Social inequalities

Social inequalities in health in the perinatal and infant context – common theme


Elie Azria, Marie-Josèphe Saurel-Cubizolles

General framework

Due to its importance in terms of public health, health of individuals and social issues, the issue of social inequalities in health cuts across the work of the 5 thematic axes that structure EPOPé’s research activity. Social determinants of maternal and perinatal health are at the centre of much of the team’s work and appear indirectly in most analyses as contributing factors explaining health conditions or behaviours.

Overall objective

This common axis is not intended to bring together all the work dealing with social inequalities in health, but to share reflections and work on the tools that are available to explore individual and area-based social determinants of maternal, perinatal and child outcomes.

Key themes

  • Development and validation of tools for defining and measuring social conditions, particularly tools that seek to include several different dimensions (socio-economic factors, social links, insurance coverage, housing, geography, etc.) and that are adapted to the perinatal period, as well as tools for reporting phenomena such as social declassification or acculturation.
  • Analysis of the mechanisms of social inequalities in health in order to identify interventions to be tested. Opening up research to focus on implicit biases and differentiated care.
  • Development of mixed methodological approaches combining epidemiology, social sciences, geographical approaches, systemic analyses, etc.
  • Organisation of scientific activities on social inequalities in health’s themes such as scientific seminars and an annual scientific colloquium (201620172018)
  • Organization of a University Diploma on the theme of Social Inequalities in Maternal and Perinatal Health

Individuals involved

Researchers: Elie Azria, Béatrice Blondel, Catherine Deneux, Babak Khoshnood, Marie-Josèphe Saurel-Cubizolles Jennifer Zeitlin
PhD students and post-doctoral students: Solène Vigoureux, Ayesha Siddiqui, Priscille Sauvegrain
Masters and public Health intern: Clémentine Gonthier (2015), Chloé Adjaoud (2016), Morgane Linard (2016), Agathe Dumont (2017), Sarah Louis, Camille Bertrand

Main national and international collaborations

  • Methods team UMR1153 (Agnès Dechartres)
  • ORCHAD team UMR1153 (Sandrine Lioret)
  • URMIS – UMR 8245 (Marguerite Cognet)
  • Université Libre de Bruxelles – Epidemiology, statistics and clinical research (Judith Racapé)
  • University of Copenhagen – Department of Social Medicine (Sarah Fredsted Villadsen, Anne Marie Nybo Andersen)
  • ROAM, Reproductive Outcomes and Migration,  an International research collaboration