ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2010
Birth outcomes and infant mortality by the degree of rural isolation among first nations and non-first nations in Manitoba, Canada.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed, 21 citations in OpenAlex.
- Canada First Nations Strengths in Community-Based Primary Healthcare.International journal of environmental research and public health · 2022Article
- Adverse birth outcomes and infant mortality according to registered First Nations status and First Nations community residence across Canada.Canadian journal of public health = Revue canadienne de sante publique · 2018Article
- Traumatic and other non-natural childhood deaths in Manitoba, Canada: a retrospective autopsy analysis (1989-2010).Canadian journal of public health = Revue canadienne de sante publique · 2014Article
- Neighbourhood income level and outcomes of extremely preterm neonates: protection conferred by a universal health care system.Canadian journal of public health = Revue canadienne de sante publique · 2012Article
- Preterm birth in the Inuit and First Nations populations of Québec, Canada, 1981-2008.International journal of circumpolar health · 2012Article
- Overweight and obesity among North American Indian infants, children, and youth.American journal of human biology : the official journal of the Human Biology CouncilArticle
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Authors and funding
10 authors at 6 institutions in 1 country.
Funding
Abstract
contextIt is unknown whether rural isolation may affect birth outcomes and infant mortality differentially for Indigenous versus non-Indigenous populations. We assessed birth outcomes and infant mortality by the degree of rural isolation among First Nations (North American Indians) and non-First Nations populations in Manitoba, Canada, a setting with universal health insurance.
methodsA geocoding-based birth cohort study of 25,143 First Nations and 125,729 non-First Nations live births to Manitoban residents, 1991-2000. Degree of rural isolation was defined by an indicator of urban influence (no, weak, moderate/strong) based on the percentage of the workforce commuting to urban areas.
findingsPreterm birth and low birth weight rates were somewhat lower in all rural areas regardless of the degree of isolation as compared to urban areas for both First Nations and non-First Nations. Infant mortality rates were not significantly different across areas for First Nations (10.7, 9.9, 7.9, and 9.7 per 1,000 in rural areas with no, weak, moderate/strong urban influence, and urban areas, respectively), but rates were significantly lower in less isolated areas for non-First Nations (7.4, 6.0, 5.6, and 4.6 per 1,000, respectively). Adjusted odds ratios showed similar patterns.
conclusionsLiving in less isolated areas was associated with lower infant mortality only among non-First Nations. First Nations infants do not seem to have similarly benefited from the better health care facilities in urban centers, suggesting a need to improve urban First Nations' infant care in meeting the challenges of increasing urban migration.
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