{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T18:15:27Z","timestamp":1791310527614,"version":"4.3.1"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2015,7,16]],"date-time":"2015-07-16T00:00:00Z","timestamp":1437004800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Paediatric Perinatal Epid"],"published-print":{"date-parts":[[2015,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Although adverse birth outcomes have been associated with neighbourhood deprivation in urban areas, few studies have addressed this issue in rural zones. This study examines whether associations between neighbourhood deprivation and adverse birth outcomes differ in urban and rural contexts, while taking individual characteristics and spatial accessibility of prenatal care (<jats:styled-content style=\"fixed-case\">SAPC<\/jats:styled-content>) into account.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Pregnant women from a French mother\u2013child cohort were recruited from 2002 to 2006 in <jats:styled-content style=\"fixed-case\">B<\/jats:styled-content>rittany. Their residential addresses were geocoded into their census blocks (the finest geographical resolution available). Deprivation was assessed at the same neighbourhood level. Models to assess the associations of deprivation, stratified by urban\/rural status, with preterm delivery (<jats:styled-content style=\"fixed-case\">PTD<\/jats:styled-content>), with small for gestational age birth weight (<jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content>) and with small for gestational age head circumference at birth (<jats:styled-content style=\"fixed-case\">SHC<\/jats:styled-content>), estimated odds ratios (<jats:styled-content style=\"fixed-case\">ORs<\/jats:styled-content>), adjusted for maternal socioeconomic characteristics and <jats:styled-content style=\"fixed-case\">SAPC<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>This study considered 2929 liveborn singleton pregnancies from 780 census blocks. Neighbourhood deprivation was associated with increased risks of <jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">SHC<\/jats:styled-content> (<jats:italic>P trend<\/jats:italic>\u2009&lt;\u20090.01 and 0.03 respectively), only among mothers residing in rural areas. Neighbourhood deprivation had statistically significantly heterogeneous effects on <jats:styled-content style=\"fixed-case\">SGA<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">SHC<\/jats:styled-content> according to the urban\/rural status of maternal residence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>These findings suggest that neighbourhood deprivation affects fetal growth differentially in urban and rural areas and that <jats:styled-content style=\"fixed-case\">SAPC<\/jats:styled-content> does not seem to be responsible for this difference. Comparison of these findings with the literature requires caution in the conceptualisation of urban and rural settings.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ppe.12208","type":"journal-article","created":{"date-parts":[[2015,7,16]],"date-time":"2015-07-16T14:54:24Z","timestamp":1437058464000},"page":"426-435","source":"Crossref","is-referenced-by-count":20,"title":["Socioeconomic Disparities in Adverse Birth Outcomes in Urban and Rural Contexts: a French Mother\u2013Child Cohort"],"prefix":"10.1111","volume":"29","author":[{"given":"M\u00e9lanie","family":"Bertin","sequence":"first","affiliation":[{"name":"IRSET \u2013 Inserm UMR 1085 University of Rennes 1  Rennes France"},{"name":"EHESP School of Public Health  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Fran\u00e7ois","family":"Viel","sequence":"additional","affiliation":[{"name":"IRSET \u2013 Inserm UMR 1085 University of Rennes 1  Rennes France"},{"name":"Department of Epidemiology and Public Health University Hospital  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine","family":"Monfort","sequence":"additional","affiliation":[{"name":"IRSET \u2013 Inserm UMR 1085 University of Rennes 1  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sylvaine","family":"Cordier","sequence":"additional","affiliation":[{"name":"IRSET \u2013 Inserm UMR 1085 University of Rennes 1  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"C\u00e9cile","family":"Chevrier","sequence":"additional","affiliation":[{"name":"IRSET \u2013 Inserm UMR 1085 University of Rennes 1  Rennes France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,7,16]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Early Child Development: A Powerful Equalizer","author":"Early Child Development Knowledge Network of the Commission on Social Determinants of Health","year":"2007"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2011.01192.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2010.05.012"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph10062296"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2008.10.006"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwi173"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.11074"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(71)92410-X"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2006.00719.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ede.0000142149.34095.88"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.307.6917.1458"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2393-13-129"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-0361.2010.00332.x"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0277-9536(95)00190-5"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-3016.2008.00938.x"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-0361.2006.00066.x"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.80.7.814"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-11-147"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthplace.2013.09.006"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-33"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1186\/1476-072X-13-22"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1159\/000047157"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2002-36735"},{"key":"e_1_2_7_25_1","unstructured":"AUDIPOG.Morphom\u00e9trie n\u00e9onatale homepage. 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