1. Impact of individual and ecological characteristics on small for gestational age births: an observational study in Quebec.
- Author
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Savard N, Levallois P, Rivest LP, and Gingras S
- Subjects
- Adult, Confidence Intervals, Educational Status, Female, Gestational Age, Humans, Infant, Low Birth Weight, Infant, Newborn, Logistic Models, Male, Marital Status, Multivariate Analysis, Odds Ratio, Parity, Pregnancy, Quebec, Retrospective Studies, Risk Assessment, Sedentary Behavior, Socioeconomic Factors, Young Adult, Birth Weight, Health Behavior, Infant, Small for Gestational Age, Maternal Age, Social Environment
- Abstract
Introduction: We evaluated associations between ecological variables and the risk of very small for gestational age (VSGA) birth in Quebec in 2000-2008., Methods: Ecological variables came from the Canadian Community Health Survey, the Canadian census and Quebec's birth registry; individual variables also came from Quebec's birth registry. Odds ratios (ORs) adjusted for mother's age, academic qualification, parity, marital status and country of birth were estimated using multilevel logistic regression (generalized estimating equations method)., Results: Births in neighbourhoods with a high proportion of people leading a sedentary lifestyle (OR: 1.07, 95% confidence interval [CI]: 1.01-1.11) and those with a high/middle proportion of residents with food insecurity (OR: 1.09, 95% CI: 1.05-1.15; OR: 1.05, 95% CI: 1.01-1.11) had higher odds of VSGA birth. Those with middle proportion of married residents had lower odds of VSGA birth (OR: 0.94, 95% CI: 0.90-0.98).
- Published
- 2014