IDEAS home Printed from https://ideas.repec.org/a/gam/jsusta/v12y2020i14p5523-d381979.html
   My bibliography  Save this article

Influence of Family Income Level on Obstetric and Perinatal Outcomes in Spain

Author

Listed:
  • Ana Ballesta-Castillejos

    (Department of Obstetrics & Gynaecology, Talavera de la Reina, 13600 Toledo, Spain)

  • Juan Gómez-Salgado

    (Department of Sociology, Social Work and Public Health, University of Huelva, 21071 Huelva, Spain
    Safety and Health Posgrade Program, Universidad Espíritu Santo, Guayaquil 091650, Ecuador)

  • Julián Rodríguez-Almagro

    (Department of Nursing, Faculty of Nursing of Ciudad Real, University of Castilla-La Mancha, 13071 Ciudad Real, Spain)

  • Antonio Hernández-Martínez

    (Department of Nursing, Faculty of Nursing of Ciudad Real, University of Castilla-La Mancha, 13071 Ciudad Real, Spain)

Abstract

For pregnant women, having a low family income status is associated with late prenatal attendance and an increased risk of adverse outcomes during pregnancy, delivery, and immediately after delivery. However, the influence of the socioeconomic level on maternal and child health may be minimal as long as the health system model is able to neutralise health inequity. For this reason, the objective of this study is to determine the relationship between the socioeconomic level assessed through monthly household income and obstetric and perinatal outcomes in the Spanish Health System, where midwives play a relevant role. To meet this objective, a cross-sectional observational study aimed at women who have been mothers between 2013 and 2018 in Spain was developed. The final study population was 5942 women. No statistically significant differences with linear trend were found between income level and obstetric and perinatal outcomes after the adjustment by confounding factors (pregnancy composite morbidity, p = 0.447; delivery composite morbidity, p = 0.590; perinatal composite morbidity, p = 0.082; postpartum composite morbidity, p = 0.407). The main conclusion is that, in the current Spanish health system, household income as an indicator of socioeconomic status is not related to perinatal outcomes after the adjustment by confounding factors. These results are likely due to the public model of our health system that serves all citizens on equal footing, although other social and individual factors may have influenced these results

Suggested Citation

  • Ana Ballesta-Castillejos & Juan Gómez-Salgado & Julián Rodríguez-Almagro & Antonio Hernández-Martínez, 2020. "Influence of Family Income Level on Obstetric and Perinatal Outcomes in Spain," Sustainability, MDPI, vol. 12(14), pages 1-16, July.
    • Handle: RePEc:gam:jsusta:v:12:y:2020:i:14:p:5523-:d:381979
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2071-1050/12/14/5523/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/2071-1050/12/14/5523/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Clayborne, Zahra M. & Giesbrecht, Gerald F. & Bell, Rhonda C. & Tomfohr-Madsen, Lianne M., 2017. "Relations between neighbourhood socioeconomic status and birth outcomes are mediated by maternal weight," Social Science & Medicine, Elsevier, vol. 175(C), pages 143-151.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Farid Boubred & Vanessa Pauly & Fanny Romain & Guillaume Fond & Laurent Boyer, 2020. "The role of neighbourhood socioeconomic status in large for gestational age," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-14, June.
    2. Thorsen, Maggie L. & Thorsen, Andreas & McGarvey, Ronald, 2019. "Operational efficiency, patient composition and regional context of U.S. health centers: Associations with access to early prenatal care and low birth weight," Social Science & Medicine, Elsevier, vol. 226(C), pages 143-152.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jsusta:v:12:y:2020:i:14:p:5523-:d:381979. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.