Predictive social factors in relation to preterm birth in a metropolitan region

Katrien Beeckman1, Sabine van De Putte, Koen Putman

  • 1Department of Medical Sociology and Health Sciences, Vrije Universiteit Brussel, Laarbeeklaan 103, Brussels, Belgium. katrien.beeckman@vub.ac.be

Insights

Teenage or single mothers face higher risks of preterm birth. Understanding these social factors is crucial for improving neonatal outcomes and targeting vulnerable populations.

Area of Science:

  • Sociology of health
  • Maternal and child health
  • Public health research

Background:

  • Preterm birth significantly impacts neonatal well-being, increasing risks of morbidity and mortality.
  • Social determinants, alongside medical factors, play a role in preterm birth occurrences.

Purpose of the Study:

  • To identify social factors predicting preterm birth.
  • To investigate the association between maternal characteristics and preterm birth.

Main Methods:

  • Cross-sectional population study in the Brussels metropolitan region.
  • Analysis of 8,586 birth registration forms from 2004.
  • Logistic regression to determine significant predictors of preterm birth (<37 weeks).

Main Results:

  • Maternal age, origin, and marital status were associated with preterm birth.
  • Being a teenage mother (OR 2.15) and a single mother (OR 1.49) were significant social risk factors for preterm birth, even after controlling for confounders.

Conclusions:

  • Adolescent and single maternal status are key social risk factors for preterm birth.
  • Prenatal care access and utilization may explain the increased risk.
  • Further research should focus on prenatal care trajectories in vulnerable groups to reduce preterm birth rates.
Abstract

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