Birth outcomes and infant mortality among First Nations Inuit, and non-Indigenous women by northern versus southern residence, Quebec
Background In circumpolar countries such as Canada, northern regions represent a unique geographical entity climatically, socioeconomically and environmentally. There is a lack of comparative data on birth outcomes among Indigenous and non-Indigenous subpopulations within northern regions and compar...
Published in: | Journal of Epidemiology and Community Health |
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fthighwire:oai:open-archive.highwire.org:jech:66/4/328 2023-05-15T16:14:00+02:00 Birth outcomes and infant mortality among First Nations Inuit, and non-Indigenous women by northern versus southern residence, Quebec Luo, Zhong-Cheng Wilkins, Russell Heaman, Maureen Smylie, Janet Martens, Patricia J McHugh, Nancy G L Labranche, Elena Simonet, Fabienne Wassimi, Spogmai Minich, Katherine Fraser, William D 2012-04-01 00:00:00.0 text/html http://jech.bmj.com/cgi/content/short/66/4/328 https://doi.org/10.1136/jech.2009.092619 en eng BMJ Publishing Group Ltd http://jech.bmj.com/cgi/content/short/66/4/328 http://dx.doi.org/10.1136/jech.2009.092619 Copyright (C) 2012, BMJ Publishing Group Ltd Research reports TEXT 2012 fthighwire https://doi.org/10.1136/jech.2009.092619 2013-05-26T18:16:57Z Background In circumpolar countries such as Canada, northern regions represent a unique geographical entity climatically, socioeconomically and environmentally. There is a lack of comparative data on birth outcomes among Indigenous and non-Indigenous subpopulations within northern regions and compared with southern regions. Methods A cohort study of all births by maternal mother tongue to residents of northern (2616 First Nations (North American Indians), 2388 Inuit and 5006 non-Indigenous) and southern (2563 First Nations, 810 643 non-Indigenous) Quebec, 1991–2000. Results Compared with births to southern non-Indigenous mother tongue women, births to northern women of all three mother tongue groups were at substantially elevated risks of infant death (adjusted OR (aOR) 1.7–2.9), especially postneonatal death (aOR 2.2–4.4) after controlling for maternal education, age, marital status and parity. The risk elevation in perinatal death was greater for southern First Nations (aOR 1.6) than for northern First Nations (aOR 1.2). Infant macrosomia was highly prevalent among First Nations in Quebec, especially in the north (31% vs 24% in the south). Within northern regions, Inuit births were at highest risk of preterm delivery (aOR 1.4) and infant death (aOR 1.6). Conclusion All northern infants (First Nations, Inuit or non-Indigenous) were at substantially elevated risk of infant death in Quebec, despite a universal health insurance system. Southern First Nations newborns have not benefited from the more advanced perinatal care facilities in southern regions. Environmental influences may partly account for the very high prevalence of macrosomia among First Nations in northern Quebec. Text First Nations inuit HighWire Press (Stanford University) Canada Journal of Epidemiology and Community Health 66 4 328 333 |
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Research reports |
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Research reports Luo, Zhong-Cheng Wilkins, Russell Heaman, Maureen Smylie, Janet Martens, Patricia J McHugh, Nancy G L Labranche, Elena Simonet, Fabienne Wassimi, Spogmai Minich, Katherine Fraser, William D Birth outcomes and infant mortality among First Nations Inuit, and non-Indigenous women by northern versus southern residence, Quebec |
topic_facet |
Research reports |
description |
Background In circumpolar countries such as Canada, northern regions represent a unique geographical entity climatically, socioeconomically and environmentally. There is a lack of comparative data on birth outcomes among Indigenous and non-Indigenous subpopulations within northern regions and compared with southern regions. Methods A cohort study of all births by maternal mother tongue to residents of northern (2616 First Nations (North American Indians), 2388 Inuit and 5006 non-Indigenous) and southern (2563 First Nations, 810 643 non-Indigenous) Quebec, 1991–2000. Results Compared with births to southern non-Indigenous mother tongue women, births to northern women of all three mother tongue groups were at substantially elevated risks of infant death (adjusted OR (aOR) 1.7–2.9), especially postneonatal death (aOR 2.2–4.4) after controlling for maternal education, age, marital status and parity. The risk elevation in perinatal death was greater for southern First Nations (aOR 1.6) than for northern First Nations (aOR 1.2). Infant macrosomia was highly prevalent among First Nations in Quebec, especially in the north (31% vs 24% in the south). Within northern regions, Inuit births were at highest risk of preterm delivery (aOR 1.4) and infant death (aOR 1.6). Conclusion All northern infants (First Nations, Inuit or non-Indigenous) were at substantially elevated risk of infant death in Quebec, despite a universal health insurance system. Southern First Nations newborns have not benefited from the more advanced perinatal care facilities in southern regions. Environmental influences may partly account for the very high prevalence of macrosomia among First Nations in northern Quebec. |
format |
Text |
author |
Luo, Zhong-Cheng Wilkins, Russell Heaman, Maureen Smylie, Janet Martens, Patricia J McHugh, Nancy G L Labranche, Elena Simonet, Fabienne Wassimi, Spogmai Minich, Katherine Fraser, William D |
author_facet |
Luo, Zhong-Cheng Wilkins, Russell Heaman, Maureen Smylie, Janet Martens, Patricia J McHugh, Nancy G L Labranche, Elena Simonet, Fabienne Wassimi, Spogmai Minich, Katherine Fraser, William D |
author_sort |
Luo, Zhong-Cheng |
title |
Birth outcomes and infant mortality among First Nations Inuit, and non-Indigenous women by northern versus southern residence, Quebec |
title_short |
Birth outcomes and infant mortality among First Nations Inuit, and non-Indigenous women by northern versus southern residence, Quebec |
title_full |
Birth outcomes and infant mortality among First Nations Inuit, and non-Indigenous women by northern versus southern residence, Quebec |
title_fullStr |
Birth outcomes and infant mortality among First Nations Inuit, and non-Indigenous women by northern versus southern residence, Quebec |
title_full_unstemmed |
Birth outcomes and infant mortality among First Nations Inuit, and non-Indigenous women by northern versus southern residence, Quebec |
title_sort |
birth outcomes and infant mortality among first nations inuit, and non-indigenous women by northern versus southern residence, quebec |
publisher |
BMJ Publishing Group Ltd |
publishDate |
2012 |
url |
http://jech.bmj.com/cgi/content/short/66/4/328 https://doi.org/10.1136/jech.2009.092619 |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations inuit |
genre_facet |
First Nations inuit |
op_relation |
http://jech.bmj.com/cgi/content/short/66/4/328 http://dx.doi.org/10.1136/jech.2009.092619 |
op_rights |
Copyright (C) 2012, BMJ Publishing Group Ltd |
op_doi |
https://doi.org/10.1136/jech.2009.092619 |
container_title |
Journal of Epidemiology and Community Health |
container_volume |
66 |
container_issue |
4 |
container_start_page |
328 |
op_container_end_page |
333 |
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1765999837636984832 |