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Socioeconomic Position Early in Adolescence and Mode of Delivery Later in Life: Findings from a Portuguese Birth Cohort

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  • Cristina Teixeira
  • Susana Silva
  • Milton Severo
  • Henrique Barros

Abstract

Objective: This study assessed the influence of socioeconomic position at 12 years of age (SEP-12) on the variability in cesarean rates later in life. Methods: As part of the Portuguese Generation XXI birth cohort we evaluated 7358 women with a singleton pregnancy who delivered at five Portuguese public hospitals serving the region of Porto (April/2005–September/2006). Based on the twelve items that described socioeconomic circumstances at age 12, a latent class analysis was used to classify women’s SEP-12 as high, intermediate and low. Multiple Poisson regression was used to estimate adjusted risk ratio (RR) and respective 95% confidence interval (95% CI). Results: The cesarean rates in high, intermediate and low SEP-12 were, respectively, 40.9%, 37.5% and 40.5% (p = 0.100) among primiparous women; 14.2%, 11.6% and 15.5% (p = 0.04) among multiparous women with no previous cesarean and 78.6%, 72.2% and 70.0% (p = 0.08) among women with a previous cesarean. A low to moderate association between SEP-12 and cesarean rates was observed among multiparous women with a previous cesarean, illustrating that women from higher SEP-12 were more likely to have a surgical delivery (RR = 1.12;95%CI:1.01–1.24 comparing high with low SEP-12 and RR = 1.03:95%CI:0.94–1.14 comparing intermediate with low SEP-12) not explained by potential mediating factors. No such association was found either in primiparous or in multiparous women without a previous cesarean. Conclusions: The association between SEP-12 and cesarean rates suggests the effect of past socioeconomic context on the decision concerning the mode of delivery, but only among women who experienced a previous cesarean. Accordingly, it appears that early-life socioeconomic circumstances drive cesarean rates but the effect can be modified by lived experiences concerning childbirth.

Suggested Citation

  • Cristina Teixeira & Susana Silva & Milton Severo & Henrique Barros, 2015. "Socioeconomic Position Early in Adolescence and Mode of Delivery Later in Life: Findings from a Portuguese Birth Cohort," PLOS ONE, Public Library of Science, vol. 10(3), pages 1-16, March.
    • Handle: RePEc:plo:pone00:0119517
    DOI: 10.1371/journal.pone.0119517
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    References listed on IDEAS

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    1. Lynch, J. W. & Kaplan, G. A. & Salonen, J. T., 1997. "Why do poor people behave poorly? Variation in adult health behaviours and psychosocial characteristics by stages of the socioeconomic lifecourse," Social Science & Medicine, Elsevier, vol. 44(6), pages 809-819, March.
    2. Leone, Tiziana & Padmadas, Sabu S. & Matthews, Zoë, 2008. "Community factors affecting rising caesarean section rates in developing countries: An analysis of six countries," Social Science & Medicine, Elsevier, vol. 67(8), pages 1236-1246, October.
    3. Hawe, Penelope & Shiell, Alan, 2000. "Social capital and health promotion: a review," Social Science & Medicine, Elsevier, vol. 51(6), pages 871-885, September.
    4. Jefferis, B.J.M.H. & Power, C. & Graham, H. & Manor, O., 2004. "Effects of Childhood Socioeconomic Circumstances on Persistent Smoking," American Journal of Public Health, American Public Health Association, vol. 94(2), pages 279-285.
    5. Graham, Hilary & Hawkins, Summer Sherburne & Law, Catherine, 2010. "Lifecourse influences on women's smoking before, during and after pregnancy," Social Science & Medicine, Elsevier, vol. 70(4), pages 582-587, February.
    6. Melissa Scharoun-Lee & Penny Gordon-Larsen & Linda Adair & Barry Popkin & Jay Kaufman & Chirayath Suchindran, 2011. "Intergenerational Profiles of Socioeconomic (Dis)advantage and Obesity During the Transition to Adulthood," Demography, Springer;Population Association of America (PAA), vol. 48(2), pages 625-651, May.
    7. Lawlor, D.A. & Batty, G.D. & Morton, S.M.B. & Clark, H. & Macintyre, S. & Leon, D.A., 2005. "Childhood socioeconomic position, educational attainment, and adult cardiovascular Risk Factors: The Aberdeen children of the 1950s cohort study," American Journal of Public Health, American Public Health Association, vol. 95(7), pages 1245-1251.
    8. Borgonovi, Francesca, 2010. "A life-cycle approach to the analysis of the relationship between social capital and health in Britain," Social Science & Medicine, Elsevier, vol. 71(11), pages 1927-1934, December.
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