Maternal health indicators during pregnancy and birth outcomes during times of great macroeconomic instability: the case of Iceland
Background and aims: Macroeconomic fluctuations have shown various effects on population health, but the evidence base for their influence on maternal health and birth outcomes is scarce and inconclusive. The overall aim of this thesis was to examine the potential effect of the 2008 economic collaps...
Main Author: | |
---|---|
Other Authors: | , , , , , , |
Format: | Doctoral or Postdoctoral Thesis |
Language: | English |
Published: |
University of Iceland, School of Health Sciences, Faculty of Medcine
2016
|
Subjects: | |
Online Access: | https://hdl.handle.net/20.500.11815/149 |
id |
ftopinvisindi:oai:opinvisindi.is:20.500.11815/149 |
---|---|
record_format |
openpolar |
spelling |
ftopinvisindi:oai:opinvisindi.is:20.500.11815/149 2023-05-15T16:46:56+02:00 Maternal health indicators during pregnancy and birth outcomes during times of great macroeconomic instability: the case of Iceland Eiríksdóttir, Védís Helga Unnur A. Valdimarsdóttir Læknadeild (HÍ) Faculty of Medicine (UI) Heilbrigðisvísindasvið (HÍ) School of Health Sciences (UI) Háskóli Íslands University of Iceland 2016-11 https://hdl.handle.net/20.500.11815/149 en eng University of Iceland, School of Health Sciences, Faculty of Medcine info:eu-repo/grantAgreement/EC/FP. Icelandic Research Fund Védís Helga Eiríksdóttir. 2012. Maternal health indicators during pregnancy and birth outcomes during times of great macroeconomic instability: the case of Iceland. (Doctoral dissertation). Reykjavik, IS. University of Iceland. 9789935931986 https://hdl.handle.net/20.500.11815/149 info:eu-repo/semantics/restrictedAccess Efnahagskreppur Heilsuhegðun Háþrýstingssjúkdómar á meðgöngu Óhagstæðar fæðingaútkomur Þjóðhagfræðileg staða Doktorsritgerðir Economic recession Health behavior Pregnancy induced hypertensive disorders Adverse birth outcomes Macroeconomic conditions info:eu-repo/semantics/doctoralThesis 2016 ftopinvisindi https://doi.org/20.500.11815/149 2022-11-18T06:51:28Z Background and aims: Macroeconomic fluctuations have shown various effects on population health, but the evidence base for their influence on maternal health and birth outcomes is scarce and inconclusive. The overall aim of this thesis was to examine the potential effect of the 2008 economic collapse in Iceland on maternal diseases and health behaviors during pregnancy as well as on adverse birth outcomes. Furthermore, we aimed to explore the effect of the surrounding economic climate in Iceland on potential changes in the health of the pregnant women and birth outcomes. Material and methods: In study I we used a random sample of 1329 births occurring between 2001, and 2010. Information on maternal smoking status, body mass index and demographic characteristics were retrieved from the Icelandic Medical Birth Registry and maternity records. Trends in continued smoking into the second trimester of pregnancy, obesity, and body mass index were assessed using logistic and linear regression analyses. Logistic regression analysis was used to calculate the annual odds of smoking and obesity, both overall and by maternal demographic characteristics. In studies II-IV, the Icelandic Medical Birth Registry was used to identify all women giving birth to live-born singletons between the years 2002 and 2012 (2006- 2009 for study III). Information on pregnancy-induced hypertensive disorders, birth outcomes, and parental demographic characteristics were retrieved from the Birth Registry and use of antihypertensive drugs during pregnancy, including β-blockers and calcium channel blockers, from the Icelandic Medicines Registry. Information on the aggregate economic climate was retrieved from Statistics Iceland. With the pre-recession period as a reference, we used logistic regression analyses to assess changes in pregnancy-induced hypertensive disorders, prescription fills for antihypertensive drugs and adverse birth outcomes during the recession years. Results: There was an annual decrease in continued smoking (odds ratio (OR) ... Doctoral or Postdoctoral Thesis Iceland Opin vísindi (Iceland) |
institution |
Open Polar |
collection |
Opin vísindi (Iceland) |
op_collection_id |
ftopinvisindi |
language |
English |
topic |
Efnahagskreppur Heilsuhegðun Háþrýstingssjúkdómar á meðgöngu Óhagstæðar fæðingaútkomur Þjóðhagfræðileg staða Doktorsritgerðir Economic recession Health behavior Pregnancy induced hypertensive disorders Adverse birth outcomes Macroeconomic conditions |
spellingShingle |
Efnahagskreppur Heilsuhegðun Háþrýstingssjúkdómar á meðgöngu Óhagstæðar fæðingaútkomur Þjóðhagfræðileg staða Doktorsritgerðir Economic recession Health behavior Pregnancy induced hypertensive disorders Adverse birth outcomes Macroeconomic conditions Eiríksdóttir, Védís Helga Maternal health indicators during pregnancy and birth outcomes during times of great macroeconomic instability: the case of Iceland |
topic_facet |
Efnahagskreppur Heilsuhegðun Háþrýstingssjúkdómar á meðgöngu Óhagstæðar fæðingaútkomur Þjóðhagfræðileg staða Doktorsritgerðir Economic recession Health behavior Pregnancy induced hypertensive disorders Adverse birth outcomes Macroeconomic conditions |
description |
Background and aims: Macroeconomic fluctuations have shown various effects on population health, but the evidence base for their influence on maternal health and birth outcomes is scarce and inconclusive. The overall aim of this thesis was to examine the potential effect of the 2008 economic collapse in Iceland on maternal diseases and health behaviors during pregnancy as well as on adverse birth outcomes. Furthermore, we aimed to explore the effect of the surrounding economic climate in Iceland on potential changes in the health of the pregnant women and birth outcomes. Material and methods: In study I we used a random sample of 1329 births occurring between 2001, and 2010. Information on maternal smoking status, body mass index and demographic characteristics were retrieved from the Icelandic Medical Birth Registry and maternity records. Trends in continued smoking into the second trimester of pregnancy, obesity, and body mass index were assessed using logistic and linear regression analyses. Logistic regression analysis was used to calculate the annual odds of smoking and obesity, both overall and by maternal demographic characteristics. In studies II-IV, the Icelandic Medical Birth Registry was used to identify all women giving birth to live-born singletons between the years 2002 and 2012 (2006- 2009 for study III). Information on pregnancy-induced hypertensive disorders, birth outcomes, and parental demographic characteristics were retrieved from the Birth Registry and use of antihypertensive drugs during pregnancy, including β-blockers and calcium channel blockers, from the Icelandic Medicines Registry. Information on the aggregate economic climate was retrieved from Statistics Iceland. With the pre-recession period as a reference, we used logistic regression analyses to assess changes in pregnancy-induced hypertensive disorders, prescription fills for antihypertensive drugs and adverse birth outcomes during the recession years. Results: There was an annual decrease in continued smoking (odds ratio (OR) ... |
author2 |
Unnur A. Valdimarsdóttir Læknadeild (HÍ) Faculty of Medicine (UI) Heilbrigðisvísindasvið (HÍ) School of Health Sciences (UI) Háskóli Íslands University of Iceland |
format |
Doctoral or Postdoctoral Thesis |
author |
Eiríksdóttir, Védís Helga |
author_facet |
Eiríksdóttir, Védís Helga |
author_sort |
Eiríksdóttir, Védís Helga |
title |
Maternal health indicators during pregnancy and birth outcomes during times of great macroeconomic instability: the case of Iceland |
title_short |
Maternal health indicators during pregnancy and birth outcomes during times of great macroeconomic instability: the case of Iceland |
title_full |
Maternal health indicators during pregnancy and birth outcomes during times of great macroeconomic instability: the case of Iceland |
title_fullStr |
Maternal health indicators during pregnancy and birth outcomes during times of great macroeconomic instability: the case of Iceland |
title_full_unstemmed |
Maternal health indicators during pregnancy and birth outcomes during times of great macroeconomic instability: the case of Iceland |
title_sort |
maternal health indicators during pregnancy and birth outcomes during times of great macroeconomic instability: the case of iceland |
publisher |
University of Iceland, School of Health Sciences, Faculty of Medcine |
publishDate |
2016 |
url |
https://hdl.handle.net/20.500.11815/149 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
info:eu-repo/grantAgreement/EC/FP. Icelandic Research Fund Védís Helga Eiríksdóttir. 2012. Maternal health indicators during pregnancy and birth outcomes during times of great macroeconomic instability: the case of Iceland. (Doctoral dissertation). Reykjavik, IS. University of Iceland. 9789935931986 https://hdl.handle.net/20.500.11815/149 |
op_rights |
info:eu-repo/semantics/restrictedAccess |
op_doi |
https://doi.org/20.500.11815/149 |
_version_ |
1766037030270140416 |