Disparities in pre-eclampsia and eclampsia among immigrant women giving birth in six industrialised countries

• Type: Article in International Scientific Journal
• Date: 2014

Authors

Urquia, ML (Author) Other; Glazier, RH (Author) Other; Gagnon, AJ (Author) Other; Mortensen, LH (Author) Other; Nybo Andersen, AM (Author) Other; Janevic, T (Author) Other; Guendelman, S (Author) Other; Thornton, D (Author) Other; Bolumar, F (Author) Other; Rio Sanchez, I (Author) Other; Small, R (Author) Other; Davey, MA (Author) Other; Hjern, A (Author) Other; Alexander, S (Author) Other; Racape, J (Author) Other; Andersen, AMN (Author) Other; Mortensen, L (Author) Other; Barros H (Author) FMUP; Blondel, B (Author) Other; Buitendijk, S (Author) Other; Dennis, CL (Author) Other; Essen, B (Author) Other; Gagnon, AJ (Author) Other; Merry, L (Author) Other; Gissler, M (Author) Other; Glazier, R (Author) Other; Heaman, M (Author) Other; Kirby, R (Author) Other; Korfker, D (Author) Other; Mohangoo, A (Author) Other; Macfarlane, A (Author) Other; McCourt, C (Author) Other; Ng, E (Author) Other; Roth, C (Author) Other; Small, R (Author) Other; Davey, MA (Author) Other; Bandyopadhyay, M (Author) Other; Sievers, E (Author) Other; Urquia, M (Author) Other; Janevic, T (Author) Other; Guendelman, S (Author) Other; Thornton, D (Author) Other; Bolumar, F (Author) Other; Sanchez, MIR (Author) Other; Hjern, A (Author) Other; Vangen, S (Author) Other; Zeitlin, J (Author) Other

Journal

Title: BJOG: An International Journal of Obstetrics and Gynaecology

Vol. 121

Pages: 1492-1500

ISSN: 1470-0328

Publisher: Wiley-Blackwell

Indexing

Scopus - 42 Citations

Other information

Authenticus ID: P-00A-0PJ

DOI: 10.1111/1471-0528.12758

Abstract (EN): Main: outcome measures Pre-eclampsia, eclampsia and pre-eclampsia with prolonged hospitalisation (cases per 1000 deliveries).Results: There were 9 028 802 deliveries (3 031 399 to immigrant women). Compared with immigrants from Western Europe, immigrants from Sub-Saharan Africa and Latin America & the Caribbean were at higher risk of pre-eclampsia (OR: 1.72; 95% CI: 1.63, 1.80 and 1.63; 95% CI: 1.57, 1.69) and eclampsia (OR: 2.12; 95% CI: 1.61, 2.79 and 1.55; 95% CI: 1.26, 1. 91), respectively, after adjustment for parity, maternal age and destination country. Compared with native-born women, European and East Asian immigrants were at lower risk in most industrialised countries. Spain exhibited the largest disparities and Australia the smallest.Conclusion: Immigrant women from Sub-Saharan Africa and Latin America & the Caribbean require increased surveillance due to a consistently high risk of pre-eclampsia and eclampsia.Objective: To assess disparities in pre-eclampsia and eclampsia among immigrant women from various world regions giving birth in six industrialised countries.Design: Cross-country comparative study of linked population-based databases.Setting: Provincial or regional obstetric delivery data from Australia, Canada, Spain and the USA and national data from Denmark and Sweden.Population: All immigrant and non-immigrant women delivering in the six industrialised countries within the most recent 10-year period available to each participating centre (1995-2010).Methods: Data was collected using standardised definitions of the outcomes and maternal regions of birth. Pooled data were analysed with multilevel models. Within-country analyses used stratified logistic regression to obtain odds ratios (OR) with 95% confidence intervals (95% CI).

Language: English

Type (Professor's evaluation): Scientific