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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ftunivmanitoba:oai:mspace.lib.umanitoba.ca:1993/35466 2023-06-18T03:40:37+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 Enns, Jennifer E Nickel, Nathan C. Chartier, Mariette Chateau, Dan Campbell, Rhonda Phillips-Beck, Wanda Sarkar, Joykrishna Burland, Elaine Katz, Alan Santos, Rob Brownell, Marni 2021-05-01T03:24:26Z application/pdf http://hdl.handle.net/1993/35466 https://doi.org/10.1186/s12884-021-03782-w en eng BMC Pregnancy and Childbirth. 2021 Apr 20;21(1):312 https://doi.org/10.1186/s12884-021-03782-w http://hdl.handle.net/1993/35466 open access The Author(s) Journal Article 2021 ftunivmanitoba https://doi.org/10.1186/s12884-021-03782-w 2023-06-04T17:38:06Z 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 MSpace at the University of Manitoba Canada BMC Pregnancy and Childbirth 21 1 |
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Open Polar |
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MSpace at the University of Manitoba |
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ftunivmanitoba |
language |
English |
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 |
Enns, Jennifer E Nickel, Nathan C. Chartier, Mariette Chateau, Dan Campbell, Rhonda Phillips-Beck, Wanda Sarkar, Joykrishna Burland, Elaine Katz, Alan Santos, Rob Brownell, Marni |
spellingShingle |
Enns, Jennifer E Nickel, Nathan C. Chartier, Mariette Chateau, Dan Campbell, Rhonda Phillips-Beck, Wanda Sarkar, Joykrishna Burland, Elaine Katz, Alan Santos, Rob Brownell, Marni 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 |
author_facet |
Enns, Jennifer E Nickel, Nathan C. Chartier, Mariette Chateau, Dan Campbell, Rhonda Phillips-Beck, Wanda Sarkar, Joykrishna Burland, Elaine Katz, Alan Santos, Rob Brownell, Marni |
author_sort |
Enns, Jennifer E |
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 |
publishDate |
2021 |
url |
http://hdl.handle.net/1993/35466 https://doi.org/10.1186/s12884-021-03782-w |
geographic |
Canada |
geographic_facet |
Canada |
genre |
First Nations |
genre_facet |
First Nations |
op_relation |
BMC Pregnancy and Childbirth. 2021 Apr 20;21(1):312 https://doi.org/10.1186/s12884-021-03782-w http://hdl.handle.net/1993/35466 |
op_rights |
open access The Author(s) |
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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1769005811789463552 |