ArticleBMC pregnancy and childbirth2026
Integrating socioeconomic determinants into preterm birth risk prediction: evidence from Northwest China.
Article in BMC pregnancy and childbirth, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPreterm birth is a leading cause of neonatal mortality worldwide. Socioeconomic status (SES) is associated with preterm birth risk, yet existing studies in low-resource settings have rarely examined whether incorporating SES into clinical models can enhance prediction performance. This study aimed to develop and validate a SES-integrated risk prediction model for preterm birth in Northwest China.
methodsA retrospective cohort of 2,781 deliveries from county-level hospitals (January–November 2024) was analyzed. Logistic regression was used to construct a baseline model (clinical variables) and an extended model incorporating SES indicators (education, occupation, living environment). Predictive performance was evaluated using the area under the ROC curve (AUC) and calibration plots.
resultsIncluding SES and healthcare accessibility variables markedly improved model discrimination (AUC increased from 0.688 to 0.854) and showed good calibration, indicating strong agreement between predicted and observed outcomes.
conclusionSocioeconomic factors significantly enhance the accuracy and calibration of preterm birth prediction models. Integrating SES indicators into perinatal assessment can improve risk identification and inform equitable maternal health policies.
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