TITLE

Birth outcomes in the Inuit-inhabited areas of Canada

AUTHOR(S)
Zhong-Cheng Luo; Senécal, Sacha; Simonet, Fabienne; Guimond, Éric; Penney, Christopher; Wilkins, Russell
PUB. DATE
February 2010
SOURCE
CMAJ: Canadian Medical Association Journal;2/23/2010, Vol. 182 Issue 3, p235
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Information on health disparities between Aboriginal and non-Aboriginal populations is essential for developing public health programs aimed at reducing such disparities. The lack of data on disparities in birth outcomes between Inuit and non-Inuit populations in Canada prompted us to compare birth outcomes in Inuit-inhabited areas with those in the rest of the country and in other rural and northern areas of Canada. Methods: We conducted a cohort study of all births in Canada during 1990-2000 using linked vital data. We identified 13 642 births to residents of Inuit-inhabited areas and 4 054 489 births to residents of all other areas. The primary outcome measures were preterm birth, stillbirth and infant death. Results: Compared with the rest of Canada, Inuit- inhabited areas had substantially higher rates of preterm birth (risk ratio [RR] 1.45, 95% confidence interval [CI] 1.38-1.52), stillbirth (RR 1.68, 95% CI 1.38-2.04) and infant death (RR 3.61, 95% CI 3.17-4.12). The risk ratios and absolute differences in risk for these outcomes changed little over time. Excess mortality was observed for all major causes of infant death, including congenital anomalies (RR 1.64), immaturityrelated conditions (RR 2.96), asphyxia (RR 2.43), sudden infant death syndrome (RR 7.15), infection (RR 8.32) and external causes (RR 7.30). Maternal characteristics accounted for only a small part of the risk disparities. Substantial risk ratios for preterm birth, stillbirth and infant death re mained when the comparisons were restricted to other rural or northern areas of Canada. Interpretation: The Inuit-inhabited areas had much higher rates of preterm birth, stillbirth and infant death compared with the rest of Canada and with other rural and northern areas. There is an urgent need for more effective interventions to improve maternal and infant health in Inuit-inhabited areas.
ACCESSION #
48489997

 

Related Articles

  • Long QT molecular autopsy in sudden infant death syndrome. Glengarry, Joanna Moira; Crawford, Jackie; Morrow, Paul Lowell; Stables, Simon Robert; Love, Donald Roy; Skinner, Jonathan Robert // Archives of Disease in Childhood;Jul2014, Vol. 99 Issue 7, p635 

    Objective: To describe experience of long QT (LQT) molecular autopsy in sudden infant death syndrome (SIDS). Design: Descriptive audit from two distinct periods: (1) A prospective, population-based series between 2006 and 2008 ('unselected'). (2) Before and after 2006- 2008, with testing guided...

  • Sleeping position and electrocortical activity in low birthweight infants. Sahni, R.; Schuize, K. F.; Kashyap, S.; Ohira-Kist, K.; Fifer, W. P.; Myers, M. M. // Archives of Disease in Childhood -- Fetal & Neonatal Edition;Jul2005, Vol. 90 Issue 4, p311 

    Objective: To evaluate the effects of prone and supine sleeping positions on electrocortical activity during active (AS) and quiet (QS) sleep in low birthweight infants. Design: Randomised/crossover study. Setting: Infant Physiology Laboratory at Children's Hospital of New York. Patients: Sixty...

  • Ambient Heat and Sudden Infant Death: A Case-Crossover Study Spanning 30 Years in Montreal, Canada. Auger, Nathalie; Fraser, William D.; Smargiassi, Audrey; Kosatsky, Tom // Environmental Health Perspectives;Jul2015, Vol. 123 Issue 7, p712 

    BACKGROUND: Climate change may lead to more severe and extreme heat waves in the future, but its potential impact on sudden infant death--a leading cause of infant mortality--is unclear. OBJECTIVES: We sought to determine whether risk of sudden infant death syndrome (SIDS) is elevated during hot...

  • Sudden infant death syndrome and sleeping position in pre-term and low birth weight infants: an opportunity for targeted intervention. Blair, P. S.; Platt, M. Ward; Smith, I. J.; Fleming, P. J. // Archives of Disease in Childhood;Feb2006, Vol. 91 Issue 2, p101 

    Aims: To determine the combined effects of sudden infant death syndrome (SIDS) risk factors in the sleeping environment for infants who were ‘small at birth’ (pre-term (<37 weeks), low birth weight (<2500 g), or both). Methods: A three year population based, case-control study in...

  • Are the risk factors for SIDS different for preterm and term infants? Thompson, J. M. D.; Mitchell, E. A. // Archives of Disease in Childhood;Feb2006, Vol. 91 Issue 2, p107 

    Background: Mortality from SIDS has declined since the recommendation that infants are not placed prone to sleep. SIDS mortality is higher in infants born preterm than those born at term. Aim: To determine if risk factors for SIDS are any different for preterm and term infants. Methods:...

  • sudden infant death syndrome (SIDS). Peters, Michael // BMA A-Z Family Medical Encyclopedia;2004, p720 

    An encyclopedia entry for "sudden infant death syndrome (SIDS)" is presented. It refers to the unexpected and unexplainable death of an infant. Some of the risk factors of SIDS or cot death include overheating, prematurity and low birth weight, and poor socioeconomic background. To prevent SIDS,...

  • The duration of pre-ovulatory serum progesterone elevation before hCG administration affects the outcome of IVF/ICSI cycles. Huang, Chu-Chun; Lien, Yih-Ron; Chen, Hsin-Fu; Chen, Mei-Jou; Shieh, Chia-Jen; Yao, Yi-Lin; Chang, Chin-Hao; Chen, Shee-Uan; Yang, Yu-Shih // Human Reproduction;Jul2012, Vol. 27 Issue 7, p2036 

    Study question During controlled ovarian stimulation (COS), does the duration of premature serum progesterone (P) elevation before administration of hCG affect the outcomes of IVF/ICSI embryo transfer (-ET) cycles? Summary answer The duration of the premature serum P elevation is inversely...

  • Effects of sleeping position on development of infant cardiovascular control. Yiallourou, S. R.; Walker, A. M.; Home, A. S. C. // Archives of Disease in Childhood;Oct2008, Vol. 93 Issue 10, p868 

    Objective: Sudden Infant Death Syndrome (SIDS) is associated with prone sleeping, and circulatory failure has been hypothesised to be a factor in the fatal event. We aimed to determine the effect of prone sleeping on heart rate (HR) and blood pressure (BP) control over the first 6 months of...

  • Maternal alcohol use increases risk of infant mortality. Burd, Larry // Evidence Based Medicine;Feb2014, Vol. 19 Issue 1, p27 

    The article presents a study which examines the effect of maternal alcohol use on infant death rates. Topics discussed under study include the role of maternal alcohol use in improving the risk of sudden infant death syndrome (SIDS0 and non-SIDS infant deaths, sibling and maternal mortality in...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics