An unconditional prenatal income supplement is associated with improved birth and early childhood outcomes among First Nations children in Manitoba, Canada: a population-based cohort study
Abstract Background In Manitoba, Canada, low-income pregnant women are eligible for the Healthy Baby Prenatal Benefit, an unconditional income supplement of up to CAD $81/month, during their latter two trimesters. Our objective was to determine the impact of the Healthy Baby Prenatal Benefit on birt...
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ftdoajarticles:oai:doaj.org/article:4f1919efceea4813a2d4668813b2cc93 2023-05-15T16:15:23+02:00 An unconditional prenatal income supplement is associated with improved birth and early childhood outcomes among First Nations children in Manitoba, Canada: a population-based cohort study Jennifer E. Enns Nathan C. Nickel Mariette Chartier Dan Chateau Rhonda Campbell Wanda Phillips-Beck Joykrishna Sarkar Elaine Burland Alan Katz Rob Santos Marni Brownell 2021-04-01T00:00:00Z https://doi.org/10.1186/s12884-021-03782-w https://doaj.org/article/4f1919efceea4813a2d4668813b2cc93 EN eng BMC https://doi.org/10.1186/s12884-021-03782-w https://doaj.org/toc/1471-2393 doi:10.1186/s12884-021-03782-w 1471-2393 https://doaj.org/article/4f1919efceea4813a2d4668813b2cc93 BMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-11 (2021) Income supplement Poverty Birth outcomes Early child development Breastfeeding Prenatal care Gynecology and obstetrics RG1-991 article 2021 ftdoajarticles https://doi.org/10.1186/s12884-021-03782-w 2022-12-31T11:04:16Z Abstract Background In Manitoba, Canada, low-income pregnant women are eligible for the Healthy Baby Prenatal Benefit, an unconditional income supplement of up to CAD $81/month, during their latter two trimesters. Our objective was to determine the impact of the Healthy Baby Prenatal Benefit on birth and early childhood outcomes among Manitoba First Nations women and their children. Methods We used administrative data to identify low-income First Nations women who gave birth 2003–2011 (n = 8209), adjusting for differences between women who received (n = 6103) and did not receive the Healthy Baby Prenatal Benefit (n = 2106) with using propensity score weighting. Using multi-variable regressions, we compared rates of low birth weight, preterm, and small- and large-for-gestational-age births, 5-min Apgar scores, breastfeeding initiation, birth hospitalization length of stay, hospital readmissions, complete vaccination at age one and two, and developmental vulnerability in Kindergarten. Results Women who received the benefit had lower risk of low birth weight (adjusted relative risk [aRR] 0.74; 95% CI 0.62–0.88) and preterm (aRR 0.77; 0.68–0.88) births, and were more likely to initiate breastfeeding (aRR 1.05; 1.01–1.09). Receipt of the Healthy Baby Prenatal Benefit was also associated with higher rates of child vaccination at age one (aRR 1.10; 1.06–1.14) and two (aRR 1.19; 1.13–1.25), and a lower risk that children would be vulnerable in the developmental domains of language and cognitive development (aRR 0.88; 0.79–0.98) and general knowledge/communication skills (aRR 0.87; 0.77–0.98) in Kindergarten. Conclusions A modest unconditional income supplement of CAD $81/month during pregnancy was associated with improved birth outcomes, increased vaccination rates, and better developmental health outcomes for First Nations children from low-income families. Article in Journal/Newspaper First Nations Directory of Open Access Journals: DOAJ Articles Canada BMC Pregnancy and Childbirth 21 1 |
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Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
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ftdoajarticles |
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English |
topic |
Income supplement Poverty Birth outcomes Early child development Breastfeeding Prenatal care Gynecology and obstetrics RG1-991 |
spellingShingle |
Income supplement Poverty Birth outcomes Early child development Breastfeeding Prenatal care Gynecology and obstetrics RG1-991 Jennifer E. Enns Nathan C. Nickel Mariette Chartier Dan Chateau Rhonda Campbell Wanda Phillips-Beck Joykrishna Sarkar Elaine Burland Alan Katz Rob Santos Marni Brownell An unconditional prenatal income supplement is associated with improved birth and early childhood outcomes among First Nations children in Manitoba, Canada: a population-based cohort study |
topic_facet |
Income supplement Poverty Birth outcomes Early child development Breastfeeding Prenatal care Gynecology and obstetrics RG1-991 |
description |
Abstract Background In Manitoba, Canada, low-income pregnant women are eligible for the Healthy Baby Prenatal Benefit, an unconditional income supplement of up to CAD $81/month, during their latter two trimesters. Our objective was to determine the impact of the Healthy Baby Prenatal Benefit on birth and early childhood outcomes among Manitoba First Nations women and their children. Methods We used administrative data to identify low-income First Nations women who gave birth 2003–2011 (n = 8209), adjusting for differences between women who received (n = 6103) and did not receive the Healthy Baby Prenatal Benefit (n = 2106) with using propensity score weighting. Using multi-variable regressions, we compared rates of low birth weight, preterm, and small- and large-for-gestational-age births, 5-min Apgar scores, breastfeeding initiation, birth hospitalization length of stay, hospital readmissions, complete vaccination at age one and two, and developmental vulnerability in Kindergarten. Results Women who received the benefit had lower risk of low birth weight (adjusted relative risk [aRR] 0.74; 95% CI 0.62–0.88) and preterm (aRR 0.77; 0.68–0.88) births, and were more likely to initiate breastfeeding (aRR 1.05; 1.01–1.09). Receipt of the Healthy Baby Prenatal Benefit was also associated with higher rates of child vaccination at age one (aRR 1.10; 1.06–1.14) and two (aRR 1.19; 1.13–1.25), and a lower risk that children would be vulnerable in the developmental domains of language and cognitive development (aRR 0.88; 0.79–0.98) and general knowledge/communication skills (aRR 0.87; 0.77–0.98) in Kindergarten. Conclusions A modest unconditional income supplement of CAD $81/month during pregnancy was associated with improved birth outcomes, increased vaccination rates, and better developmental health outcomes for First Nations children from low-income families. |
format |
Article in Journal/Newspaper |
author |
Jennifer E. Enns Nathan C. Nickel Mariette Chartier Dan Chateau Rhonda Campbell Wanda Phillips-Beck Joykrishna Sarkar Elaine Burland Alan Katz Rob Santos Marni Brownell |
author_facet |
Jennifer E. Enns Nathan C. Nickel Mariette Chartier Dan Chateau Rhonda Campbell Wanda Phillips-Beck Joykrishna Sarkar Elaine Burland Alan Katz Rob Santos Marni Brownell |
author_sort |
Jennifer E. Enns |
title |
An unconditional prenatal income supplement is associated with improved birth and early childhood outcomes among First Nations children in Manitoba, Canada: a population-based cohort study |
title_short |
An unconditional prenatal income supplement is associated with improved birth and early childhood outcomes among First Nations children in Manitoba, Canada: a population-based cohort study |
title_full |
An unconditional prenatal income supplement is associated with improved birth and early childhood outcomes among First Nations children in Manitoba, Canada: a population-based cohort study |
title_fullStr |
An unconditional prenatal income supplement is associated with improved birth and early childhood outcomes among First Nations children in Manitoba, Canada: a population-based cohort study |
title_full_unstemmed |
An unconditional prenatal income supplement is associated with improved birth and early childhood outcomes among First Nations children in Manitoba, Canada: a population-based cohort study |
title_sort |
unconditional prenatal income supplement is associated with improved birth and early childhood outcomes among first nations children in manitoba, canada: a population-based cohort study |
publisher |
BMC |
publishDate |
2021 |
url |
https://doi.org/10.1186/s12884-021-03782-w https://doaj.org/article/4f1919efceea4813a2d4668813b2cc93 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_source |
BMC Pregnancy and Childbirth, Vol 21, Iss 1, Pp 1-11 (2021) |
op_relation |
https://doi.org/10.1186/s12884-021-03782-w https://doaj.org/toc/1471-2393 doi:10.1186/s12884-021-03782-w 1471-2393 https://doaj.org/article/4f1919efceea4813a2d4668813b2cc93 |
op_doi |
https://doi.org/10.1186/s12884-021-03782-w |
container_title |
BMC Pregnancy and Childbirth |
container_volume |
21 |
container_issue |
1 |
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1766001123172286464 |