Contribution of maternal age to preterm birth rates in Denmark and Quebec, 1981-2008
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Contribution of maternal age to preterm birth rates in Denmark and Quebec, 1981-2008. / Auger, Nathalie; Hansen, Anne V; Mortensen, Laust Hvas.
I: American Journal of Public Health, Bind 103, Nr. 10, 2013, s. e33-8.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › fagfællebedømt
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TY - JOUR
T1 - Contribution of maternal age to preterm birth rates in Denmark and Quebec, 1981-2008
AU - Auger, Nathalie
AU - Hansen, Anne V
AU - Mortensen, Laust Hvas
PY - 2013
Y1 - 2013
N2 - OBJECTIVES: We sought evidence to support the hypothesis that advancing maternal age is potentially causing a rise in preterm birth (PTB) rates in high-income countries.METHODS: We assessed maternal age-specific trends in PTB using all singleton live births in Denmark (n = 1 674 308) and Quebec (n = 2 291 253) from 1981 to 2008. We decomposed the country-specific contributions of age-specific PTB rates and maternal age distribution to overall PTB rates over time.RESULTS: PTB rates increased from 4.4% to 5.0% in Denmark and from 5.1% to 6.0% in Quebec. Rates increased the most in women aged 20 to 29 years, whereas rates decreased or remained stable in women aged 35 years and older. The overall increase over time was driven by age-specific PTB rates, although the contribution of younger women was countered by fewer births at this age in both Denmark and Quebec.CONCLUSIONS: PTB rates increased among women aged 20 to 29 years, but their contribution to the overall PTB rates was offset by older maternal age over time. Women aged 20 to 29 years should be targeted to reduce PTB rates, as potential for prevention may be greater in this age group.
AB - OBJECTIVES: We sought evidence to support the hypothesis that advancing maternal age is potentially causing a rise in preterm birth (PTB) rates in high-income countries.METHODS: We assessed maternal age-specific trends in PTB using all singleton live births in Denmark (n = 1 674 308) and Quebec (n = 2 291 253) from 1981 to 2008. We decomposed the country-specific contributions of age-specific PTB rates and maternal age distribution to overall PTB rates over time.RESULTS: PTB rates increased from 4.4% to 5.0% in Denmark and from 5.1% to 6.0% in Quebec. Rates increased the most in women aged 20 to 29 years, whereas rates decreased or remained stable in women aged 35 years and older. The overall increase over time was driven by age-specific PTB rates, although the contribution of younger women was countered by fewer births at this age in both Denmark and Quebec.CONCLUSIONS: PTB rates increased among women aged 20 to 29 years, but their contribution to the overall PTB rates was offset by older maternal age over time. Women aged 20 to 29 years should be targeted to reduce PTB rates, as potential for prevention may be greater in this age group.
KW - Adult
KW - Age Factors
KW - Denmark
KW - Female
KW - Humans
KW - Infant, Newborn
KW - Maternal Age
KW - Premature Birth
KW - Quebec
KW - Young Adult
U2 - 10.2105/AJPH.2013.301523
DO - 10.2105/AJPH.2013.301523
M3 - Journal article
C2 - 23947312
VL - 103
SP - e33-8
JO - American Journal of Public Health
JF - American Journal of Public Health
SN - 0090-0036
IS - 10
ER -
ID: 137669289