{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T18:22:23Z","timestamp":1792606943849,"version":"4.5.0"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T00:00:00Z","timestamp":1716508800000},"content-version":"vor","delay-in-days":1,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Postpartum care focuses on prevention of health problems by performing medical check-ups and through enhancing maternal empowerment, the parent\u2013infant interaction and knowledge about mother\u2019s own health and that of her newborn. We aimed to investigate whether there was significant clustering within neighbourhoods regarding the uptake of postpartum care and to what extent neighbourhood-level differences are explained by individual socio-demographic factors, pregnancy-related factors and neighbourhood-level determinants (i.e. deprivation and urbanization).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>A nationwide population-based observational study was carried out using linked routinely collected healthcare data from appropriate-for-gestational-age weight live-born term singleton deliveries (2015\u201318) in the Netherlands. We performed two-level multivariable logistic regression analyses, using three different models. Model 1 contained no explanatory variables and was used to assess clustering of postpartum care uptake within neighbourhoods. In model 2, individual-level determinants were added one by one and in model 3, neighbourhood-level determinants were added.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>About 520\u00a0818 births were included. Multilevel modelling showed that 11% of the total variance in postpartum care uptake could be attributed to the neighbourhood of residence. Individual characteristics explained 38% of the neighbourhood variance, of which income and migration background were the most important contributors. An additional 6% of the variation could be explained by neighbourhood-level determinants.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>We found substantial neighbourhood differences in postpartum care uptake. These differences are influenced by a complex interplay between individual-level and neighbourhood-level determinants, highlighting the importance of addressing both individual and neighbourhood-level determinants to improve the uptake of postpartum care and therewith overall community health.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/eurpub\/ckae089","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T07:21:16Z","timestamp":1716535276000},"page":"921-928","source":"Crossref","is-referenced-by-count":6,"title":["Socioeconomic inequalities in the uptake of postpartum care at home across Dutch neighbourhoods"],"prefix":"10.1093","volume":"34","author":[{"given":"Leonie A","family":"Daalderop","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Erasmus MC, University Medical Centre Rotterdam , Rotterdam,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eline F","family":"de Vries","sequence":"additional","affiliation":[{"name":"Department of Quality of Care and Health Economics, Center of Prevention, Nutrition and Health Services Research, National Institute for Public Health and the Environment , Bilthoven,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric A P","family":"Steegers","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Erasmus MC, University Medical Centre Rotterdam , Rotterdam,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4907-6466","authenticated-orcid":false,"given":"Jasper V","family":"Been","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology, Erasmus MC, University Medical Centre Rotterdam , Rotterdam,","place":["The Netherlands"]},{"name":"Division of Neonatology, Department of Neonatal and Paediatric Intensive Care, Erasmus MC Sophia Children\u2019s Hospital, University Medical Centre Rotterdam , Rotterdam,","place":["The Netherlands"]},{"name":"Department of Public Health, Erasmus MC, University Medical Centre Rotterdam , Rotterdam,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jeroen N","family":"Struijs","sequence":"additional","affiliation":[{"name":"Department of Quality of Care and Health Economics, Center of Prevention, Nutrition and Health Services Research, National Institute for Public Health and the Environment , Bilthoven,","place":["The Netherlands"]},{"name":"Department of Public Health and Primary Care, Leiden University Medical Center , The Hague,","place":["The Netherlands"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7178-8910","authenticated-orcid":false,"given":"Jacqueline","family":"Lagendijk","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and 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