Hostname: page-component-8448b6f56d-42gr6 Total loading time: 0 Render date: 2024-04-18T13:25:54.917Z Has data issue: false hasContentIssue false

MODELLING THE EFFECTS OF MATERNAL SOCIO-DEMOGRAPHIC CHARACTERISTICS ON THE PRETERM AND TERM BIRTH WEIGHT DISTRIBUTIONS IN GREECE USING QUANTILE REGRESSION

Published online by Cambridge University Press:  02 August 2012

GEORGIA VERROPOULOU
Affiliation:
Department of Statistics & Insurance Science, University of Piraeus, Greece
CLEON TSIMBOS
Affiliation:
Department of Statistics & Insurance Science, University of Piraeus, Greece

Summary

The present study aims at modelling the effects of maternal socio-demographic characteristics on the birth weight distribution in Greece. The analysis is based on nationwide vital registration micro-data; 103,266 single live births recorded in 2006 are considered. Quantile regression models, allowing for the effects of covariates to vary across the conditional distribution of the dependent variable, birth weight, are applied to preterm and term births separately. The statistical analysis shows that the effects of most factors differentiate across the birth weight distributions. Ordinary Least Squares (OLS) coefficients, on the other hand, systematically underestimate effects at the lower tail and overestimate effects among heavier babies. Hence, quantile regression has a strong advantage over the OLS method. The findings also indicate that birth weight distributions of term and preterm infants are distinct and should be analysed separately. For both distributions female sex, primiparity, age of mother over 35 and prior history of stillbirths and child deaths are related to lower birth weight while higher educational attainment has a protective effect. Among term births, illegitimacy, living in big metropolitan areas and immigrant status of the mother are also significant predictors. For preterm births the impact of age of mother, parity and, in particular, prior stillbirths or deceased children is very pronounced.

Type
Articles
Copyright
Copyright © Cambridge University Press 2012

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abrevaya, J. (2001) The effects of demographics and maternal behavior on the distribution of birth outcomes. Empirical Economics 26, 247257.CrossRefGoogle Scholar
Acevedo-Garcia, D., Soobader, M. J. & Berkman, L. F. (2007) Low birthweight among US Hispanic/Latino subgroups: the effect of maternal foreign-born status and education. Social Science & Medicine 6, 25032516.CrossRefGoogle Scholar
Adams, M. M., Elam-Evans, L. D., Wilson, H. G. & Gilbertz, D. A. (2000) Rates of and factors associated with recurrence of preterm delivery. Journal of the American Medical Association 283, 15911596.CrossRefGoogle ScholarPubMed
Astolfi, P. & Zonta, L. A. (1999) Risks of preterm delivery and association with maternal age, birth order and foetal gender. Human Reproduction 14(11), 28912894.CrossRefGoogle Scholar
Barker, D. J. P. (1998) In utero programming of chronic disease. Clinical Science 95, 115128.CrossRefGoogle ScholarPubMed
Bobak, M. (2000) Outdoor air pollution, low birth weight and prematurity. Environmental Health Perspectives 108, 173176.CrossRefGoogle ScholarPubMed
Buchinsky, M. (1995) Estimating the asymptotic covariance matrix for quantile regression models: a Monte Carlo study. Journal of Econometrics 68, 303338.CrossRefGoogle Scholar
Cheung, Y. B. & Yip, P. S. F. (2001) Social patterns of birth weight in Hong Kong, 1984–1997. Social Science & Medicine 52, 11351141.CrossRefGoogle Scholar
Chiavarini, M., Bartolucci, F., Gili, A., Pieroni, L. & Minelli, L. (2012) Effects of individual and social factors on preterm birth and low birth weight: empirical evidence from regional data in Italy. International Journal of Public Health 57, 261268.CrossRefGoogle ScholarPubMed
Chow, G. C. (1960) Tests of equality between sets of coefficients in two linear relations. Econometrica 28, 591605.CrossRefGoogle Scholar
Dimelis, S. & Louri, H. (2002) Foreign ownership and production efficiency: a quantile regression analysis. Oxford Economic Papers 54, 449469.CrossRefGoogle Scholar
Frisbie, W. P., Forbes, D. & Pullum, S. G. (1996) Compromised birth outcomes and infant mortality among racial and ethnic groups. Demography 33(4), 469481.CrossRefGoogle ScholarPubMed
Huxley, R. R., Shiell, A. W. & Law, C. M. (2000) The role of size at birth and postnatal catch-up growth in determining systolic blood pressure: a systematic review of the literature. Journal of Hypertension 18, 815831.CrossRefGoogle ScholarPubMed
Joseph, K. S., Kramer, M. S., Marcoux, L. S., Ohlsson, A., Wen, S. W., Allen, A.et al. (1998) Determinants of secular trends in preterm births in Canada. New England Journal of Medicine 339, 14341439.CrossRefGoogle Scholar
Kesmodel, U., Wisborg, K., Olsen, S. F., Henriksen, T. B. & Secher, N. J. (2002) Moderate alcohol intake during pregnancy and the risk of stillbirth and death in the first year of life. American Journal of Epidemiology 155, 305312.CrossRefGoogle ScholarPubMed
Koenker, R. & Bassett, G. (1978) Regression quantiles. Econometrica 46, 3350.CrossRefGoogle Scholar
Koenker, R. & Hallock, K. F. (2001) Quantile regression. Journal of Economic Perspectives 15(4), 143156.CrossRefGoogle Scholar
Kramer, M. S. (1987) Determinants of low birth weight: methodological assessment and meta-analysis. Bulletin of the World Health Organization 65(5), 663737.Google ScholarPubMed
Kramer, M. S. (1990) Birth weight and infant mortality: perceptions and pitfalls. Paediatric & Perinatal Epidemiology 4, 381390.CrossRefGoogle ScholarPubMed
Kramer, M. S. (2003) The epidemiology of adverse pregnancy outcomes: an overview. Journal of Nutrition 133, 15921596S.CrossRefGoogle ScholarPubMed
Kramer, M. S., Séguin, L., Lydon, J. & Goulet, L. (2000) Socio-economic disparities in pregnancy outcome: why do the poor fare so poorly? Paediatric & Perinatal Epidemiology 14, 194210.CrossRefGoogle ScholarPubMed
Lee, B. E., Ha, E. H., Park, H. S., Kim, Y. J., Hong, Y. C., Kim, H. & Lee, J. T. (2003) Exposure to air pollution during different gestational phases contributes to risks of low birth weight. Human Reproduction 18(3), 638643.CrossRefGoogle ScholarPubMed
McCormick, M. (1985) The contribution of low birth weight to infant mortality and childhood morbidity. New England Journal of Medicine 312(2), 8290.CrossRefGoogle ScholarPubMed
Machado, C. J. (2006) Impact of maternal age on birth outcomes: a population-based study of primiparous Brazilian women in the city of Sao Paulo. Journal of Biosocial Science 38, 523535.CrossRefGoogle ScholarPubMed
Maisonet, M., Correa, A., Misra, D. & Jaakkola, J. J. K. (2004) A review of the literature on the effects of ambient air pollution on fetal growth. Environmental Research 95, 106115.CrossRefGoogle ScholarPubMed
Meggiolaro, S. (2009) Low birth weight and parental resources in Italy. Genus 65(1), 103121.Google Scholar
Mohsin, M., Wong, F., Bauman, A. & Bai, J. (2003) Maternal and neonatal factors influencing premature birth and low birth weight in Australia. Journal of Biosocial Science 35, 161174.CrossRefGoogle ScholarPubMed
Mulder, E. J., Robles de Medina, P. G., Huizink, A. C., Van de Bergh, B. R., Buitelaar, J. K. & Visser, G. H. (2002) Prenatal maternal stress: effects on pregnancy and the (unborn) child. Early Human Development 70(1–2), 314.CrossRefGoogle ScholarPubMed
National Center for Health Statistics (2005) Health, United States, 2005 with Chartbook on Trends in the Health of Americans. NCHS Hyattsville, MD.Google Scholar
Parker, J. D., Schoendorf, K. C. & Kiely, J. L. (1994) Associations between measures of socioeconomic status and low birth weight, small for gestational age, and premature delivery in the United States. Annals of Epidemiology 4, 271278.CrossRefGoogle ScholarPubMed
Pattenden, S., Dolk, H. & Vrijheid, M. (1999) Inequalities in low birth weight: parental social class, area deprivation, and “lone mother” status. Journal of Epidemiology & Community Health 53, 355358.CrossRefGoogle ScholarPubMed
Reime, B., Ratner, P. A., Tomaselli-Reime, S. N., Kelly, A., Schuecking, B. A. & Wenzlaff, P. (2006) The role of mediating factors in the associations between social deprivation and low birth weight in Germany. Social Science & Medicine 62, 17311744.CrossRefGoogle ScholarPubMed
Rodriguez, C., Regidor, E. & Gutierrez-Fisac, J. L. (1995) Low birth weight in Spain associated with sociodemographic factors. Journal of Epidemiology & Community Health 49, 3842.CrossRefGoogle ScholarPubMed
Speer, C. P. & Gahr, M. (2001) Pädiatrie. Springer, Berlin.CrossRefGoogle Scholar
Štrám, R. J., Binková, B., Dejmek, J. & Bobak, M. (2005) Ambient air pollution and pregnancy outcomes: a review of the literature. Environmental Health Perspectives 113(4), 375382.CrossRefGoogle Scholar
Tsimbos, C. & Verropoulou, G. (2011) Demographic and socioeconomic determinants of low birth weight and preterm births among natives and immigrants in Greece: an analysis using nationwide vital registration micro-data. Journal of Biosocial Science 43, 271283.CrossRefGoogle ScholarPubMed
Umbach, D. M. & Wilcox, A. J. (1996) A technique for measuring epidemiologically useful features of birthweight distribution. Statistics in Medicine 15, 13331348.3.0.CO;2-R>CrossRefGoogle Scholar
WHO (2004) Low Birthweight: Country, Regional and Global Estimates. UNICEF, United Nations Children's Fund and World Health Organization, New York.Google Scholar
Wilcox, A. J. (2001) On the importance – and the unimportance – of birthweight. International Journal of Epidemiology 30, 12331241.CrossRefGoogle ScholarPubMed
Wilcox, A. J. & Russell, I. T. (1983) Birthweight and perinatal mortality: II. On weight-specific mortality. International Journal of Epidemiology 12(3), 319325.CrossRefGoogle ScholarPubMed
Windham, G., Hopkins, B., Fenster, L. & Swan, S. (2000) Prenatal active or passive tobacco smoke exposure and the risk of preterm delivery or low birth weight. Epidemiology 11(4), 427433.CrossRefGoogle ScholarPubMed
Wingate, M. S. & Alexander, G. R. (2006) The healthy migrant theory: variations in pregnancy outcomes among US-born migrants. Social Science & Medicine 62, 491498.CrossRefGoogle ScholarPubMed