학술논문
Underlying Causes of Ethnocultural Inequality in Pregnancy Outcomes: Role of Hospital Proximity.
Document Type
Article
Source
Subject
*BIRTHPLACES
*CULTURE
*MINORITIES
*PREMATURE infants
*CONFIDENCE intervals
*HEALTH services accessibility
*FRENCH-Canadians
*COMMUNICATION barriers
*TRAVEL
*RACE
*ACQUISITION of data
*CULTURAL pluralism
*PREGNANCY outcomes
*RISK assessment
*RACIAL inequality
*PERINATAL death
*COMPARATIVE studies
*PREGNANCY complications
*BIRTH certificates
*MEDICAL records
*DESCRIPTIVE statistics
*RESEARCH funding
*HEALTH equity
*DATA analysis software
*LONGITUDINAL method
*QUEBECOIS
*DISEASE risk factors
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Language
ISSN
1557-1912
Abstract
We evaluated the contribution of place of birth to ethnocultural inequality in pregnancy outcomes. We analyzed a cohort of 1,487,723 births between 1998 and 2019 among minority Anglophones and majority Francophones in Quebec, Canada. We estimated the association (adjusted risk ratio, RR; 95% confidence interval, CI) of language with preterm birth and stillbirth, and incorporated interaction terms to determine the contribution of place of birth and distance traveled. Compared with Francophones, minority Anglophones had a greater risk of preterm birth (RR 1.03; 95% CI 1.01–1.06) and were less likely to deliver farther from home (RR 0.95; 95% CI 0.94–0.95). Anglophones who delivered close to home had a higher risk of preterm birth (RR 1.07; 95% CI 1.04–1.11), whereas Anglophones who delivered farther had a lower risk (RR 0.69; 95% CI 0.64–0.75). Patterns were similar for stillbirth. Ethnocultural inequality in adverse birth outcomes may be influenced by place of birth. [ABSTRACT FROM AUTHOR]