Rising disparities in severe adverse birth outcomes among Haitians in Québec, Canada, 1981-2006

Nathalie Auger, Martine Chery, Mark DANIEL

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Perinatal health data for Haitians are scant. We evaluated adverse birth outcomes for Haitians in Québec, Canada. We analyzed 2,124,909 live births from 1981 to 2006. Haitian ethnicity was assessed using maternal birth country (Haiti, other Caribbean country, other foreign country, Canada) and home language (Creole, French/English but Creole mother tongue, French/English, other). Associations between ethnicity and preterm birth (PTB), low birth weight (LBW), and small-for-gestational-age (SGA) birth were calculated. Adverse birth outcomes were more common among mothers with Haitian ethnicity. Relative to Canadian-born mothers, odds for Haitian-born mothers were 4 times greater for extreme PTB (≤27 weeks), twice greater for very PTB (28–31 weeks), and 25% higher for moderate PTB (32–36 weeks). Patterns were similar for SGA birth and severe cases of LBW. Despite overall decreases LBW and SGA birth, relative and absolute inequalities increased over time. Perinatal health inequalities are increasing for Haitian-born mothers
Original languageEnglish
Pages (from-to)198-208
Number of pages11
JournalJournal of Immigrant and Minority Health
Volume14
Issue number2
DOIs
Publication statusPublished - 2012
Externally publishedYes

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Canada
Premature Birth
Mothers
Parturition
Low Birth Weight Infant
Gestational Age
Haiti
Health
Live Birth
Tongue
Language

Cite this

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title = "Rising disparities in severe adverse birth outcomes among Haitians in Qu{\'e}bec, Canada, 1981-2006",
abstract = "Perinatal health data for Haitians are scant. We evaluated adverse birth outcomes for Haitians in Qu{\'e}bec, Canada. We analyzed 2,124,909 live births from 1981 to 2006. Haitian ethnicity was assessed using maternal birth country (Haiti, other Caribbean country, other foreign country, Canada) and home language (Creole, French/English but Creole mother tongue, French/English, other). Associations between ethnicity and preterm birth (PTB), low birth weight (LBW), and small-for-gestational-age (SGA) birth were calculated. Adverse birth outcomes were more common among mothers with Haitian ethnicity. Relative to Canadian-born mothers, odds for Haitian-born mothers were 4 times greater for extreme PTB (≤27 weeks), twice greater for very PTB (28–31 weeks), and 25{\%} higher for moderate PTB (32–36 weeks). Patterns were similar for SGA birth and severe cases of LBW. Despite overall decreases LBW and SGA birth, relative and absolute inequalities increased over time. Perinatal health inequalities are increasing for Haitian-born mothers",
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Rising disparities in severe adverse birth outcomes among Haitians in Québec, Canada, 1981-2006. / Auger, Nathalie; Chery, Martine; DANIEL, Mark.

In: Journal of Immigrant and Minority Health, Vol. 14, No. 2, 2012, p. 198-208.

Research output: Contribution to journalArticle

TY - JOUR

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AB - Perinatal health data for Haitians are scant. We evaluated adverse birth outcomes for Haitians in Québec, Canada. We analyzed 2,124,909 live births from 1981 to 2006. Haitian ethnicity was assessed using maternal birth country (Haiti, other Caribbean country, other foreign country, Canada) and home language (Creole, French/English but Creole mother tongue, French/English, other). Associations between ethnicity and preterm birth (PTB), low birth weight (LBW), and small-for-gestational-age (SGA) birth were calculated. Adverse birth outcomes were more common among mothers with Haitian ethnicity. Relative to Canadian-born mothers, odds for Haitian-born mothers were 4 times greater for extreme PTB (≤27 weeks), twice greater for very PTB (28–31 weeks), and 25% higher for moderate PTB (32–36 weeks). Patterns were similar for SGA birth and severe cases of LBW. Despite overall decreases LBW and SGA birth, relative and absolute inequalities increased over time. Perinatal health inequalities are increasing for Haitian-born mothers

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