To describe the extent of socioeconomic inequalities in low birth weight.
To assess the relative benefits of measuring socioeconomic status by individual occupation, socioeconomic deprivation status of area of residence, or both, for describing inequalities and targeting resources.
Design-Analysis of birth registrations by registration status : joint compared with sole registrants ( « lone mothers »), routinely recorded parental occupation (father's for joint registrants), and census derived enumeration district (ED) deprivation.
Subjects-471 411 births with coded parental occupation (random 10% sample) and birth weight.
Main outcome measures-Proportion of low birth weight (<2500 g) Results-34% of births to joint registrants in social classes IV and V, and 45% of births to sole registrants, were in the quintile of most deprived EDs.
It was found that 6.8% of births were of low birth weight.
Sole registrants were at higher risk (9.3% overall) than joint registrants, across all deprivation quintiles.
For joint registrants, the socioeconomic risk gradient was similar by social class or area deprivation, but a greater gradient from 4.7% to 8.7% was found with combined classification.
Conclusions-Up to 30% of low birth weight can be seen as being associated with levels of socioeconomic deprivation below that of the most affluent group, as measured in this study. (...)
Mots-clés Pascal : Poids naissance faible, Catégorie socioprofessionnelle, Classe sociale, Parent, Pauvreté, Variation géographique, Famille monoparentale, Mère, Epidémiologie, Facteur risque, Nouveau né, Homme, Angleterre, Grande Bretagne, Royaume Uni, Europe, Pays de Galles, Gestation pathologie, Prématurité, Nouveau né pathologie
Mots-clés Pascal anglais : Low birth weight, Socioeconomic category, Social class, Parent, Poverty, Geographical variation, One parent family, Mother, Epidemiology, Risk factor, Newborn, Human, England, Great Britain, United Kingdom, Europe, Wales, Pregnancy disorders, Prematurity, Newborn diseases
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0300216
Code Inist : 002B20F02. Création : 16/11/1999.