Stillbirth in an Anglophone minority of Canada

Nathalie Auger, Mark DANIEL, Laust Mortensen, Clarisse Toa-Lou, André Costopoulos

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Objectives: We assessed trends in stillbirth over time for Francophones and Anglophones of Quebec, a large Canadian province with publically funded health care and an English-speaking minority.Methods: We calculated stillbirth rates for Francophones and Anglophones, and estimated hazard ratios (HR) by decade from 1981 to 2010, adjusting for maternal characteristics. We analyzed temporal trends by gestational interval and cause of fetal death. Results: Stillbirth rates decreased in Quebec during the three decades, due to improved rates in Francophones. Rates decreased for Anglophones in 1991–2000, but increased in 2001–2010 at term, during the second trimester, and for most causes of fetal death. In the 2000s, the hazard of stillbirth for Anglophones was nearly the same as the hazard for Francophones in the 1980s (HR 0.93, 95 % confidence interval 0.82, 1.05). Conclusions: Stillbirth rates declined in both Francophones and Anglophones before the turn of the century, but increased thereafter for Anglophones, suggesting that linguistic inequalities in stillbirth may be emerging in Quebec. Linguistic status may be a useful marker for surveillance of inequalities in stillbirth.
Original languageEnglish
Pages (from-to)353-362
Number of pages10
JournalInternational Journal of Public Health
Volume60
Issue number3
DOIs
Publication statusPublished - 2015
Externally publishedYes

Fingerprint

Stillbirth
cause of death
Canada
minority
linguistics
trend
Quebec
surveillance
speaking
confidence
health care
Fetal Death
Linguistics
Cause of Death
Second Pregnancy Trimester
Mothers
Confidence Intervals
Delivery of Health Care
time

Cite this

Auger, Nathalie ; DANIEL, Mark ; Mortensen, Laust ; Toa-Lou, Clarisse ; Costopoulos, André. / Stillbirth in an Anglophone minority of Canada. In: International Journal of Public Health. 2015 ; Vol. 60, No. 3. pp. 353-362.
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abstract = "Objectives: We assessed trends in stillbirth over time for Francophones and Anglophones of Quebec, a large Canadian province with publically funded health care and an English-speaking minority.Methods: We calculated stillbirth rates for Francophones and Anglophones, and estimated hazard ratios (HR) by decade from 1981 to 2010, adjusting for maternal characteristics. We analyzed temporal trends by gestational interval and cause of fetal death. Results: Stillbirth rates decreased in Quebec during the three decades, due to improved rates in Francophones. Rates decreased for Anglophones in 1991–2000, but increased in 2001–2010 at term, during the second trimester, and for most causes of fetal death. In the 2000s, the hazard of stillbirth for Anglophones was nearly the same as the hazard for Francophones in the 1980s (HR 0.93, 95 {\%} confidence interval 0.82, 1.05). Conclusions: Stillbirth rates declined in both Francophones and Anglophones before the turn of the century, but increased thereafter for Anglophones, suggesting that linguistic inequalities in stillbirth may be emerging in Quebec. Linguistic status may be a useful marker for surveillance of inequalities in stillbirth.",
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Auger, N, DANIEL, M, Mortensen, L, Toa-Lou, C & Costopoulos, A 2015, 'Stillbirth in an Anglophone minority of Canada', International Journal of Public Health, vol. 60, no. 3, pp. 353-362. https://doi.org/10.1007/s00038-015-0650-6

Stillbirth in an Anglophone minority of Canada. / Auger, Nathalie; DANIEL, Mark; Mortensen, Laust; Toa-Lou, Clarisse; Costopoulos, André.

In: International Journal of Public Health, Vol. 60, No. 3, 2015, p. 353-362.

Research output: Contribution to journalArticle

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AU - Costopoulos, André

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N2 - Objectives: We assessed trends in stillbirth over time for Francophones and Anglophones of Quebec, a large Canadian province with publically funded health care and an English-speaking minority.Methods: We calculated stillbirth rates for Francophones and Anglophones, and estimated hazard ratios (HR) by decade from 1981 to 2010, adjusting for maternal characteristics. We analyzed temporal trends by gestational interval and cause of fetal death. Results: Stillbirth rates decreased in Quebec during the three decades, due to improved rates in Francophones. Rates decreased for Anglophones in 1991–2000, but increased in 2001–2010 at term, during the second trimester, and for most causes of fetal death. In the 2000s, the hazard of stillbirth for Anglophones was nearly the same as the hazard for Francophones in the 1980s (HR 0.93, 95 % confidence interval 0.82, 1.05). Conclusions: Stillbirth rates declined in both Francophones and Anglophones before the turn of the century, but increased thereafter for Anglophones, suggesting that linguistic inequalities in stillbirth may be emerging in Quebec. Linguistic status may be a useful marker for surveillance of inequalities in stillbirth.

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