Socioeconomic and ethnic disparities in preterm births in an English maternity setting: a population-based study of 1.3 million births

There was evidence of variation in rates of preterm birth by ethnic group, with some Trusts reporting below average rates in white ethnic groups whilst concurrently reporting well above average rates for women from Asian or black ethnic groups. The risk of preterm birth varied substantially at the intersectionality of maternal ethnicity and the level of socioeconomic deprivation of their residency. In the absence of other explanations, these findings suggest that even within the same Health Trust, maternity care may vary depending on the women's ethnicity and/or whether she lives in an area of high socioeconomic deprivation. Thus, social factors are likely key determinants of inequality in preterm birth rather than provision of maternity care alone.

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Publication Details

Journal
BMC Medicine
Published
2024-09-20
DOI
https://doi.org/10.1186/s12916-024-03493-x
Citations
13
Primary Topic
Preterm Birth and Chorioamnionitis
Type
article
Field-Weighted Citation Impact
5.03

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article

Socioeconomic and ethnic disparities in preterm births in an English maternity setting: a population-based study of 1.3 million births

Jenny Carter, Lia Brigante, Ruta Margelyte, A Howell et al.
13 citations
BMC Medicine
Preterm Birth and Chorioamnionitis
5.03
article

Socioeconomic and ethnic disparities in preterm births in an English maternity setting: a population-based study of 1.3 million births

Jenny Carter, Lia Brigante, Ruta Margelyte, A Howell, Dilly Anumba, Maria Viner, Vincent Chi‐Chung Cheng, B. Thilaganathan, Jane Sandall, Andrew Judge, Christy Burden, Erik Lenguerrand, Gbenga A Kayode, Fran Carroll, Cathy Winter
article en
13 citations

Abstract

There was evidence of variation in rates of preterm birth by ethnic group, with some Trusts reporting below average rates in white ethnic groups whilst concurrently reporting well above average rates for women from Asian or black ethnic groups. The risk of preterm birth varied substantially at the intersectionality of maternal ethnicity and the level of socioeconomic deprivation of their residency. In the absence of other explanations, these findings suggest that even within the same Health Trust, maternity care may vary depending on the women's ethnicity and/or whether she lives in an area of high socioeconomic deprivation. Thus, social factors are likely key determinants of inequality in preterm birth rather than provision of maternity care alone.

BMC MedicineVol. 22(1)
Royal College of Obstetricians and Gynaecologists (GB), King's College London (GB), Royal College of Midwives (GB), Southmead Hospital (GB), University of Bristol (GB), University of Sheffield (GB)
King's College Hospital NHS Foundation Trust, National Institute for Health and Care Research, Department of Health and Social Care, Tommy's Baby Charity, King's College London, University of Bristol, Tommy's, National Institute for Health Research Applied Research Collaboration South London
Openalex Percentile: Top 4%
Preterm Birth and Chorioamnionitis
5.03
DOIOpen Access PDFOpenAlex
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