Cent Eur J Public Health 2018, 26(Supplement):S25-S31 | DOI: 10.21101/cejph.a5273

Risk factors of preterm birth and low birth weight neonates among Roma and non-Roma mothers

Jana Diabelková1, Kvetoslava Rimárová1, Peter Urdzík2, Erik Dorko1, Andrea Bušová1
1 Department of Public Health and Hygiene, Faculty of Medicine, Pavol Jozef Šafárik University in Košice, Košice, Slovak Republic
2 Department of Gynaecology and Obstetrics, Faculty of Medicine, Pavol Jozef Šafárik University in Košice and Louis Pasteur University Hospital, Košice, Slovak Republic

Objective: This study analyses the differences in birth outcomes between Roma and non-Roma mothers and investigates the potential causes of such differences.

Methods: We conducted a retrospective cohort study of 1,989 non-Roma and 799 Roma mothers who gave birth in 2014 and 2015 at the Gynaecology and Obstetrics Clinic of Louis Pasteur University Hospital in Košice. Data on mothers and new-born infants have been obtained from the birth book and from the reports on mothers at childbirth. For low birth weight we considered the weight of a new-born weighing less than 2,500 grams and as for premature birth we referred to childbirth before pregnancy week 37. The file was split by ethnicity and statistically processed in IBM SPSS Statistics 21.0.

Results: Our results confirmed a lower birth weight among Roma children (-365.4 grams, p < 0.001). The shorter gestation age and higher risk of premature birth were not statistically significant regarding Roma children. Based on the characteristics of Roma mothers, they are at higher risk of giving birth as minor (OR = 23.64; 95% CI = 15.29-36.54; p < 0.001), as single mothers (OR = 7.13; 95% CI = 5.80-8.76; p < 0.001), with basic education or lack of education (OR = 141.31; 95% CI = 100.47-198.76; p < 0.001). They also have a higher risk of smoking during pregnancy (OR = 23.84; 95% CI = 18.06-31.49; p < 0.001); drinking alcohol (OR = 11.71; 95% CI = 3.36-40.90; p < 0.001) and taking drugs (OR = 8.70; 95% CI = 1.81-42.02; p < 0.001). Roma women attended gynaecologists more rarely.

Conclusion: It is therefore important to support the work of community health workers and stimulate collaboration between community health professionals, paediatricians and gynaecologists to overcome institutional barriers in maternity and child care for mothers living in Roma settlement.

Klíčová slova: birth outcomes, birth weight, preterm birth, Roma infants, risk factors

Vloženo: 5. prosinec 2017; Revidováno: 20. srpen 2018; Přijato: 20. srpen 2018; Zveřejněno: 31. prosinec 2018  Zobrazit citaci

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Diabelková J, Rimárová K, Urdzík P, Dorko E, Bušová A. Risk factors of preterm birth and low birth weight neonates among Roma and non-Roma mothers. Cent Eur J Public Health. 2018;26(Supplement):S25-31. doi: 10.21101/cejph.a5273. PubMed PMID: 30817869.
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    Reference

    1. Bobak M, Dejmek J, Solansky I, Sram RJ. Unfavourable birth outcomes of the Roma women in the Czech Republic and the potential explanations: a population-based study. BMC Public Health. 2005;5:106. doi: 10.1186/1471-2458-5-106. Přejít k původnímu zdroji... Přejít na PubMed...
    2. Balázs P, Rákóczi I, Grenczer A, Foley KL. Birth-weight differences of Roma and non-Roma neonates - public health implications from a population-based study in Hungary. Cent Eur J Public Health. 2014;22(1):24-8. Přejít k původnímu zdroji... Přejít na PubMed...
    3. Vaňo B, Mészáros J. Reproductive behavior of the population in municipalities with low standard of living. Bratislava: INFOSTAT; 2004. (In Slovak.)
    4. Balázs P, Rákóczi I, Grenczer A, Foley KL. Risk factors of preterm birth and low birth weight babies among Roma and non-Roma mothers: a population-based study. Eur J Public Health. 2013;23(3):480-5. Přejít k původnímu zdroji... Přejít na PubMed...
    5. Gecková AM, Babinská I, Bobáková D, Veselská ZD, Bosáková L, Kolarčik P, et al. Socioeconomic characteristics of the population living in Roma settlements and their association with health and health-related behaviour. Cent Eur J Public Health. 2014 Mar;22 Suppl:S57-64. Přejít k původnímu zdroji... Přejít na PubMed...
    6. Karadzhova P, Romanov K, Kamburova M. Reproductive health needs and access to health services among Roma women in district Pleven, Bulgaria. Eur J Public Health. 2015 Oct;25 Suppl 3:392. Přejít k původnímu zdroji...
    7. Babinská I, Gecková AM, Jarčuška P, Pella D, Mareková M, Štefková G, et al. Does the population living in Roma settlements differ in physical activity, smoking and alcohol consumption from the majority population in Slovakia? Cent Eur J Public Health. 2014 Mar;22 Suppl:S22-7. Přejít k původnímu zdroji... Přejít na PubMed...
    8. Rimárová K. Overview of the results of studies on the health status of the minority Roma population in the area of child growth, the impact on pregnancy and the frequency of infectious diseases. In: Proceeding of scientific and special papers from structural fund of EU [Internet]. Košice: UPJŠ LF; 2013 [cited 2018 Aug 20]. p. 159-67. Available from: http://www.lf.upjs.sk/cemio/publikacie/Rimarova-Prehlad-UPJS2013.pdf. (In Slovak.)
    9. Logar M, Pavlič DR, Maksuti A. Standpoints of Roma women regarding reproductive health. BMC Women's Health. 2015 Apr;15:38. doi: 10.1186/s12905-015-0195-0. Přejít k původnímu zdroji... Přejít na PubMed...
    10. Hotchkiss DR, Godha D, Gage AJ, Cappa C. Risk factors associated with the practice of child marriage among Roma girls in Serbia. BMC Int Health Hum Rights. 2016 Feb;16:6. doi: 10.1186/s12914-016-0081-3. Přejít k původnímu zdroji... Přejít na PubMed...
    11. Filadelfiová J, Porubänová S. Context and circumstances of selected aspects of health and reproductive health of Roma women. [Internet]. Bratislava: Institute for Labour and Family Research; 2012 [cited 2018 Aug 20]. Available from: https://www.ceit.sk/IVPR/images/IVPR/vyskum/2012/Filadelfiova/2259_porubanova_filadelfiova.pdf. (In Slovak).
    12. Dumitru, M, Chirea G, Punga A, Ciobotariu G, Boda D. Reproductive health and sexual behaviour among Roma communities in Romania: Madalina Dumitru. Eur J Public Health. 2014 Oct;24 Suppl 2:122. Přejít k původnímu zdroji...
    13. Sedlecky K, Rašević M. Challenges in sexual and reproductive health of Roma people who live in settlements in Serbia. Eur J Contracept Reprod Health Care. 2015 Apr;20(2):101-9. Přejít k původnímu zdroji... Přejít na PubMed...
    14. Földes ME, Covaci A. Research on Roma health and access to healthcare: state of the art and future challenges. Int J Public Health. 2012 Feb;57(1):37-9. Přejít k původnímu zdroji... Přejít na PubMed...
    15. Colombini M, Rechel B, Mayhew SH. Access of Roma to sexual and reproductive health services: qualitative findings from Albania, Bulgaria and Macedonia. Glob Public Health. 2012;7(5):522-34. Přejít k původnímu zdroji... Přejít na PubMed...
    16. Jarcuska P, Bobakova D, Uhrin J, Bobak L, Babinska I, Kolarcik P, et al. Are barriers in accessing health services in the Roma population associated with worse health status among Roma? Int J Public Health. 2013 Jun;58(3):427-34. Přejít k původnímu zdroji... Přejít na PubMed...
    17. De Graaf P, Rotar Pavlič D, Zelko E, Vintges M, Willems S, Hanssens L. Primary care for the Roma in Europe: Position paper of the European forum for primary care. Slovenian J Public Health. 2016 Sept;55(3):218-24. Přejít k původnímu zdroji... Přejít na PubMed...
    18. Bobakova D, Dankulincova Veselska Z, Babinska I, Klein D, Madarasova Geckova A, Cislakova L, et al. Differences between Roma and non-Roma in how social support from family and friends helps to overcome health care accessibility problems. Int J Equity Health. 2015 Jun;14:37. doi: 10.1186/s12939-015-0165-z. Přejít k původnímu zdroji... Přejít na PubMed...
    19. Rosicova K, Madarasova Geckova A, van Dijk JP, Kollarova J, Rosic M, Groothoff JW. Regional socioeconomic indicators and ethnicity as predictors of regional infant mortality rate in Slovakia. Int J Public Health. 2011 Oct;56(5):523-31. Přejít k původnímu zdroji... Přejít na PubMed...
    20. Rambousková J, Dlouhý P, Křížová E, Procházka B, Hrnčířová D, Anděl M. Health behaviors, nutritional status, and anthropometric parameters of Roma and non-Roma mothers and their infants in the Czech Republic. J Nutr Educ Behav. 2009 Jan-Feb;41(1):58-64. Přejít k původnímu zdroji... Přejít na PubMed...
    21. Dhar B, Mowlah G, Kabir DM. Newborn anthropometry and its relationship with maternal factors. Bangladesh Med Res Counc Bull. 2003 Aug;29(2):48-58. Přejít na PubMed...
    22. Silvestrin S, Silva Ch, Hirakata VN, Goldani AA, Silveira PP, Goldani MZ. Maternal education level and low birth weight: A meta-analysis. J Pediatr. 2013 Jul-Aug;89(4):339-45. Přejít k původnímu zdroji... Přejít na PubMed...
    23. Bendhari ML, Haralkar SJ. Study of maternal risk factors for low birth weight neonates: a case-control study. Int J Med Sci Public Health. 2015;4(7):987-90. Přejít k původnímu zdroji...
    24. Astone NM, Misra D, Lynch C. The effect of maternal socio-economic status throughout the lifespan on infant birthweight. Paediatr Perinat Epidemiol. 2007 Jul;21(4):310-8. Přejít k původnímu zdroji... Přejít na PubMed...
    25. Jansen PW, Tiemeier H, Looman CW, Jaddoe VW, Hofman A, Moll HA, et al. Explaining educational inequalities in birthweight: the Generation R Study. Paediatric and Perinatal Epidemiology. 2009 May;23(3):216-28. Přejít k původnímu zdroji... Přejít na PubMed...
    26. Auger N, Leduc L, Naimi AI, Fraser WD. Delivery at term: impact of university education by week of gestation. J Obstet Gynaecol Can. 2016 Feb;38(2):118-24. Přejít k původnímu zdroji... Přejít na PubMed...
    27. Prunet C, Delnord M, Suarel-Cubizolles MJ, Goffinet F, Blondel B. Risk factors of preterm birth in France in 2010 and changes since 1995: results from the French National Perinatal Surveys. J Gynecol Obstet Hum Reprod. 2017 Jan;46(1):19-28. Přejít k původnímu zdroji... Přejít na PubMed...
    28. Janevic T, Osypuk T, Stojanovski K, Jankovic J, Gundersen D, Rogers M. Associations between racial discrimination, smoking during pregnancy and low birthweight among Roma. Eur J Public Health. 2017 Jun;27(3):410-15. Přejít k původnímu zdroji... Přejít na PubMed...
    29. Širvinskienė G, Žemaitienė N, Jusienėc R, Šmigelskasa K, Veryga A, Markūnienėd E. Smoking during pregnancy in association with maternal emotional well-being. Medicina. 2016;52(2):132-38. Přejít k původnímu zdroji... Přejít na PubMed...
    30. Šupínová M, Frčová B, Benyusová V, Bielik U. Extramural births in the context of reproductive health in socially deprived and excluded populations. Cent Eur J Nurs Midw. 2014;5(3):99-104. Přejít k původnímu zdroji...
    31. Janevic T, Savitz DA, Janevic M. Maternal education and adverse birth outcomes among immigrant women to the United States from Eastern Europe: A test of the healthy migrant hypothesis. Soc Sci Med. 2011;73(3):429-35. Přejít k původnímu zdroji... Přejít na PubMed...
    32. Auger N, Luo Z, Platt RW, Daniel M. Do mother's education and foreign born status interact to influence birth outcomes? Clarifying the epidemiological paradox and the healthy migrant effect. J Epidemiol Community Health. 2008;62(5):402-9. Přejít k původnímu zdroji... Přejít na PubMed...

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