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首页> 外文期刊>BMC Pregnancy and Childbirth >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
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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

机译：无条件产前收入补充剂与加拿大曼尼托巴省迈尼托巴的第一个国家儿童的出生和幼儿结果提高有关：基于人口的队列研究

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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. 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. 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. 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.
机译：在加拿大曼尼托巴省，低收入孕妇有资格获得健康的婴儿产前福利，在后面的两个三个月期间，无条件收入补充剂81美元/月。我们的目标是确定健康婴儿产前效益对曼尼托巴第一个妇女及其子女的出生和幼儿结果的影响。我们使用行政数据来识别生育2003-2011的低收入国家妇女（n？= 8209），调整收到的女性之间的差异（n？= 6103），并没有得到健康的婴儿产前益处（ n？=？2106）使用倾向得分加权。使用多变量回归，我们比较出低出生体重，早产，小于胎龄和大胎龄出生的速度，5分钟的APGAR分数，母乳喂养，出生住院长度，医院入院，完全疫苗接种幼儿园的一两年和二，发展脆弱性。接受该益处的妇女具有较低出生体重的风险较低（调整相对风险[ARR] 0.74; 95％CI 0.62-0.88）和早产（ARR 0.77; 0.68-0.88）出生，并且更有可能启动母乳喂养（ARR 1.05 ; 1.01-1.09）。收到健康的婴儿产前益处也与年龄（ARR 1.10; 1.06-1.4）和两个（ARR 1.19; 1.13-1.25）的较高的儿童接种率相关，以及儿童在发展中易受群体的较低风险语言和认知发展领域（ARR 0.88; 0.79-0.98）和幼儿园的一般知识/沟通技巧（ARR 0.87; 0.77-0.98）。怀孕期间CAD 81美元/月的适度无条件收入有关，与低收入家庭的第一个国家儿童提高疫苗接种率和更好的发育卫生成果有关。

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