Related Experiment Video
Updated: Jun 25, 2025

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
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.
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.
Abstract:
Background and Objectives: Worldwide, preterm birth (PTB) stands as the primary cause of mortality among children under 5 years old. Socioeconomic factors significantly impact pregnancy outcomes, influencing both maternal well-being and newborn health. Understanding and addressing these socioeconomic factors is essential for developing effective public health interventions and policies aimed at improving pregnancy outcomes. This study aims to analyse the relationship between socioeconomic factors (education level, marital status, place of residence and nationality) and PTB in Latvia, considering mother's health habits, health status, and pregnancy process. Materials and Methods: A cross-sectional study was conducted using data from the Medical Birth Register (MBR) of Latvia about women with singleton pregnancies in 2022 (n = 15,431). Data analysis, involving crosstabs, chi-square tests, and multivariable binary logistic regression, was performed. Adjusted Odds ratios (aOR) with 95% confidence intervals (CI) were estimated. Results: Lower maternal education was statistically significantly associated with increased odds of PTB. Mothers with education levels below secondary education had over two times higher odds of PTB (aOR = 2.07, p < 0.001, CI 1.58-2.70) and those with secondary or vocational secondary education had one and a half times higher odds (aOR = 1.58, p < 0.001, CI 1.33-1.87) after adjusting for other risk factors. Study results also showed the cumulative effect of socioeconomic risk factors on PTB. Additionally, mothers facing two or three socioeconomic risk factors in Latvia exhibited one and a half times higher odds of PTB (aOR = 1.59, p = 0.021). Conclusions: The study highlights the cumulative impact of socioeconomic risk factors on PTB, with higher maternal education demonstrating the highest protective effect against it. This underscores the importance of education in promoting optimal foetal development. Since the influence of socioeconomic factors on PTB is not a widely studied issue in Latvia, further research is needed to improve understanding of this complex topic.
Related Concept Videos
Regression Toward the Mean
Socioemotional Development during Infancy
Primary Temperament Types
Environmental Influences on Intelligence
Psychological and Sociocultural Causes of Schizophrenia

