The Association Between Rural-Urban Continuum, Maternal Education and Adverse Birth Outcomes in Quebec, Canada

The Association Between Rural-Urban Continuum, Maternal Education and Adverse Birth Outcomes in Quebec, Canada

The Association Between Rural-Urban Continuum, Maternal Education and Adverse Birth Outcomes in Quebec, Canada

The Association Between Rural-Urban Continuum, Maternal Education and Adverse Birth Outcomes in Quebec, Canadas

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Référence bibliographique [1587]

Journal of Rural Health, vol. 25, no 4, p. 342-351.

Fiche synthèse

1. Objectifs


Intentions :
« Our objective was to examine, for a continuum of rural-urban area classifications and maternal education, the outcomes preterm birth (PTB), low birth weight (LBW), and small-for gestational age (SGA) birth, accounting for area SES and individual-level covariates. We evaluated whether maternal education modifies the influence of the rural-urban continuum on birth outcomes, and whether the rural-urban continuum modifies the influence of education. » (p. 343)

2. Méthode


Échantillon/Matériau :
Singleton births from 1999 to 2003 (n = 356 147).

Type de traitement des données :
Analyse statistique

3. Résumé


« Rural relative to urban area and low socioeconomic status (SES) are associated with adverse birth outcomes. Whether a graded association of increasing magnitude is present across the urban-rural continuum, accounting for SES, is unclear. We examined the association between rural-urban continuum, SES and adverse birth outcomes. Methods: Singleton births [...] were linked to Quebec municipalities ranked on a continuum of 3 urban and 4 rural areas based on population and economic base. [...] Conclusion: Differences in perinatal health exist across the rural-urban continuum, and maternal education has a modifying influence. » (p. 342)