@article{Fuster_31_29,
author = {Fuster, Vicente and Zuluaga, Pilar and Román-Busto, Jorge},
title={{Stillbirth incidence in Spain: A comparison of native and recent immigrant mothers}},
journal = {Demographic Research},
volume = {31},
number = {29},
pages = {889--912},
doi = {10.4054/DemRes.2014.31.29},
year = {2014},
abstract = {Background: This analysis focuses on determining differences in the risk of stillbirth in Spain by comparing native and foreign mothers with regard to bio-demographic factors. 

Methods: The study is based on micro-data, one record per delivery for 2,869,329 births occurring from 2007 to 2012. 

Results: For a total of 2,287,819 single deliveries the average stillbirth rate for Spanish mothers (S)  was 2.51 per 1000; for non-Spanish mothers (NS) it was 3.99 per 1000. Two multivariate Poisson regression models were applied to obtain adjusted stillbirth risk ratios (RR), one for S and another for NS mothers. For both groups the following variables were included in the model: Caesarean, mother’s age, birth weight, duration of gestation, and maternal education. Parity, however, was incorporated only for Spanish mothers, while for the non-Spanish the relationship status and the father’s nationality were included. The increase in RR is similar for certain variables, such as in cases where no Caesarean was performed (S: 3.356; NS: 3.439); while for other variables differences are observed with regard to maternal origin, for example weight at birth <1500g in relation to ≥ 2500g (S: 4.154; NS: 21.367). 

Conclusions: Immigration, together with differential reproductive maternal characteristics, had an influence on RR. Maternal education, as an indicator of socioeconomic conditions, is one of the most important socio-cultural variables in this respect. Certain reproductive and socio-cultural maternal variables affected RR differently in Spanish and foreign women, suggesting the benefit of implementing policies to achieve a decrease in the risk of stillbirths in the NS group. },
URL = {https://www.demographic-research.org/volumes/vol31/29/},
eprint = {https://www.demographic-research.org/volumes/vol31/29/31-29.pdf}
}