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Exposure was living in a deprived or severely deprived area defined by the National Operations Department of the Swedish Police Authority. Adverse perinatal outcomes included preterm births, small\u2010for\u2010gestational\u2010age births and stillbirths. A propensity score\u2010based method was used to control for individual baseline characteristics. Associations were investigated with logistic regression analyses and risk estimates are presented as crude (<jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content>) and adjusted odds ratio (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content>) with 95% confidence interval (<jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Living in a deprived neighborhood in Sweden was associated with extremely preterm births (deprived area <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.50, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.07\u20102.11, severely deprived <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.90, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.40\u20102.58), small\u2010for\u2010gestational\u2010age birth (deprived OR 1.45, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.31\u20101.60, severely deprived <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.85, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.69\u20102.03) and stillbirth (deprived <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.62, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.17\u20102.26, severely deprived <jats:styled-content style=\"fixed-case\">OR<\/jats:styled-content> 1.56, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content> 1.11\u20102.19). After accounting for individual maternal and social risk factors, the risk of small for gestational age in severely deprived areas remained (<jats:styled-content style=\"fixed-case\">aOR<\/jats:styled-content> 1.45, 95% <jats:styled-content style=\"fixed-case\">CI<\/jats:styled-content>, 1.19\u20101.75).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The contextual effect of living in a deprived neighborhood on the risk of extremely preterm births, small\u2010for\u2010gestational\u2010age births and stillbirths was to a high extent explained by individual factors of women residing in exposed areas, yet remained for small\u2010for\u2010gestational\u2010age births in severely deprived areas after adjustment for maternal and social risk factors.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aogs.13582","type":"journal-article","created":{"date-parts":[[2019,2,19]],"date-time":"2019-02-19T08:00:17Z","timestamp":1550563217000},"page":"1004-1013","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":24,"title":["Neighborhood deprivation and adverse perinatal outcomes in Sweden: A population\u2010based register study"],"prefix":"10.1111","volume":"98","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9173-2909","authenticated-orcid":false,"given":"Susanne","family":"Hesselman","sequence":"first","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University Uppsala Sweden"},{"name":"Center for Clinical Research Dalarna Falun Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna\u2010Karin","family":"Wikstr\u00f6m","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4935-7532","authenticated-orcid":false,"given":"Alkistis","family":"Skalkidou","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inger","family":"Sundstr\u00f6m\u2010Poromaa","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anna","family":"Wikman","sequence":"additional","affiliation":[{"name":"Department of Women's and Children's Health Uppsala University Uppsala Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,8]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/jech.57.8.606"},{"key":"e_1_2_10_3_1","unstructured":"National Board of Health and Welfare.Socioekonomiska faktorers p\u00e5verkan p\u00e5 kvinnors och barns h\u00e4lsa efter f\u00f6rlossning [The influence of socio\u2010economic factors on women's and children's health after childbirth]. 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