首页> 外文期刊>Canadian journal of public health: Revue canadienne de sante publique >Refugee and refugee-claimant women and infants post-birth: migration histories as a predictor of Canadian health system response to needs.
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Refugee and refugee-claimant women and infants post-birth: migration histories as a predictor of Canadian health system response to needs.

机译:出生后的难民和难民求助妇女和婴儿:移民历史是加拿大卫生系统对需求反应的预测指标。

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BACKGROUND: Minority women from conflict-laden areas with limited host-country knowledge are among the most vulnerable migrants. Their risk status and that of their infants is magnified during pregnancy, birth, and post-birth. We conducted a study to determine whether women's postnatal health concerns were addressed by the Canadian health system differentially based on migration status (refugee, refugee-claimant, immigrant, and Canadian-born) or city of residence. METHODS: Women speaking any of 13 languages were recruited (with their infants) from postpartum units in the main Canadian receiving cities for newcomers (Toronto, Montreal, Vancouver; total n = 341 pairs from 10 hospitals) and followed at home after birth. Our primary interest was 'unaddressed concerns'; nurse-identified health concerns based on standards of postpartum care for the woman/infant at 7-10 days post-birth, for which no professional attention had been given or planned. RESULTS: A difference in unaddressed concerns by migration status was not found in our primary model [OR refugees vs. Canadian-born = 1.40 (95% CI: 0.67-2.93); refugee-claimants, 1.20 (0.61-2.34); immigrants, 1.02 (0.56-1.85)] although differences by city of residence remained after controlling for migration status, income, education, maternal region of birth, language ability, referral status, and type of birth [Toronto vs. Vancouver OR = 3.63 (95% CI: 2.00-6.57); Montreal, 1.88 (1.15-3.09)]. The odds of unaddressed concerns were greater in all migrant groups [OR refugees vs. Canadian-born = 2.42 (95% CI: 1.51-3.87); refugee-claimants, 1.64 (1.07-2.49); immigrants, 1.54 (1.00-2.36)] when analyses excluded variables which may be on the causal pathway. INTERPRETATION: Women and their newborn infants living in Toronto or Montreal may require additional support in having their health and social concerns addressed. The definitive effect of migrant group needs confirmation in larger studies.
机译:背景:来自冲突多发地区的少数族裔妇女在东道国知识有限的情况下是最脆弱的移民。他们的风险状况以及婴儿的风险状况在怀孕,出生和出生后都会被放大。我们进行了一项研究,以确定加拿大的卫生系统是否根据移民状况(难民,难民求婚者,移民和加拿大出生的人)或居住城市来解决妇女的产后健康问题。方法:从加拿大主要的收养城市(多伦多,蒙特利尔,温哥华;来自10家医院的n对341对)的产后机构招募说13种语言的女性(及其婴儿),并在产后在家中接受随访。我们的主要兴趣是“未解决的问题”;根据产后7-10天对妇女/婴儿进行产后护理的标准,由护士确定的健康问题尚未得到专业计划或计划的关注。结果:在我们的主要模型中,未发现因移民身份而引起的未解决问题的差异[难民或加拿大人= 1.40(95%CI:0.67-2.93);难民求助者1.20(0.61-2.34);移民,1.02(0.56-1.85)],但在控制了移民身份,收入,教育,孕产妇出生地,语言能力,推荐身份和出生类型后,各居住城市的差异仍然存在[多伦多vs.温哥华OR = 3.63( 95%CI:2.00-6.57);蒙特利尔,1.88(1.15-3.09)]。在所有移民群体中,未解决问题的可能性更大[难民或加拿大人= 2.42(95%CI:1.51-3.87);难民求助者,1.64(1.07-2.49);移民,1.54(1.00-2.36)]在分析时排除了可能在因果路径上的变量。解释:居住在多伦多或蒙特利尔的妇女及其新生儿可能需要更多的支持来解决其健康和社会问题。较大规模的研究需要证实移民群体的最终效果。

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