectively). The crude odds ratio (OR) for the association between low maternal SES and SGA was 1.80 (95% confidence interval [CI] 1.15-2.82, P = 0.010). After adjustment for baseline maternal age, parity, body mass index, smoking and gestational weight gain, the adjusted OR for the association between low maternal SES and SGA was 1.92 (95% CI 1.17-3.17, P = 0.010). No significant association was found between maternal SES and PTB. CONCLUSION: The present results suggest that low maternal SES is associated with SGA births in the Japanese population. Mitigation of low maternal SES could be urgent public health to prevent disadvantage birth outcome.

リンク情報
DOI
https://doi.org/10.1111/jog.14069
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/31392834
ID情報
  • DOI : 10.1111/jog.14069
  • ISSN : 1341-8076
  • PubMed ID : 31392834

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