Association between cesarean section and human capital in adulthood

1982 And 1993 Pelotas birth cohorts, Rio Grande do Sul State, Brazil

Bibliographic Data

ID5166578
AuthorsMayra Pacheco Fernandes (0000-0001-9564-4674, Universidade Federal de Pelotas), Natália Peixoto Lima (0000-0002-7181-3717, Universidade Federal de Pelotas), Fernando C Barros (0000-0001-5973-1746, Universidade Católica de Pelotas), Helen Denise Gonçalves Da Silva (0000-0001-6470-3352, Universidade Federal de Pelotas), Ana M B Menezes (0000-0002-2996-9427, Universidade Federal de Pelotas), Fernando César Wehrmeister (0000-0001-7137-1747, Universidade Federal de Pelotas), Fernando Pires Hartwig (0000-0003-3729-0710, Universidade Federal de Pelotas), Bernardo L Horta (0000-0001-9843-412X, Universidade Federal de Pelotas)
Year2021
Volume37
Issue9
Pagese00235520-e00235520
Publication date2021-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueCadernos de Saude Publica (JOURNAL)
Journal identifiersISSN: 0102-311X • E-ISSN: 1678-4464
PublisherFapUNIFESP (SciELO) (PUBLISHER)
DOI10.1590/0102-311x00235520
PMID34586169
OpenAlexW3201923706
SCIELO_PIDS0102-311X2021000905014
LanguageEN
References cited36

This study aims to assess the association between mode of delivery and human capital among young adults enrolled in the 1982 and 1993 Pelotas birth cohorts, Rio Grande do Sul State, Brasil. In 1982 and 1993, the maternity hospitals of the municipality were daily visited, the births identified, and those live births, whose family lived in the urban area of Pelotas, were examined and their mothers interviewed. Information on mode of delivery, vaginal or cesarean, was provided by the mother in the perinatal study. Performance in intelligence tests achieved schooling and income were evaluated in the 30 years visit at the 1982 cohort. At the 1993 cohort, schooling and income were assessed at the 22 years visit, whereas IQ was evaluated at 18 years. Tobacco smoking in adulthood and type of school was used as negative outcomes to strength causal inference. Initially, cesarean section was positively associated with human capital at adulthood, with the exception of income in the 1993 cohort. After controlling for confounders, the magnitude of the associations was strongly reduced, and the regression coefficients were close to the null value. The negative outcome analysis showed that, after controlling for confounding variables, the mode of delivery was not associated with tobacco smoking and type of school. Suggesting that the variables included in the regression model to control for confounding, provided an adequate adjustment and it is unlikely that the results are due to residual confounding by socioeconomic status. On the other hand, considering the short- and long-term risks and the epidemic of cesarean sections, measures should be implemented to reduce its prevalence

Cohort · Cohort study · Confounding · Environmental health · Human capital · Population · Socioeconomic status · Sociology · Demography · Global Maternal and Child Health · Maternal and Neonatal Healthcare · Maternal and Perinatal Health Interventions · Medicine · Gerontology

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