Pregnancy-Induced Hypertensive Disorders before and after a National Economic Collapse: A Population Based Cohort Study.
Data on the potential influence of macroeconomic recessions on maternal diseases during pregnancy are scarce. We aimed to assess potential change in prevalence of pregnancy-induced hypertensive disorders (preeclampsia and gestational hypertension) during the first years of the major national economi...
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ftdoajarticles:oai:doaj.org/article:4a2ccbe7eeb54fa79ee059c98089c428 2023-05-15T16:47:43+02:00 Pregnancy-Induced Hypertensive Disorders before and after a National Economic Collapse: A Population Based Cohort Study. Védís Helga Eiríksdóttir Unnur Anna Valdimarsdóttir Tinna Laufey Ásgeirsdóttir Arna Hauksdóttir Sigrún Helga Lund Ragnheiður Ingibjörg Bjarnadóttir Sven Cnattingius Helga Zoëga 2015-01-01T00:00:00Z https://doi.org/10.1371/journal.pone.0138534 https://doaj.org/article/4a2ccbe7eeb54fa79ee059c98089c428 EN eng Public Library of Science (PLoS) http://europepmc.org/articles/PMC4575018?pdf=render https://doaj.org/toc/1932-6203 1932-6203 doi:10.1371/journal.pone.0138534 https://doaj.org/article/4a2ccbe7eeb54fa79ee059c98089c428 PLoS ONE, Vol 10, Iss 9, p e0138534 (2015) Medicine R Science Q article 2015 ftdoajarticles https://doi.org/10.1371/journal.pone.0138534 2022-12-31T10:28:31Z Data on the potential influence of macroeconomic recessions on maternal diseases during pregnancy are scarce. We aimed to assess potential change in prevalence of pregnancy-induced hypertensive disorders (preeclampsia and gestational hypertension) during the first years of the major national economic recession in Iceland, which started abruptly in October 2008.Women whose pregnancies resulted in live singleton births in Iceland in 2005-2012 constituted the study population (N = 35,211). Data on pregnancy-induced hypertensive disorders were obtained from the Icelandic Medical Birth Register and use of antihypertensive drugs during pregnancy, including β-blockers and calcium channel blockers, from the Icelandic Medicines Register. With the pre-collapse period as reference, we used logistic regression analysis to assess change in pregnancy-induced hypertensive disorders and use of antihypertensives during the first four years after the economic collapse, adjusting for demographic and pregnancy characteristics, taking aggregate economic indicators into account. Compared with the pre-collapse period, we observed an increased prevalence of gestational hypertension in the first year following the economic collapse (2.4% vs. 3.9%; adjusted odds ratio [aOR] 1.47; 95 percent confidence interval [95%CI] 1.13-1.91) but not in the subsequent years. The association disappeared completely when we adjusted for aggregate unemployment rate (aOR 1.04; 95% CI 0.74-1.47). Similarly, there was an increase in prescription fills of β-blockers in the first year following the collapse (1.9% vs.3.1%; aOR 1.43; 95% CI 1.07-1.90), which disappeared after adjusting for aggregate unemployment rate (aOR 1.05; 95% CI 0.72-1.54). No changes were observed for preeclampsia or use of calcium channel blockers between the pre- and post-collapse periods.Our data suggest a transient increased risk of gestational hypertension and use of β-blockers among pregnant women in Iceland in the first and most severe year of the national economic recession. Article in Journal/Newspaper Iceland Directory of Open Access Journals: DOAJ Articles PLOS ONE 10 9 e0138534 |
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Medicine R Science Q Védís Helga Eiríksdóttir Unnur Anna Valdimarsdóttir Tinna Laufey Ásgeirsdóttir Arna Hauksdóttir Sigrún Helga Lund Ragnheiður Ingibjörg Bjarnadóttir Sven Cnattingius Helga Zoëga Pregnancy-Induced Hypertensive Disorders before and after a National Economic Collapse: A Population Based Cohort Study. |
topic_facet |
Medicine R Science Q |
description |
Data on the potential influence of macroeconomic recessions on maternal diseases during pregnancy are scarce. We aimed to assess potential change in prevalence of pregnancy-induced hypertensive disorders (preeclampsia and gestational hypertension) during the first years of the major national economic recession in Iceland, which started abruptly in October 2008.Women whose pregnancies resulted in live singleton births in Iceland in 2005-2012 constituted the study population (N = 35,211). Data on pregnancy-induced hypertensive disorders were obtained from the Icelandic Medical Birth Register and use of antihypertensive drugs during pregnancy, including β-blockers and calcium channel blockers, from the Icelandic Medicines Register. With the pre-collapse period as reference, we used logistic regression analysis to assess change in pregnancy-induced hypertensive disorders and use of antihypertensives during the first four years after the economic collapse, adjusting for demographic and pregnancy characteristics, taking aggregate economic indicators into account. Compared with the pre-collapse period, we observed an increased prevalence of gestational hypertension in the first year following the economic collapse (2.4% vs. 3.9%; adjusted odds ratio [aOR] 1.47; 95 percent confidence interval [95%CI] 1.13-1.91) but not in the subsequent years. The association disappeared completely when we adjusted for aggregate unemployment rate (aOR 1.04; 95% CI 0.74-1.47). Similarly, there was an increase in prescription fills of β-blockers in the first year following the collapse (1.9% vs.3.1%; aOR 1.43; 95% CI 1.07-1.90), which disappeared after adjusting for aggregate unemployment rate (aOR 1.05; 95% CI 0.72-1.54). No changes were observed for preeclampsia or use of calcium channel blockers between the pre- and post-collapse periods.Our data suggest a transient increased risk of gestational hypertension and use of β-blockers among pregnant women in Iceland in the first and most severe year of the national economic recession. |
format |
Article in Journal/Newspaper |
author |
Védís Helga Eiríksdóttir Unnur Anna Valdimarsdóttir Tinna Laufey Ásgeirsdóttir Arna Hauksdóttir Sigrún Helga Lund Ragnheiður Ingibjörg Bjarnadóttir Sven Cnattingius Helga Zoëga |
author_facet |
Védís Helga Eiríksdóttir Unnur Anna Valdimarsdóttir Tinna Laufey Ásgeirsdóttir Arna Hauksdóttir Sigrún Helga Lund Ragnheiður Ingibjörg Bjarnadóttir Sven Cnattingius Helga Zoëga |
author_sort |
Védís Helga Eiríksdóttir |
title |
Pregnancy-Induced Hypertensive Disorders before and after a National Economic Collapse: A Population Based Cohort Study. |
title_short |
Pregnancy-Induced Hypertensive Disorders before and after a National Economic Collapse: A Population Based Cohort Study. |
title_full |
Pregnancy-Induced Hypertensive Disorders before and after a National Economic Collapse: A Population Based Cohort Study. |
title_fullStr |
Pregnancy-Induced Hypertensive Disorders before and after a National Economic Collapse: A Population Based Cohort Study. |
title_full_unstemmed |
Pregnancy-Induced Hypertensive Disorders before and after a National Economic Collapse: A Population Based Cohort Study. |
title_sort |
pregnancy-induced hypertensive disorders before and after a national economic collapse: a population based cohort study. |
publisher |
Public Library of Science (PLoS) |
publishDate |
2015 |
url |
https://doi.org/10.1371/journal.pone.0138534 https://doaj.org/article/4a2ccbe7eeb54fa79ee059c98089c428 |
genre |
Iceland |
genre_facet |
Iceland |
op_source |
PLoS ONE, Vol 10, Iss 9, p e0138534 (2015) |
op_relation |
http://europepmc.org/articles/PMC4575018?pdf=render https://doaj.org/toc/1932-6203 1932-6203 doi:10.1371/journal.pone.0138534 https://doaj.org/article/4a2ccbe7eeb54fa79ee059c98089c428 |
op_doi |
https://doi.org/10.1371/journal.pone.0138534 |
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PLOS ONE |
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10 |
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9 |
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e0138534 |
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