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Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015
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Zeitschriftentitel: | International Journal of Epidemiology |
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Personen und Körperschaften: | , , , , , , , , , , , , , , , , |
In: | International Journal of Epidemiology, 48, 2019, Supplement_1, S. i16-i25 |
Format: | E-Article |
Sprache: | Englisch |
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Oxford University Press (OUP)
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author_facet |
Matijasevich, Alicia Victora, Cesar G Silveira, Mariangela F Wehrmeister, Fernando C Horta, Bernardo L Barros, Fernando C Menezes, Ana M B Barros, Aluisio J D Bertoldi, Andrea Dâmaso Bassani, Diego G Gonçalves, Helen Santos, Iná S Murray, Joseph Tovo-Rodrigues, Luciana Assunção, Maria Cecilia F Domingues, Marlos Rodrigues Hallal, Pedro R C Matijasevich, Alicia Victora, Cesar G Silveira, Mariangela F Wehrmeister, Fernando C Horta, Bernardo L Barros, Fernando C Menezes, Ana M B Barros, Aluisio J D Bertoldi, Andrea Dâmaso Bassani, Diego G Gonçalves, Helen Santos, Iná S Murray, Joseph Tovo-Rodrigues, Luciana Assunção, Maria Cecilia F Domingues, Marlos Rodrigues Hallal, Pedro R C |
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author |
Matijasevich, Alicia Victora, Cesar G Silveira, Mariangela F Wehrmeister, Fernando C Horta, Bernardo L Barros, Fernando C Menezes, Ana M B Barros, Aluisio J D Bertoldi, Andrea Dâmaso Bassani, Diego G Gonçalves, Helen Santos, Iná S Murray, Joseph Tovo-Rodrigues, Luciana Assunção, Maria Cecilia F Domingues, Marlos Rodrigues Hallal, Pedro R C |
spellingShingle |
Matijasevich, Alicia Victora, Cesar G Silveira, Mariangela F Wehrmeister, Fernando C Horta, Bernardo L Barros, Fernando C Menezes, Ana M B Barros, Aluisio J D Bertoldi, Andrea Dâmaso Bassani, Diego G Gonçalves, Helen Santos, Iná S Murray, Joseph Tovo-Rodrigues, Luciana Assunção, Maria Cecilia F Domingues, Marlos Rodrigues Hallal, Pedro R C International Journal of Epidemiology Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 General Medicine Epidemiology |
author_sort |
matijasevich, alicia |
spelling |
Matijasevich, Alicia Victora, Cesar G Silveira, Mariangela F Wehrmeister, Fernando C Horta, Bernardo L Barros, Fernando C Menezes, Ana M B Barros, Aluisio J D Bertoldi, Andrea Dâmaso Bassani, Diego G Gonçalves, Helen Santos, Iná S Murray, Joseph Tovo-Rodrigues, Luciana Assunção, Maria Cecilia F Domingues, Marlos Rodrigues Hallal, Pedro R C 0300-5771 1464-3685 Oxford University Press (OUP) General Medicine Epidemiology http://dx.doi.org/10.1093/ije/dyy169 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>Brazil experienced important progress in maternal and child health in recent decades. We aimed at describing secular trends as well as socioeconomic and ethnic inequalities in reproductive history indicators (birth spacing, previous adverse perinatal outcome, parity and multiple births) over a 33-year span.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>Four population-based birth cohort studies included all hospital births in 1982, 1993, 2004 and 2015 in Pelotas, Southern Brazil. Information on reproductive history was collected through interviews. Indicators were stratified by family income quintiles and skin colour. Absolute and relative measures of inequality were calculated.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>From 1982 to 2015, the proportion of primiparae increased from 39.2% to 49.6%, and median birth interval increased by 23.2 months. Poor women were more likely to report short intervals and higher parity, although reductions were observed in all income and ethnic groups. History of previous low birthweight was inversely related to income and increased by 7.7% points (pp) over time—more rapidly in the richest (12.1 pp) than in the poorest quintile (0.4 pp). Multiple births increased from 1.7% to 2.7%, with the highest increase observed among the richest quintile and for white women (220% and 70% increase, respectively). Absolute and relative income and ethnic-related inequalities for short birth intervals increased, whereas inequalities for previous low birthweight decreased over time.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>In this 33-year period there were increases in birth intervals, multiple births and reports of previous low-birthweight infants. These trends may be explained by increased family planning coverage, assisted reproduction and a rise in preterm births, respectively. Our results show that socioeconomic and ethnic inequalities in health are dynamic and vary over time, within the same location.</jats:p> </jats:sec> Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 International Journal of Epidemiology |
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10.1093/ije/dyy169 |
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International Journal of Epidemiology |
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title |
Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 |
title_unstemmed |
Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 |
title_full |
Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 |
title_fullStr |
Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 |
title_full_unstemmed |
Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 |
title_short |
Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 |
title_sort |
maternal reproductive history: trends and inequalities in four population-based birth cohorts in pelotas, brazil, 1982–2015 |
topic |
General Medicine Epidemiology |
url |
http://dx.doi.org/10.1093/ije/dyy169 |
publishDate |
2019 |
physical |
i16-i25 |
description |
<jats:title>Abstract</jats:title>
<jats:sec>
<jats:title>Background</jats:title>
<jats:p>Brazil experienced important progress in maternal and child health in recent decades. We aimed at describing secular trends as well as socioeconomic and ethnic inequalities in reproductive history indicators (birth spacing, previous adverse perinatal outcome, parity and multiple births) over a 33-year span.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Methods</jats:title>
<jats:p>Four population-based birth cohort studies included all hospital births in 1982, 1993, 2004 and 2015 in Pelotas, Southern Brazil. Information on reproductive history was collected through interviews. Indicators were stratified by family income quintiles and skin colour. Absolute and relative measures of inequality were calculated.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Results</jats:title>
<jats:p>From 1982 to 2015, the proportion of primiparae increased from 39.2% to 49.6%, and median birth interval increased by 23.2 months. Poor women were more likely to report short intervals and higher parity, although reductions were observed in all income and ethnic groups. History of previous low birthweight was inversely related to income and increased by 7.7% points (pp) over time—more rapidly in the richest (12.1 pp) than in the poorest quintile (0.4 pp). Multiple births increased from 1.7% to 2.7%, with the highest increase observed among the richest quintile and for white women (220% and 70% increase, respectively). Absolute and relative income and ethnic-related inequalities for short birth intervals increased, whereas inequalities for previous low birthweight decreased over time.</jats:p>
</jats:sec>
<jats:sec>
<jats:title>Conclusions</jats:title>
<jats:p>In this 33-year period there were increases in birth intervals, multiple births and reports of previous low-birthweight infants. These trends may be explained by increased family planning coverage, assisted reproduction and a rise in preterm births, respectively. Our results show that socioeconomic and ethnic inequalities in health are dynamic and vary over time, within the same location.</jats:p>
</jats:sec> |
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author | Matijasevich, Alicia, Victora, Cesar G, Silveira, Mariangela F, Wehrmeister, Fernando C, Horta, Bernardo L, Barros, Fernando C, Menezes, Ana M B, Barros, Aluisio J D, Bertoldi, Andrea Dâmaso, Bassani, Diego G, Gonçalves, Helen, Santos, Iná S, Murray, Joseph, Tovo-Rodrigues, Luciana, Assunção, Maria Cecilia F, Domingues, Marlos Rodrigues, Hallal, Pedro R C |
author_facet | Matijasevich, Alicia, Victora, Cesar G, Silveira, Mariangela F, Wehrmeister, Fernando C, Horta, Bernardo L, Barros, Fernando C, Menezes, Ana M B, Barros, Aluisio J D, Bertoldi, Andrea Dâmaso, Bassani, Diego G, Gonçalves, Helen, Santos, Iná S, Murray, Joseph, Tovo-Rodrigues, Luciana, Assunção, Maria Cecilia F, Domingues, Marlos Rodrigues, Hallal, Pedro R C, Matijasevich, Alicia, Victora, Cesar G, Silveira, Mariangela F, Wehrmeister, Fernando C, Horta, Bernardo L, Barros, Fernando C, Menezes, Ana M B, Barros, Aluisio J D, Bertoldi, Andrea Dâmaso, Bassani, Diego G, Gonçalves, Helen, Santos, Iná S, Murray, Joseph, Tovo-Rodrigues, Luciana, Assunção, Maria Cecilia F, Domingues, Marlos Rodrigues, Hallal, Pedro R C |
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description | <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>Brazil experienced important progress in maternal and child health in recent decades. We aimed at describing secular trends as well as socioeconomic and ethnic inequalities in reproductive history indicators (birth spacing, previous adverse perinatal outcome, parity and multiple births) over a 33-year span.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>Four population-based birth cohort studies included all hospital births in 1982, 1993, 2004 and 2015 in Pelotas, Southern Brazil. Information on reproductive history was collected through interviews. Indicators were stratified by family income quintiles and skin colour. Absolute and relative measures of inequality were calculated.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>From 1982 to 2015, the proportion of primiparae increased from 39.2% to 49.6%, and median birth interval increased by 23.2 months. Poor women were more likely to report short intervals and higher parity, although reductions were observed in all income and ethnic groups. History of previous low birthweight was inversely related to income and increased by 7.7% points (pp) over time—more rapidly in the richest (12.1 pp) than in the poorest quintile (0.4 pp). Multiple births increased from 1.7% to 2.7%, with the highest increase observed among the richest quintile and for white women (220% and 70% increase, respectively). Absolute and relative income and ethnic-related inequalities for short birth intervals increased, whereas inequalities for previous low birthweight decreased over time.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>In this 33-year period there were increases in birth intervals, multiple births and reports of previous low-birthweight infants. These trends may be explained by increased family planning coverage, assisted reproduction and a rise in preterm births, respectively. Our results show that socioeconomic and ethnic inequalities in health are dynamic and vary over time, within the same location.</jats:p> </jats:sec> |
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spelling | Matijasevich, Alicia Victora, Cesar G Silveira, Mariangela F Wehrmeister, Fernando C Horta, Bernardo L Barros, Fernando C Menezes, Ana M B Barros, Aluisio J D Bertoldi, Andrea Dâmaso Bassani, Diego G Gonçalves, Helen Santos, Iná S Murray, Joseph Tovo-Rodrigues, Luciana Assunção, Maria Cecilia F Domingues, Marlos Rodrigues Hallal, Pedro R C 0300-5771 1464-3685 Oxford University Press (OUP) General Medicine Epidemiology http://dx.doi.org/10.1093/ije/dyy169 <jats:title>Abstract</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>Brazil experienced important progress in maternal and child health in recent decades. We aimed at describing secular trends as well as socioeconomic and ethnic inequalities in reproductive history indicators (birth spacing, previous adverse perinatal outcome, parity and multiple births) over a 33-year span.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>Four population-based birth cohort studies included all hospital births in 1982, 1993, 2004 and 2015 in Pelotas, Southern Brazil. Information on reproductive history was collected through interviews. Indicators were stratified by family income quintiles and skin colour. Absolute and relative measures of inequality were calculated.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>From 1982 to 2015, the proportion of primiparae increased from 39.2% to 49.6%, and median birth interval increased by 23.2 months. Poor women were more likely to report short intervals and higher parity, although reductions were observed in all income and ethnic groups. History of previous low birthweight was inversely related to income and increased by 7.7% points (pp) over time—more rapidly in the richest (12.1 pp) than in the poorest quintile (0.4 pp). Multiple births increased from 1.7% to 2.7%, with the highest increase observed among the richest quintile and for white women (220% and 70% increase, respectively). Absolute and relative income and ethnic-related inequalities for short birth intervals increased, whereas inequalities for previous low birthweight decreased over time.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p>In this 33-year period there were increases in birth intervals, multiple births and reports of previous low-birthweight infants. These trends may be explained by increased family planning coverage, assisted reproduction and a rise in preterm births, respectively. Our results show that socioeconomic and ethnic inequalities in health are dynamic and vary over time, within the same location.</jats:p> </jats:sec> Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 International Journal of Epidemiology |
spellingShingle | Matijasevich, Alicia, Victora, Cesar G, Silveira, Mariangela F, Wehrmeister, Fernando C, Horta, Bernardo L, Barros, Fernando C, Menezes, Ana M B, Barros, Aluisio J D, Bertoldi, Andrea Dâmaso, Bassani, Diego G, Gonçalves, Helen, Santos, Iná S, Murray, Joseph, Tovo-Rodrigues, Luciana, Assunção, Maria Cecilia F, Domingues, Marlos Rodrigues, Hallal, Pedro R C, International Journal of Epidemiology, Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015, General Medicine, Epidemiology |
title | Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 |
title_full | Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 |
title_fullStr | Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 |
title_full_unstemmed | Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 |
title_short | Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 |
title_sort | maternal reproductive history: trends and inequalities in four population-based birth cohorts in pelotas, brazil, 1982–2015 |
title_unstemmed | Maternal reproductive history: trends and inequalities in four population-based birth cohorts in Pelotas, Brazil, 1982–2015 |
topic | General Medicine, Epidemiology |
url | http://dx.doi.org/10.1093/ije/dyy169 |