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Movin' on Up: Socioeconomic Mobility and the Risk of Delivering a Small-for-Gestational Age Infant
Journal article   Open access   Peer reviewed

Movin' on Up: Socioeconomic Mobility and the Risk of Delivering a Small-for-Gestational Age Infant

Jaime C Slaughter-Acey, Claudia Holzman, Danuelle Calloway, Yan Tian and Yuzhen Tian
Maternal and child health journal, v 20(3), pp 613-622
Mar 2016
DOI: https://doi.org/10.1007/s10995-015-1860-5
PMID: 26541591
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://europepmc.org/articles/pmc4754152View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

Adult African Americans - statistics & numerical data African Continental Ancestry Group - statistics & numerical data Educational Status European Continental Ancestry Group - statistics & numerical data Female Fetal Growth Retardation - ethnology Humans Infant, Newborn Infant, Small for Gestational Age Logistic Models Michigan - epidemiology Mothers Pregnancy Pregnancy Outcome - ethnology Prospective Studies Risk Factors Social Determinants of Health Social Mobility Socioeconomic Factors
Poor fetal growth is associated with increased rates of adverse health outcomes in children and adults. The social determinants of poor fetal growth are not well understood. Using multiple socioeconomic indicators measured at the individual level, this study examined changes in maternal socioeconomic position (SEP) from childhood to adulthood (socioeconomic mobility) in relation to poor fetal growth in offspring. Data were from the Pregnancy Outcomes and Community Health Study (September 1998-June 2004) that enrolled women in mid-pregnancy from 52 clinics in five Michigan communities (2463 women: 1824 non-Hispanic White, 639 non-Hispanic Black). Fetal growth was defined by birthweight-for-gestational age percentiles; infants with birthweight-for-gestational age <10th percentile were referred to as small-for-gestational age (SGA). In logistic regression models, mothers whose SEP changed from childhood to adulthood were compared to two reference groups, the socioeconomic group they left and the group they joined. Approximately, 8.2 % of women (non-Hispanic White: 6.3 %, non-Hispanic Black: 13.9 %) delivered an SGA infant. Upward mobility was associated with decreased risk of delivering an SGA infant. Overall, the SGA adjusted-odds ratio was 0.34 [95 % confidence interval (CI) 0.17-0.69] for women who moved from lower to middle/upper versus static lower class, and 0.44 (CI 0.28-1.04) for women who moved from middle to upper versus static middle class. There were no significant differences in SGA risk when women were compared to the SEP group they joined. Our findings support a link between mother's socioeconomic mobility and SGA offspring. Policies that allow for the redistribution or reinvestment of resources may reduce disparities in rates of SGA births.

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24 citations in Web of Science
25 citations in Scopus

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UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being
#5 Gender Equality

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Collaboration types
Domestic collaboration
Web of Science research areas
Public, Environmental & Occupational Health
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