Effect of maternal age, smoking and deprivation on birthweight. 2001

S R Bonellie
School of Mathematical and Physical Sciences, Napier University, Edinburgh, UK. s.bonellie@napier.ac.uk

Low birthweight is often used as a health indicator. This paper reports the findings of a cohort study, which were analysed to determine the relationship, if any, between the age of the mother and birthweight given the mother's smoking habits and the level of social deprivation of the mother's place of residence. The data used were extracted from those data routinely collected by the Information and Statistics Division of the National Health Service, Scotland. Information on 178,801 singleton live births occurring between 1992 and 1994 was used in the analysis. The factors considered were those available directly from the official records. The level of social deprivation was measured using Carstairs index based on the postcode sector. Although younger and older mothers have lighter babies, on average, it was found that this effect can be largely explained by differences in the smoking habits and level of deprivation of the mothers. Birthweight, adjusted for gestational age, sex of the baby and parity of the mother, was significantly lower for babies born to mothers who smoked during pregnancy. It is clear, however, that the detrimental effect of smoking increases with the age of the mother. Although adjusted birthweight was lower for those in areas of high deprivation, this effect is small compared with the effect of smoking. Any attempt to decrease the percentage of low-birthweight babies must focus on reducing the percentage of mothers who smoke.

UI MeSH Term Description Entries
D008423 Maternal Age The age of the mother in PREGNANCY. Age, Maternal,Ages, Maternal,Maternal Ages
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011203 Poverty A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level. Federal Poverty Level,Federal Poverty Threshold,Indigency,Low-Income Population,Absolute Poverty,Extreme Poverty,Indigents,Low Income Population,Federal Poverty Levels,Indigent,Level, Federal Poverty,Low Income Populations,Low-Income Populations,Population, Low Income,Population, Low-Income,Poverty Level, Federal,Poverty Threshold, Federal,Poverty, Absolute,Poverty, Extreme
D011247 Pregnancy The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH. Gestation,Pregnancies
D001724 Birth Weight The mass or quantity of heaviness of an individual at BIRTH. It is expressed by units of pounds or kilograms. Birthweight,Birth Weights,Birthweights,Weight, Birth,Weights, Birth
D001827 Body Height The distance from the sole to the crown of the head with body standing on a flat surface and fully extended. Body Heights,Height, Body,Heights, Body
D003467 Cultural Deprivation The absence of certain expected and acceptable cultural phenomena in the environment which results in the failure of the individual to communicate and respond in the most appropriate manner within the context of society. Language acquisition and language use are commonly used in assessing this concept. Cultural Disadvantagement,Cultural Deprivations,Cultural Disadvantagements,Deprivation, Cultural,Deprivations, Cultural,Disadvantagement, Cultural,Disadvantagements, Cultural
D005260 Female Females
D006113 United Kingdom Country in northwestern Europe including Great Britain and the northern one-sixth of the island of Ireland, located between the North Sea and north Atlantic Ocean. The capital is London. Great Britain,Isle of Man
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

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