ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2010
Birth outcomes in the Inuit-inhabited areas of Canada.
Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.
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Who cites it
30 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- A review of health and wellness studies involving Inuit of Manitoba and Nunavut.International journal of circumpolar health · 2020Pooled it
- A decade of research in Inuit children, youth, and maternal health in Canada: areas of concentrations and scarcities.International journal of circumpolar health · 2012Pooled it
- Inuit Women's Voices from Nunavut, Canada: Informing Perinatal Support Needs and Priorities.Healthcare (Basel, Switzerland) · 2026Article
- Article
- How other countries can improve Canada's maternal mortality statistics.Obstetric medicine · 2023Review
- Giving birth in rural ArcticInternational journal of circumpolar health · 2022Article
- Shifting paradigm from biomedical to decolonised methods in Inuit public health research in Canada: a scoping review.BMJ global health · 2022Article
- Reproductive health interventions for Inuit youth in the north: a scoping review.Reproductive health · 2021Article
- Density and proximity to hydraulic fracturing wells and birth outcomes in Northeastern British Columbia, Canada.Journal of exposure science & environmental epidemiology · 2021Article
- Red blood cell folate levels in Canadian Inuit women of childbearing years: influence of food security, body mass index, smoking, education, and vitamin use.Canadian journal of public health = Revue canadienne de sante publique · 2018Article
- Interactions Between Indigenous Women Awaiting Childbirth Away From Home and Their Southern, Non-Indigenous Health Care Providers.Qualitative health research · 2018Article
- Inferring and modeling inheritance of differentially methylated changes across multiple generations.Nucleic acids research · 2018Article
- Disparities in infant hospitalizations in Indigenous and non-Indigenous populations in Quebec, Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2017Article
- Article
- Maternal and community predictors of gastroschisis and congenital diaphragmatic hernia in Canada.Pediatric surgery international · 2015Article
- Prevalence and Characteristics Associated with Breastfeeding Initiation Among Canadian Inuit from the 2007-2008 Nunavut Inuit Child Health Survey.Maternal and child health journal · 2015Article
- Article
- Smoking and dietary inadequacy among Inuvialuit women of child bearing age in the Northwest Territories, Canada.Nutrition journal · 2013Article
- The use of remote presence for health care delivery in a northern Inuit community: a feasibility study.International journal of circumpolar health · 2013Article
- Causes and risk factors for infant mortality in Nunavut, Canada 1999-2011.BMC pediatrics · 2012Article
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6 authors.
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Abstract
backgroundInformation 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.
methodsWe 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.
resultsCompared 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), immaturity-related 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 remained when the comparisons were restricted to other rural or northern areas of Canada.
interpretationThe 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.
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