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. 2019 Oct 30;9(10):e027834. doi: 10.1136/bmjopen-2018-027834

Table 2.

Associations of mean gestational age at birth and mean birth weight with pregnancy, parental and environmental factors from adjusted linear mixed-effects model (model 3)

Gestational age (days)
absolute differences (95% CI)
Birth weight (g) *
relative differences (95% CI)
Eligible population Complete case population Eligible population Complete case population
Intercept 277.3 (277.2 to 277.5) 277.9 (277.7 to 278.2) 3278 (3218 to 3339)† 3298 (3180 to 3420)†
Sex
Female 0 0 1 1
Male −0.56 (-0.65 to -0.48) −0.63 (-0.79 to -0.47) 1.045 (1.044 to 1.046) 1.048 (1.046, 1.049)
Birth rank
1‡ 0 0 1 1
2 −0.39 (-0.49 to -0.29) −0.34 (-0.52 to -0.16) 1.038 (1.037 to 1.039) 1.039 (1.037, 1.041)
3 −0.37 (-0.52 to -0.22) −0.16 (-0.44 to 0.11) 1.050 (1.048 to 1.051) 1.054 (1.051, 1.057)
≥4 −0.24 (-0.50 to 0.02) 0.24 (-0.25 to 0.72) 1.058 (1.056 to 1.061) 1.065 (1.059, 1.070)
Age mother (years)§
<20 (per 5 years decr.) −4.10 (-5.59 to -2.61) 1.002 (0.987 to 1.017)
≥20–30‡ 0 0 1 1
≥30–40 (per 5 years) −0.99 (-1.06 to -0.91) −0.93 (-1.07 to -0.78) 1.000 (1.000 to 1.001) 0.998 (0.997, 1.000)
≥40 (per 5 years) −2.93 (-3.36 to -2.50) −3.46 (-4.29 to -2.63) 0.998 (0.994 to 1.003) 0.998 (0.990, 1.006)
Civil status¶
Married 0 0 1 1
Not married −0.01 (-0.13 to 0.10) 0.15 (-0.08 to 0.38) 0.990 (0.989 to 0.991) 0.993 (0.99, 0.995)
Nationality mother
Switzerland‡ 0 0 1 1
S Europe 0.20 (-0.01 to 0.40) 0.39 (00 to 0.78) 0.994 (0.992 to 0.996) 0.995 (0.991, 0.999)
W Europe 0.20 (0.02 to 0.38) −0.08 (-0.43 to 0.26) 1.008 (1.006 to 1.010) 1.007 (1.004, 1.011)
N Europe 0.37 (-0.07 to 0.81) 0.30 (-0.57 to 1.17) 1.025 (1.020 to 1.029) 1.022 (1.013, 1.031)
E Europe 0.21 (0.04 to 0.38) 0.33 (-0.01 to 0.68) 1.013 (1.011 to 1.014) 1.017 (1.014, 1.021)
Other −0.32 (-0.49 to -0.14) −0.67 (-1.05 to -0.30) 1.007 (1.005 to 1.008) 1.012 (1.008, 1.016)
Nationality father
Switzerland‡ 0 0 1 1
S Europe −0.46 (-0.64 to -0.28) −0.28 (-0.62 to 0.06) 0.991 (0.990 to 0.993) 0.993 (0.989, 0.996)
W Europe 0.07 (-0.11 to 0.25) 0.30 (-0.04 to 0.63) 1.008 (1.006 to 1.009) 1.006 (1.003, 1.010)
N Europe 0.51 (0.08 to 0.94) −0.24 (-1.09 to 0.62) 1.013 (1.009 to 1.017) 1.011 (1.003, 1.020)
E Europe −0.46 (-0.64 to -0.28) −0.01 (-0.38 to 0.36) 1.009 (1.007 to 1.010) 1.011 (1.008, 1.015)
Other −0.02 (-0.22 to 0.18) 0.48 (0.05 to 0.90) 0.992 (0.991 to 0.994) 0.992 (0.987, 0.996)
Missing −3.87 (-4.24 to -3.50) 0.989 (0.985 to 0.992)
Education mother
Tertiary‡ 0 1
Secondary −0.55 (-0.74 to -0.36) 0.996 (0.995, 0.998)
Compulsory −0.90 (-1.22 to -0.58) 0.993 (0.990, 0.996)
Education father
Tertiary‡ 0 1
Secondary −0.16 (-0.35 to 0.03) 0.996 (0.994, 0.998)
Compulsory −0.25 (-0.58 to 0.07) 0.997 (0.994, 1.000)
Altitude (m)
500‡ 0 0 1 1
per 500 m increase 0.07 (-0.09 to 0.23) 0.03 (-0.24 to 0.30) 0.989 (0.988 to 0.991) 0.989 (0.987, 0.992)
Urbanisation
Urban‡ 0 0 1 1
Peri-urban −0.43 (-0.57 to -0.28) −0.59 (-0.82 to -0.36) 1.001 (1.000 to 1.002) 1.003 (1.000, 1.005)
Rural −0.15 (-0.32 to 0.02) −0.29 (-0.55 to -0.02) 1.000 (0.998 to 1.001) 1.003 (1.001, 1.006)
Language region
German‡ 0 0 1 1
French −0.62 (-0.77 to -0.47) −0.66 (-0.88 to -0.44) 0.989 (0.987 to 0.990) 0.988 (0.985, 0.990)
Italian −0.94 (-1.26 to -0.63) −1.11 (-1.55 to -0.68) 0.982 (0.980 to 0.985) 0.983 (0.979, 0.987)
Percent of spatial variance explained** 31% 39% 87% 88%

*Birth weight was modelled on a log scale, which results in multiplicative effects. The model for birth weight was additionally adjusted for gestational age by a cubic spline function with knots at weeks 25, 30 and 35.

†In the model for BW, the intercept corresponds to an estimated mean birth weight (g) for a singleton girl born at gestational age 40 weeks as the first child (rank 1) in a German-speaking, urban region of elevation 500m, whose mother is 20-30 years old at birth and married, and both parents have Swiss nationality and tertiary education.

‡Reference category.

§Age modelled by a piece-wise linear function: constant at reference range ≥20-30, and separate slopes for age <20, ≥30-40, and ≥40.

¶Married or in registered partnership / Not married: Single, widow, divorced or in dissolved partnership.

**Percentage of regional variance explained by model predictors, i.e. percent reduction in variance of random effects (σ2) when compared to model with no predictors (model 0).