Neighbourhood socio-economic characteristics and the risk of preterm birth for migrant and non-migrant women: a study in a French district
Jennifer Zeitlin
(1)
,
Evelyne Combier
(2)
,
Marc Levaillant
(3)
,
Linda Lasbeur
(1)
,
Hugo Pilkington
(1, 4)
,
Hélène Charreire
(5, 6)
,
Lucile Rivera
(7)
1
UMR_S 953 -
Recherche Epidémiologique en Santé Périnatale et Santé des Femmes et des Enfants
2 CEP - Centre d'épidémiologie des populations
3 CERMES3 - UMR 8211 / U988 / UM 7 - CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société
4 LADYSS - Laboratoire Dynamiques Sociales et Recomposition des Espaces
5 UREN - Unité de Recherche en Epidémiologie Nutritionnelle
6 LAB'URBA - LAB'URBA
7 Conseil Général de la Seine-Saint-Denis
2 CEP - Centre d'épidémiologie des populations
3 CERMES3 - UMR 8211 / U988 / UM 7 - CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société
4 LADYSS - Laboratoire Dynamiques Sociales et Recomposition des Espaces
5 UREN - Unité de Recherche en Epidémiologie Nutritionnelle
6 LAB'URBA - LAB'URBA
7 Conseil Général de la Seine-Saint-Denis
Jennifer Zeitlin
- Fonction : Auteur
- PersonId : 756756
- ORCID : 0000-0002-9568-2969
- IdRef : 174867816
Hugo Pilkington
- Fonction : Auteur
- PersonId : 764532
- ORCID : 0000-0002-8245-2806
- IdRef : 084712740
Hélène Charreire
- Fonction : Auteur
- PersonId : 10409
- IdHAL : helene-charreire
- ORCID : 0000-0002-1260-9812
- IdRef : 122545737
Résumé
Neighbourhood-level deprivation is associated with preterm birth; preterm birth rates are also higher for some, but not all migrant groups. We studied the impact of neighbourhood characteristics (a deprivation score and the proportion of foreign-born residents) on singleton preterm birth in the French district of Seine-Saint-Denis for women born in France, North Africa, sub-Saharan Africa and other countries. Multilevel logistic regression models were adjusted for maternal demographic and health care characteristics. For women born in France, the preterm birth rate rose with neighbourhood deprivation quintile (3.8% in the first to 5.7% in the fifth, adjusted odds ratio: 1.40 [95% confidence interval 1.14, 1.72]) and with increasing proportions of foreign-born residents. Preterm birth rates were not higher in more deprived neighbourhoods for women born outside of France and were lower in neighbourhoods with more foreign-born residents; in multilevel models, the inverse association with deprivation remained significant for women from sub-Saharan Africa. Area-based deprivation measures should be used with caution in populations with large numbers of migrants. These results raise questions about the health benefits of clustering for migrant communities as well as the negative consequences of acculturation.
Domaines
GéographieFormat du dépôt | Notice |
---|---|
Type de dépôt | Article dans une revue |
Titre |
en
Neighbourhood socio-economic characteristics and the risk of preterm birth for migrant and non-migrant women: a study in a French district
|
Résumé |
en
Neighbourhood-level deprivation is associated with preterm birth; preterm birth rates are also higher for some, but not all migrant groups. We studied the impact of neighbourhood characteristics (a deprivation score and the proportion of foreign-born residents) on singleton preterm birth in the French district of Seine-Saint-Denis for women born in France, North Africa, sub-Saharan Africa and other countries. Multilevel logistic regression models were adjusted for maternal demographic and health care characteristics. For women born in France, the preterm birth rate rose with neighbourhood deprivation quintile (3.8% in the first to 5.7% in the fifth, adjusted odds ratio: 1.40 [95% confidence interval 1.14, 1.72]) and with increasing proportions of foreign-born residents. Preterm birth rates were not higher in more deprived neighbourhoods for women born outside of France and were lower in neighbourhoods with more foreign-born residents; in multilevel models, the inverse association with deprivation remained significant for women from sub-Saharan Africa. Area-based deprivation measures should be used with caution in populations with large numbers of migrants. These results raise questions about the health benefits of clustering for migrant communities as well as the negative consequences of acculturation.
|
Auteur(s) |
Jennifer Zeitlin
1
, Evelyne Combier
2
, Marc Levaillant
3
, Linda Lasbeur
1
, Hugo Pilkington
1, 4
, Hélène Charreire
5, 6
, Lucile Rivera
7
1
UMR_S 953 -
Recherche Epidémiologique en Santé Périnatale et Santé des Femmes et des Enfants
( 81504 )
- HÔPITAL SAINT VINCENT DE PAUL - BATIMENT LELONG
82 AVENUE DENFERT ROCHEREAU
75014 PARIS
- France
2
CEP -
Centre d'épidémiologie des populations
( 128670 )
- Université de Bourgogne - Faculté de Médecine - 21000 DIJON
- France
3
CERMES3 - UMR 8211 / U988 / UM 7 -
CERMES3 - Centre de recherche Médecine, sciences, santé, santé mentale, société
( 176631 )
- 7 rue Guy Môquet - BP 8 - 94801 Villejuif Cedex
Site administratif : Campus CNRS- 7, rue Guy Môquet- BP 8- 94801 Villejuif Cedex
Site Paris: CUSP (Centre universitaire des Saints-Pères)- Bâtiment Jacob (3ème étage)- 45, rue des Saints-Pères- 75270 Paris Cedex 06
- France
4
LADYSS -
Laboratoire Dynamiques Sociales et Recomposition des Espaces
( 1096 )
- Université Paris Ouest Nanterre La Défense Bâtiment T 200 avenue de la République 92001 Nanterre cedex
- France
5
UREN -
Unité de Recherche en Epidémiologie Nutritionnelle
( 235755 )
- UFR Santé, Médecine et Biologie Humaine - 74 rue Marcel Cachin 93017 Bobigny Cedex
- France
6
LAB'URBA -
LAB'URBA
( 104173 )
- Cité Descartes - Bâtiment Bienvenue - Plot A
14-20, bld Newton Champs-sur-Marne - 77454 Marne La Vallée Cedex 2
- France
7
Conseil Général de la Seine-Saint-Denis
( 338707 )
-
- France
|
Langue du document |
Anglais
|
Date de production/écriture |
2011-06-08
|
Nom de la revue |
|
Vulgarisation |
Non
|
Comité de lecture |
Oui
|
Audience |
Internationale
|
Date de publication |
2011-05-25
|
Volume |
25
|
Numéro |
4
|
Page/Identifiant |
347-356
|
Commentaire |
ACL (Impact Factor)
|
Domaine(s) |
|
Mots-clés |
en
Neighbourhood deprivation, Preterm birth, Immigrant mothers, France, Women
|
DOI | 10.1111/j.1365-3016.2011.01201.x |
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