International Journal of Public Health

, Volume 57, Issue 2, pp 253–260

The associations of parental under-education and unemployment on the risk of preterm birth: 2003 Korean National Birth Registration database

  • Seung Han Shin
  • Hyung-tak Lim
  • Hyun-young Park
  • Sang Min Park
  • Han-suk Kim
Original Article

DOI: 10.1007/s00038-011-0318-9

Cite this article as:
Shin, S.H., Lim, H., Park, H. et al. Int J Public Health (2012) 57: 253. doi:10.1007/s00038-011-0318-9

Abstract

Objectives

This study aimed to investigate the associations of combined parental low educational level and combined parental unemployment on the risk of preterm birth (PTB) in Korea.

Methods

Data on 427,857 singleton births were obtained from the National Birth Registration (NBR) database in 2003 and analyzed. Parental education and parental employment status were combined as exposure for analysis. Place of birth, sex, marital status, parental age and parity were included for analysis of unconditional multiple logistic regressions. PTB was defined as birth before a gestational age of 37 complete weeks.

Results

Group of the lowest educational level, below high school, had the highest odds of PTB in both father and mother in multivariable analysis [odds ratio (OR) 1.15 and 1.16, respectively]. After combining parental educational status for the multivariable analysis, the highest probability of PTB was in families where both parents had below college level education (OR 1.22). As for paternal employment, the multivariable analysis showed an increased rate of PTB occurred where the father was unemployed (OR 1.11). After combining the employment status of both parents, the multivariable analysis revealed that PTB was only significant in families where both parents were unemployed (OR 1.09).

Conclusions

We found that combined parental low educational level and combined parental unemployment increased the likelihood of preterm birth.

Keywords

Preterm birth Education Employment Socioeconomic status 

Copyright information

© Swiss School of Public Health 2011

Authors and Affiliations

  • Seung Han Shin
    • 1
  • Hyung-tak Lim
    • 2
  • Hyun-young Park
    • 3
  • Sang Min Park
    • 4
  • Han-suk Kim
    • 1
  1. 1.Department of PediatricsSeoul National University Hospital, Seoul National University College of MedicineSeoulRepublic of Korea
  2. 2.Department of OphthalmologyYonsei University College of MedicineSeoulRepublic of Korea
  3. 3.Division of Cardiovascular and Rare Diseases, Center for Biomedical SciencesNational Institutes of HealthChungcheongbuk-doRepublic of Korea
  4. 4.Department of Family MedicineSeoul National University Hospital, Seoul National University College of MedicineSeoulRepublic of Korea