Maternal obesity and multiple deprivation in Portsmouth
PHE ePoster Library. Walker I. 09/12/17; 186544; 82
Dr. Inna Walker
Dr. Inna Walker
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Abstract IntroductionMaternal obesity is known to lead to a range of adverse outcomes both for the mothers and the children, and may be the biggest challenge antenatal care providers in the National Health Service face today. Residential area deprivation as measured by the Index of Multiple Deprivation (IMD) has been shown to contribute to health inequalities in the United Kingdom. Maternal obesity may be associated with higher deprivation, but this has not been demonstrated consistently. This study investigated the relationship between maternal obesity and deprivation in Portsmouth and adjoining areas, with a view to contribute to the existing knowledge on the topic and ultimately help inform public health initiatives.MethodsThe study used the records of 3830 women who gave birth under the care of Queen Alexandra Hospital in Portsmouth from 1 April 2013 to 31 March 2014. Logistic regression was used to analyse the association between national IMD quintiles and maternal obesity, accounting for the potential confounders of age, ethnic origin, smoking status and parity.ResultsFollowing adjustment for the above confounders women living in the most deprived IMD quintile were 1.64 (95% CI 1.16, 2.31) times more likely to be obese compared to those in the least deprived quintile. Maternal obesity was also found to be associated with ethnicity and parity, but not with age or smoking status.ConclusionMaternal obesity increased with increasing deprivation in this study sample. IMD may be a useful group-level indicator when planning health promotion programmes aimed at tackling maternal obesity.
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