Evidence map›Paper›PMID 20524380›Full record

SynthesisCanadian journal of public health = Revue canadienne de sante publique

A review of Aboriginal infant mortality rates in Canada: striking and persistent Aboriginal/non-Aboriginal inequities.

Janet Smylie, Deshayne Fell, Arne Ohlsson, Joint Working Group on First Nations Indian Inuit, Métis Infant Mortality of the Canadian Perinatal Surveillance System

Abstract readSystematic Review
In one paragraph

Synthesis in Canadian journal of public health = Revue canadienne de sante publique. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Disconnected perspectives: Patient and care provider's experiences of substance use in pregnancy.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2021
    Article
  5. Article
  6. Long-distance travel for birthing among Indigenous and non-Indigenous pregnant people in Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2021
    Article
  7. Article
  8. Article
  9. Indigenous mothers' experiences of using primary care in Hamilton, Ontario, for their infants.International journal of qualitative studies on health and well-being · 2019
    Article
  10. Article
  11. Effect of provincial spending on social services and health care on health outcomes in Canada: an observational longitudinal study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018
    Observational
  12. Article
  13. Differences in obstetric care among nulliparous First Nations and non-First Nations women in British Columbia, Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2016
    Article
  14. Article
  15. Article
  16. Indigenous mortality (revealed): the invisible illuminated.American journal of public health · 2015
    Article
  17. Article
  18. Article
  19. Article
  20. Rates of stillbirth by gestational age and cause in Inuit and First Nations populations in Quebec.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2013
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Janet SmylieCentre for Research on Inner City Health (CRICH), St. Michael's Hospital, 70 Richmond Street East, 4th Floor, Toronto, ON M5C 1 N8. janet.smylie@utoronto.ca
Deshayne Fell
Arne Ohlsson
Joint Working Group on First Nations Indian Inuit
Métis Infant Mortality of the Canadian Perinatal Surveillance System

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe Joint Working Group on First Nations, Indian, Inuit, and Métis Infant Mortality of the Canadian Perinatal Surveillance System is a collaboration of national Aboriginal organizations and federal and provincial/territorial stakeholders. Our objective was to better understand what is currently known about Aboriginal infant mortality rates (IMR) in Canada.

methodsAs part of a larger international systematic review of Indigenous IMR calculation, we searched the published literature for original research regarding the calculation of First Nations, Inuit, and Métis infant mortality rates at the national and provincial/territorial level. SYNTHESIS: We identified major deficiencies in the coverage and quality of infant mortality data for Aboriginal populations in Canada. The review of provincial and territorial reporting of infant mortality for Aboriginal populations revealed substantial provincial and territorial variation in the way that birth and death data were collected. With respect to coverage, high-quality IMRs were available only for Status Indians and communities with a high proportion of Inuit residents. No rates were available for Métis or non-Status Indians.

conclusionStriking and persistent disparities persist in the IMRs for Status Indians and in communities with a high proportion of Inuit residents, compared to the general Canadian population. There is an urgent need to work in partnership with First Nations, Indian, Inuit, and Métis stakeholder groups to improve the quality and coverage of Aboriginal IMR information and to acquire information that would help to better understand and address the underlying causes of disparities in infant mortality between the Aboriginal and non-Aboriginal population in Canada.

Indexed as

Health Status DisparitiesCanadaHumansIndians, North AmericanInfantInfant MortalityInfant, NewbornInuit

Identifiers

PMID20524380
PMCPMC6973846

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.