Perinatal health inequalities and accessibility of maternity services in a rural French region: Closing maternity units in Burgundy

Combier, Évelyne; Charreire, Hélène; Vaillant, Marc Le; Michaut, Francis; Ferdynus, Cyril; Amat-Roze, Jeanne-Marie; Gouyon, Jean‐Bernard; Quantin, Catherine; Zeitlin, Jennifer

doi:10.1016/j.healthplace.2013.09.006

Cited by 52 publications

(82 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This study is consistent with Combier et al (2013), Dummer and Parker (2004), and Moisi et al (2010) that travel time is not associated with neonatal mortality, while studies by Gryzbowski et al (2011), Okwaraji et al (2012, Ravelli et al (2011), andShoeps et al (2011) found a significant association with under-5 mortality and perinatal mortality (stillbirths and neonatal deaths). However, direct comparisons are not warranted for several reasons.…”

Section: Discussionsupporting

confidence: 91%

“…Not many of those studies have utilized a time-based measure of access, and none have examined its impact on neonatal mortality among a high-risk infant group. Of the seven studies analyzed in this literature review, three concluded a null association (Combier et al, 2013;Dummer & Parker, 2004;Okwaraji et al, 2012) between the travel time to nearest perinatal hospital or actual delivery facility and infant death, while four studies found positive associations (Grzybowski et al, 2011;Moisi et al, 2010;Ravelli et al, 2011;Schoeps et al, 2011) even after adjusting for confounders.…”

Section: Prior Studies On Infant Mortality and Travel Time To Delivermentioning

confidence: 88%

“…Some other studies have evaluated the impact of road distance traveled to health facilities on either perinatal, neonatal, or infant mortality in both developed (Lisonkova et al, 2011;Pasquier et al, 2007;Pilkington, Blondel, Drewniak, & Zeitlin, 2014) and developing (Armstrong Schellenberg et al, 2008;Kashima et al, 2012;Lohela, Campbell, & Gabrysch, 2012;Malqvist, Sohel, Do, Eriksson, & Persson, 2010) countries but with varied results. Very few studies have used a more accurate measure, namely travel time to health care services, and studied its impact on mortality in infancy (Combier et al, 2013;Dummer & Parker, 2004;Grzybowski, Stoll, & Kornelsen, 2011;Moisi et al, 2010;Okwaraji, Cousens, Berhane, Mulholland, & Edmond, 2012;Ravelli et al, 2011;Schoeps, Gabrysch, Niamba, Sie, & Becher, 2011). Of those studies that utilized a distance-or time-based measure of access, there were vast differences in sample size, exclusion/inclusion criteria, and geographic region of study.…”

Section: Environmental Protection Agency [Us Epa] 2014)mentioning

confidence: 99%

“…A French population-based cross-sectional study by Combier et al (2013) reported an insignificant positive association between travel time to closest maternity ward and perinatal mortality (stillbirths and neonatal deaths combined). Data came from hospital discharge summaries of 111,001 deliveries from linked files of mothers and children as well as socioeconomic factors and gestational age provided by the maternity wards.…”

Section: Literature Reviewmentioning

confidence: 99%

“…Maternal education served as a proxy measure for SES in a rural African nation study (Okwaraji et al, 2012). Environmental factors, such as the degree of urbanization, were also controlled for in studies by Ravelli et al (2011) and Combier et al (2013). Hospital level and volume have been shown to impact birth outcomes and were additionally adjusted for in the study by Ravelli et al (2011).…”

Section: Literature Reviewmentioning

confidence: 99%

See 4 more Smart Citations

Geographic Accessibility to Health Services and Neonatal Mortality Among Very-Low Birthweight Infants in South Carolina

Featherstone

Eberth

Nitcheva

et al. 2016

Matern Child Health J

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 91%

Section: Prior Studies On Infant Mortality and Travel Time To Delivermentioning

confidence: 88%

Section: Environmental Protection Agency [Us Epa] 2014)mentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

Section: Literature Reviewmentioning

confidence: 99%

See 3 more Smart Citations

Geographic Accessibility to Health Services and Neonatal Mortality Among Very-Low Birthweight Infants in South Carolina

Featherstone

Eberth

Nitcheva

et al. 2016

Matern Child Health J

View full text Add to dashboard Cite

Association Between Income and Perinatal Mortality in the Netherlands Across Gestational Age

et al. 2021

View full text Add to dashboard Cite

IMPORTANCEThe association between household income and perinatal health outcomes has been understudied. Examining disparities in perinatal mortality within strata of gestational age and before and after adjusting for birth weight centile can reveal how the income gradient is associated with gestational age, birth weight, and perinatal mortality.OBJECTIVES To investigate the association between household income and perinatal mortality, separately by gestational age strata and time of death, and the potential role of birth weight centile in mediating this association. DESIGN, SETTING, AND PARTICIPANTSThis cross-sectional study used individually linked data of all registered births in the Netherlands with household-level income tax records. Singletons born between January 1, 2004, and December 31, 2016, at 24 weeks to 41 weeks 6 days of gestation with complete information on birth outcomes and maternal characteristics were studied. Data analysis was performed from March 1, 2018, to August 30, 2021. EXPOSURES Household income rank (adjusted for household size).MAIN OUTCOMES AND MEASURES Perinatal mortality, stillbirth (at Ն24 weeks of gestation), and early neonatal mortality (at Յ7 days after birth). Disparities were expressed as bottom-to-top ratios of projected mortality among newborns with the poorest 1% of households vs those with the richest 1% of households. Generalized additive models stratified by gestational age categories, adjusted for potential confounding by maternal age at birth, maternal ethnicity, parity, sex, and year of birth, were used. Birth weight centile was included as a potential mediator. RESULTS Among 2 036 431 singletons in this study (1 043 999 [51.3%] males; 1 496 579 [73.5%] with mother of Dutch ethnicity), 121 010 (5.9%) were born before 37 weeks of gestation, and 8720 (4.3 deaths per 1000) died during the perinatal period. Higher household income was positively associated with higher rates of perinatal survival, with an unadjusted bottom-to-top ratio of 2.18 (95% CI, 1.87-2.56). The bottom-to-top ratio decreased to 1.30 (95% CI, 1.22-1.39) after adjustment for potential confounding factors and inclusion of birth weight centile as a possible mediator. The fully adjusted ratios were lower for stillbirths (1.27; 95% CI, 1.20-1.36) than for early neonatal deaths (1.35; 95% CI, 1.14-1.66). Inequalities in perinatal mortality were found for newborns at greater than 26 weeks of gestation but not between 24 and 26 weeks of gestation (fully adjusted bottom-to-top ratio, 0.89; 95% CI, 0.77-1.04). CONCLUSIONS AND RELEVANCEThe results of this large nationally representative cross-sectional study suggest that a large part of the increased risk of perinatal mortality among low-income women is mediated via a lower birth weight centile. The absence of disparities at very low gestational ages suggests that income-related risk factors for perinatal mortality are less prominent at very low (continued) Key Points Question Is higher household income associated with perinatal survival in a country with unive...

show abstract

Inclusive Maternity Care and Education

Einion-Waller

2020

Encyclopedia of the UN Sustainable Development Goals

View full text Add to dashboard Cite

Perinatal health inequalities and accessibility of maternity services in a rural French region: Closing maternity units in Burgundy

Cited by 52 publications

References 56 publications

Geographic Accessibility to Health Services and Neonatal Mortality Among Very-Low Birthweight Infants in South Carolina

Geographic Accessibility to Health Services and Neonatal Mortality Among Very-Low Birthweight Infants in South Carolina

Association Between Income and Perinatal Mortality in the Netherlands Across Gestational Age

Inclusive Maternity Care and Education

Contact Info

Product

Resources

About