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Published on: January 12, 2018
Maternal Socioeconomic Mobility and Preterm Delivery: A Latent Class Analysis
Yan Tian1, Claudia Holzman2, Jaime Slaughter-Acey3
1Department of Epidemiology and Biostatistics, College of Human Medicine, Michigan State University, 909 Fee Road Room B601, East Lansing, Michigan, 48824, USA.
Maternal socioeconomic mobility (SM) from childhood to adulthood is linked to pregnancy outcomes. Upward SM was associated with a reduced risk of preterm delivery (PTD), particularly for white women.
Area of Science:
- Public Health
- Sociology
- Reproductive Health
Background:
- Maternal socioeconomic status (SES) influences pregnancy outcomes.
- Socioeconomic mobility (SM) from childhood to adulthood may also impact maternal and infant health.
- Understanding the relationship between SM and preterm delivery (PTD) is crucial for public health interventions.
Purpose of the Study:
- To investigate the association between maternal socioeconomic mobility (SM) from childhood to adulthood and the risk of preterm delivery (PTD).
- To examine potential heterogeneity in this association across different race/ethnicity groups.
Main Methods:
- Latent class analysis was used to identify patterns of childhood socioeconomic position (SEP), adulthood SEP, and SM.
- A model-based approach assessed the relationship between identified SM classes and PTD risk.
- Data included 3019 pregnant women from 5 Michigan communities (1998-2004).
Main Results:
- Four latent classes of SM were identified: static low, upward, downward, and static high.
- Women with upward SM demonstrated decreased odds of PTD (OR=0.60) compared to those with static low SEP.
- This protective effect of upward SM was observed across all women and was most pronounced in white/other women.
Conclusions:
- Maternal upward socioeconomic mobility is a significant factor to consider when assessing PTD risk.
- Policies and programs aimed at improving women's socioeconomic status may help reduce PTD rates.
- Further research into the mechanisms linking SM and PTD is warranted.
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