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Published in: BMC Public Health 1/2015

Open Access 01-12-2015 | Research article

Maternal socioeconomic status and the risk of asthma among offspring

Authors: Maijakaisa Harju, Leea Keski-Nisula, Leena Georgiadis, Kaisa Raatikainen, Sari Räisänen, Seppo Heinonen

Published in: BMC Public Health | Issue 1/2015

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Abstract

Background

To evaluate the association between maternal socioeconomic status (SES) during pregnancy and asthma among offspring.

Methods

A retrospective observational hospital-based birth cohort study in a university-based Obstetrics and Gynecology department in Finland. A total of 40 118 women with singleton live births between 1989 and 2007 were linked with data from the register for asthma medication for their offspring (n = 2518). Pregnancy and maternal SES factors were recorded during pregnancy and labor. SES was categorized thus: upper white-collar workers (highest SES), lower white-collar workers, blue-collar workers, others (lowest SES) and cases with missing information. Logistic regression analysis was used to determine the association between maternal SES and childhood asthma.

Results

We found no convincing evidence of a direct association between maternal SES and childhood asthma. Parental smoking was the clearest factor affecting asthma among children of lower white-collar workers. Differences in pregnancy and delivery characteristics were observed between the SES groups.

Conclusions

Maternal socioeconomic status had no significant direct impact on the prevalence of asthma in this Finnish birth cohort. Finnish public health services appeared to offer equal quality services independently of SES.

Trial registration

The study is registered in Kuopio University Hospital register (TUTKI): ID5302448.

Literature
  1. Subbarao P, Mandhane PJ, Sears MR. Asthma: epidemiology, etiology and risk factors. CMAJ. 2009;181(9):E181–90.View ArticlePubMedPubMed Central
  2. Asher MI. Recent perspectives on global epidemiology of asthma in childhood. Allergol Immunopathol (Madr). 2010;38(2):83–7.View Article
  3. Algert CS, Bowen JR, Lain SL, Allen HD, Vivian-Taylor JM, Roberts CL. Pregnancy exposures and risk of childhood asthma admission in a population birth cohort. Pediatr Allergy Immunol. 2011;22(8):836–42.View ArticlePubMedPubMed Central
  4. Kozyrskyj AL, Bahreinian S, Azad MB. Early life exposures: impact on asthma and allergic disease. Curr Opin Allergy Clin Immunol. 2011;11(5):400–6.View ArticlePubMed
  5. Peters JL, Boynton-Jarrett R, Sandel M. Prenatal environmental factors influencing IgE levels, atopy and early asthma. Curr Opin Allergy Clin Immunol. 2013;13(2):187–92.View ArticlePubMed
  6. Tedner SG, Ortqvist AK, Almqvist C. Fetal growth and risk of childhood asthma and allergic disease. Clin Exp Allergy. 2012;42(10):1430–47.View ArticlePubMedPubMed Central
  7. Neu J, Rushing J. Cesarean versus vaginal delivery: long-term infant outcomes and the hygiene hypothesis. Clin Perinatol. 2011;38(2):321–31.View ArticlePubMedPubMed Central
  8. Raisanen S, Gissler M, Kramer MR, Heinonen S: Influence of delivery characteristics and socioeconomic status on giving birth by caesarean section - a cross sectional study during 2000–2010 in Finland. BMC Pregnancy Childbirth 2014, 14:120-2393-14-120.
  9. Raisanen S, Gissler M, Sankilampi U, Saari J, Kramer MR, Heinonen S: Contribution of socioeconomic status to the risk of small for gestational age infants--a population-based study of 1,390,165 singleton live births in Finland. Int J Equity Health 2013, 12:28-9276-12-28.
  10. Raatikainen K, Heiskanen N, Verkasalo PK, Heinonen S. Good outcome of teenage pregnancies in high-quality maternity care. Eur J Public Health. 2006;16(2):157–61.View ArticlePubMed
  11. Finnish Medicins Agency (FIMEA): ATC codes. [http://​www.​fimea.​fi/​laaketieto/​atc-luokitus]
  12. Social Insurance Institution of Finland (Kela): Asthma Reimbursement. [http://​www.​kela.​fi/​laake203]
  13. Statistics Finland: Information on the Social classification. [http://​www.​stat.​fi/​meta/​luokitukset/​ammatti/​001-2001/​kuvaus_​en.​html]
  14. Gissler M, Rahkonen O, Arntzen A, Cnattingius S, Andersen AM, Hemminki E. Trends in socioeconomic differences in Finnish perinatal health 1991–2006. J Epidemiol Community Health. 2009;63(6):420–5.View ArticlePubMed
  15. Hancox RJ, Milne BJ, Taylor DR, Greene JM, Cowan JO, Flannery EM, et al. Relationship between socioeconomic status and asthma: a longitudinal cohort study. Thorax. 2004;59(5):376–80.View ArticlePubMedPubMed Central
  16. Harju M, Keski-Nisula L, Georgiadis L, Raisanen S, Gissler M, Heinonen S. The burden of childhood asthma and late preterm and early term births. J Pediatr. 2014;164(2):295–9.e1.View ArticlePubMed
  17. Ekblad M, Gissler M, Korkeila J, Lehtonen L. Trends and risk groups for smoking during pregnancy in Finland and other Nordic countries. Eur J Public Health. 2014;24(4):544–51.View ArticlePubMed
  18. Midodzi WK, Rowe BH, Majaesic CM, Saunders LD, Senthilselvan A. Early life factors associated with incidence of physician-diagnosed asthma in preschool children: results from the Canadian Early Childhood Development cohort study. J Asthma. 2010;47(1):7–13.View ArticlePubMed
  19. Raisanen S, Gissler M, Saari J, Kramer M, Heinonen S. Contribution of risk factors to extremely, very and moderately preterm births - register-based analysis of 1,390,742 singleton births. PLoS One. 2013;8(4):e60660.View ArticlePubMedPubMed Central
  20. Mielck A, Reitmeir P, Wjst M. Severity of childhood asthma by socioeconomic status. Int J Epidemiol. 1996;25(2):388–93.View ArticlePubMed
  21. Gissler M, Teperi J, Hemminki E, Merilainen J. Data quality after restructuring a national medical registry. Scand J Soc Med. 1995;23(1):75–80.PubMed
  22. Gissler M, Merilainen J, Vuori E, Hemminki E. Register based monitoring shows decreasing socioeconomic differences in Finnish perinatal health. J Epidemiol Community Health. 2003;57(6):433–9.View ArticlePubMedPubMed Central
  23. Mortensen LH, Lauridsen JT, Diderichsen F, Kaplan GA, Gissler M, Andersen AM. Income-related and educational inequality in small-for-gestational age and preterm birth in Denmark and Finland 1987–2003. Scand J Public Health. 2010;38(1):40–5.View ArticlePubMed
  24. Raisanen S, Randell K, Nielsen HS, Gissler M, Kramer MR, Klemetti R, et al. Socioeconomic status affects the prevalence, but not the perinatal outcomes, of in vitro fertilization pregnancies. Hum Reprod. 2013;28(11):3118–25.View ArticlePubMed
  25. Blumenshine P, Egerter S, Barclay CJ, Cubbin C, Braveman PA. Socioeconomic disparities in adverse birth outcomes: a systematic review. Am J Prev Med. 2010;39(3):263–72.View ArticlePubMed
  26. Malin M, Gissler M: Maternal care and birth outcomes among ethnic minority women in Finland. BMC Public Health 2009, 9:84-2458-9-84.
  27. Ruijsbroek A, Wijga AH, Kerkhof M, Koppelman GH, Smit HA, Droomers M: The development of socio-economic health differences in childhood: results of the Dutch longitudinal PIAMA birth cohort. BMC Public Health 2011, 11:225-2458-11-225.
  28. Raisanen S, Gissler M, Nielsen HS, Kramer MR, Williams MA, Heinonen S. Social disparity affects the incidence of placental abruption among multiparous but not nulliparous women: a register-based analysis of 1,162,126 singleton births. Eur J Obstet Gynecol Reprod Biol. 2013;171(2):246–51.View ArticlePubMed
Metadata
Title
Maternal socioeconomic status and the risk of asthma among offspring
Authors
Maijakaisa Harju
Leea Keski-Nisula
Leena Georgiadis
Kaisa Raatikainen
Sari Räisänen
Seppo Heinonen
Publication date
01-12-2015
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2015
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-015-1357-6

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