Changes in individual and contextual socio-economic level influence on reproductive behavior in Spanish women in the MCC-Spain study.
Abortions
Breastfeeding
Contextual socioeconomic
Educational level
Hormonal therapy
Occupation
Pregnancies
Urban vulnerability index
Journal
BMC women's health
ISSN: 1472-6874
Titre abrégé: BMC Womens Health
Pays: England
ID NLM: 101088690
Informations de publication
Date de publication:
15 04 2020
15 04 2020
Historique:
received:
05
11
2019
accepted:
29
03
2020
entrez:
16
4
2020
pubmed:
16
4
2020
medline:
18
11
2020
Statut:
epublish
Résumé
The association between socioeconomic level and reproductive factors has been widely studied. For example, it is well known that women with lower socioeconomic status (SES) tend to have more children, the age at first-born being earlier. However, less is known about to what extent the great socioeconomic changes occurred in a country (Spain) could modify women reproductive factors. The main purpose of this article is to analyze the influence of individual and contextual socioeconomic levels on reproductive factors in Spanish women, and to explore whether this influence has changed over the last decades. We performed a cross-sectional design using data from 2038 women recruited as population-based controls in an MCC-Spain case-control study. Higher parent's economic level, education level, occupational level and lower urban vulnerability were associated with higher age at first delivery and lower number of pregnancies. These associations were stronger for women born after 1950: women with unfinished primary education had their first delivery 6 years before women with high education if they were born after 1950 (23.4 vs. 29.8 years) but only 3 years before if they were born before 1950 (25.7 vs. 28.0 years). For women born after 1950, the number of pregnancies dropped from 2.1 (unfinished primary school) to 1.7 (high education), whereas it remained almost unchanged in women born before 1950. Reproductive behavior was associated with both individual and area-level socio-economic indicators. Such association was stronger for women born after 1950 regarding age at first delivery and number of pregnancies and for women born before 1950 regarding consumption of hormonal contraceptives or postmenopausal therapy.
Sections du résumé
BACKGROUND
The association between socioeconomic level and reproductive factors has been widely studied. For example, it is well known that women with lower socioeconomic status (SES) tend to have more children, the age at first-born being earlier. However, less is known about to what extent the great socioeconomic changes occurred in a country (Spain) could modify women reproductive factors. The main purpose of this article is to analyze the influence of individual and contextual socioeconomic levels on reproductive factors in Spanish women, and to explore whether this influence has changed over the last decades.
METHODS
We performed a cross-sectional design using data from 2038 women recruited as population-based controls in an MCC-Spain case-control study.
RESULTS
Higher parent's economic level, education level, occupational level and lower urban vulnerability were associated with higher age at first delivery and lower number of pregnancies. These associations were stronger for women born after 1950: women with unfinished primary education had their first delivery 6 years before women with high education if they were born after 1950 (23.4 vs. 29.8 years) but only 3 years before if they were born before 1950 (25.7 vs. 28.0 years). For women born after 1950, the number of pregnancies dropped from 2.1 (unfinished primary school) to 1.7 (high education), whereas it remained almost unchanged in women born before 1950.
CONCLUSIONS
Reproductive behavior was associated with both individual and area-level socio-economic indicators. Such association was stronger for women born after 1950 regarding age at first delivery and number of pregnancies and for women born before 1950 regarding consumption of hormonal contraceptives or postmenopausal therapy.
Identifiants
pubmed: 32293415
doi: 10.1186/s12905-020-00936-4
pii: 10.1186/s12905-020-00936-4
pmc: PMC7160989
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
72Références
JAMA. 2002 Jul 17;288(3):321-33
pubmed: 12117397
J Natl Med Assoc. 2007 Sep;99(9):1013-23
pubmed: 17913111
Health Syst Transit. 2010;12(4):1-295, xix-xx
pubmed: 21224176
Breastfeed Med. 2018 Mar;13(2):112-115
pubmed: 29240452
J Epidemiol Community Health. 1999 Jul;53(7):408-11
pubmed: 10492733
Am J Public Health. 2005 Jan;95(1):91-7
pubmed: 15623866
Matern Child Health J. 2011 Jul;15(5):561-9
pubmed: 20440546
Soc Sci Med. 2008 Sep;67(5):824-33
pubmed: 18573578
Diabet Med. 2008 Feb;25(2):194-9
pubmed: 18290861
Am J Epidemiol. 2006 Jun 15;163(12):1071-8
pubmed: 16707655
Gac Sanit. 2015 Jul-Aug;29(4):308-15
pubmed: 25613680
Med Clin (Barc). 2016 Oct 7;147(7):287-92
pubmed: 27423654
Soc Sci Med. 2009 May;68(9):1667-75
pubmed: 19285373
Menopause. 2015 Oct;22(10):1138-46
pubmed: 26125537
BMC Public Health. 2017 Jan 17;17(1):86
pubmed: 28095815
Obstet Gynecol. 2017 Sep;130(3):609-615
pubmed: 28796678
Paediatr Perinat Epidemiol. 2007 Sep;21(5):441-7
pubmed: 17697074
Breast Cancer Res Treat. 2019 Oct;177(3):537-548
pubmed: 31270761
Health Rep. 2017 Nov 15;28(11):3-10
pubmed: 29140535
Ann Epidemiol. 1994 Jul;4(4):271-8
pubmed: 7921316
J Am Geriatr Soc. 2008 Feb;56(2):191-8
pubmed: 18179489