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dc.rights.licenseopenen_US
dc.contributor.authorSIMONCIC, Valentin
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorDEGUEN, Severine
dc.contributor.authorENAUX, Christophe
hal.structure.identifierBordeaux population health [BPH]
dc.contributor.authorVANDENTORREN, Stephanie
dc.contributor.authorKIHAL-TALANTIKITE, Wahida
dc.date.accessioned2023-02-23T10:08:53Z
dc.date.available2023-02-23T10:08:53Z
dc.date.issued2022-12-10
dc.identifier.issn1660-4601 (Electronic) 1661-7827 (Print) 1660-4601 (Linking)en_US
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/172075
dc.description.abstractEnScientific literature tends to support the idea that the pregnancy and health status of fetuses and newborns can be affected by maternal, parental, and contextual characteristics. In addition, a growing body of evidence reports that social determinants, measured at individual and/or aggregated level(s), play a crucial role in fetal and newborn health. Numerous studies have found social factors (including maternal age and education, marital status, pregnancy intention, and socioeconomic status) to be linked to poor birth outcomes. Several have also suggested that beyond individual and contextual social characteristics, living environment and conditions (or "neighborhood") emerge as important determinants in health inequalities, particularly for pregnant women. Using a comprehensive review, we present a conceptual framework based on the work of both the Commission on Social Determinants of Health and the World Health Organization (WHO), aimed at describing the various pathways through which social characteristics can affect both pregnancy and fetal health, with a focus on the structural social determinants (such as socioeconomic and political context) that influence social position, as well as on intermediary determinants. We also suggest that social position may influence more specific intermediary health determinants; individuals may, on the basis of their social position, experience differences in environmental exposure and vulnerability to health-compromising living conditions. Our model highlights the fact that adverse birth outcomes, which inevitably lead to health inequity, may, in turn, affect the individual social position. In order to address both the inequalities that begin in utero and the disparities observed at birth, it is important for interventions to target various unhealthy behaviors and psychosocial conditions in early pregnancy. Health policy must, then, support: (i) midwifery availability and accessibility and (ii) enhanced multidisciplinary support for deprived pregnant women.
dc.language.isoENen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subject.enSocial determinants
dc.subject.enNeighborhood
dc.subject.enBirth outcomes
dc.subject.enSocial inequalities
dc.title.enA Comprehensive Review on Social Inequalities and Pregnancy Outcome-Identification of Relevant Pathways and Mechanisms
dc.title.alternativeInt J Environ Res Public Healthen_US
dc.typeArticle de revueen_US
dc.identifier.doi10.3390/ijerph192416592en_US
dc.subject.halSciences du Vivant [q-bio]/Santé publique et épidémiologieen_US
dc.identifier.pubmed36554473en_US
bordeaux.journalInternational Journal of Environmental Research and Public Healthen_US
bordeaux.volume19en_US
bordeaux.hal.laboratoriesBordeaux Population Health Research Center (BPH) - UMR 1219en_US
bordeaux.issue24en_US
bordeaux.institutionUniversité de Bordeauxen_US
bordeaux.institutionINSERMen_US
bordeaux.teamPHARES_BPHen_US
bordeaux.peerReviewedouien_US
bordeaux.inpressnonen_US
hal.exportfalse
dc.rights.ccPas de Licence CCen_US
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=International%20Journal%20of%20Environmental%20Research%20and%20Public%20Health&rft.date=2022-12-10&rft.volume=19&rft.issue=24&rft.eissn=1660-4601%20(Electronic)%201661-7827%20(Print)%201660-4601%20(Linking)&rft.issn=1660-4601%20(Electronic)%201661-7827%20(Print)%201660-4601%20(Linking)&rft.au=SIMONCIC,%20Valentin&DEGUEN,%20Severine&ENAUX,%20Christophe&VANDENTORREN,%20Stephanie&KIHAL-TALANTIKITE,%20Wahida&rft.genre=article


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