The joint influence of area income, income inequality, and immigrant density on adverse birth outcomes: a population-based study
Nathalie Auger, Julie Giraud, Mark Daniel
BMC PUBLIC HEALTH | BIOMED CENTRAL LTD | Published : 2009
BACKGROUND: The association between area characteristics and birth outcomes is modified by race. Whether such associations vary according to social class indicators beyond race has not been assessed. METHODS: This study evaluated effect modification by maternal birthplace and education of the relationship between neighbourhood characteristics and birth outcomes of newborns from 1999-2003 in the province of Québec, Canada (N = 353,120 births). Areas (N = 143) were defined as administrative local health service delivery districts. Multi-level logistic regression was used to model the association between three area characteristics (median household income, immigrant density and income inequalit..View full abstract
This study was not funded. MD is supported by a University of South Australia Research Chair for Social Epidemiology.