Relationship between Maternal Socioeconomic Factors and Preterm Birth in Latvia

Katrīne Kūkoja1,2, Anita Villeruša2, Irisa Zīle-Velika3

  • 1Institute of Social, Economic and Humanities Research, Vidzeme University of Applied Sciences, LV-4201 Valmiera, Latvia.

PubMed

Insights

Higher maternal education significantly reduces the risk of preterm birth (PTB). Socioeconomic factors cumulatively increase PTB odds, emphasizing education

Area of Science:

  • Public Health
  • Sociology
  • Perinatology

Background:

  • Preterm birth (PTB) is the leading cause of under-5 mortality globally.
  • Socioeconomic factors significantly influence maternal and newborn health outcomes.
  • Understanding these factors is crucial for effective public health interventions.

Purpose of the Study:

  • To analyze the relationship between socioeconomic factors and PTB in Latvia.
  • To investigate the impact of education, marital status, residence, and nationality on PTB.
  • To consider maternal health habits, status, and pregnancy process in the analysis.

Main Methods:

  • Cross-sectional study utilizing Latvia's Medical Birth Register (MBR) data from 2022.
  • Inclusion of 15,431 singleton pregnancies.
  • Statistical analysis included crosstabs, chi-square tests, and multivariable binary logistic regression.

Main Results:

  • Lower maternal education is significantly associated with increased PTB odds (aOR=2.07 for below secondary, aOR=1.58 for secondary/vocational).
  • Cumulative effect of socioeconomic risk factors demonstrated a 1.59-fold increased odds of PTB.
  • Mothers with two or three socioeconomic risk factors showed significantly higher PTB odds (aOR=1.59).

Conclusions:

  • Higher maternal education is a significant protective factor against preterm birth.
  • Socioeconomic factors have a cumulative impact on PTB risk.
  • Further research is needed in Latvia to understand the complex interplay of socioeconomic factors and PTB.

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