Evidence map›Paper›PMID 27310236›Full record

ArticleCanadian journal of psychiatry. Revue canadienne de psychiatrie2016

A Population-Based Study of Postpartum Mental Health Service Use by Immigrant Women in Ontario, Canada.

Simone Vigod, Anjum Sultana, Kinwah Fung, Neesha Hussain-Shamsy, Cindy-Lee Dennis

Open access · bronzeAbstract read
In one paragraph

Article in Canadian journal of psychiatry. Revue canadienne de psychiatrie, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.5field-weighted citation impact, top 5% of its field
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

17 citing papers in PubMed, 45 citations in OpenAlex.

  1. Perinatal mental illness in Ontario (2007-2021): A population-based repeated cross-sectional surveillance study.Canadian journal of public health = Revue canadienne de sante publique · 2025
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  12. Access to Healthcare for Immigrant Children in Canada.International journal of environmental research and public health · 2020
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  15. Use of the emergency department as a first point of contact for mental health care by immigrant youth in Canada: a population-based study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2018
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Simone VigodWomen's College Research Institute, Women's College Hospital, Toronto, Ontario Institute for Clinical Evaluative Sciences, University of Toronto, Toronto, Ontario simone.vigod@wchospital.ca.
Anjum SultanaUniversity of Toronto, Toronto, Ontario.
Kinwah FungWomen's College Research Institute, Women's College Hospital, Toronto, Ontario Institute for Clinical Evaluative Sciences, University of Toronto, Toronto, Ontario.
Neesha Hussain-ShamsyWomen's College Research Institute, Women's College Hospital, Toronto, Ontario.
Cindy-Lee DennisWomen's College Research Institute, Women's College Hospital, Toronto, Ontario University of Toronto, Toronto, Ontario.
University of Toronto · CAInstitute for Clinical Evaluative Sciences · CAWomen's College Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePostpartum mental disorders are twice as common among immigrant women compared to nonimmigrant women in developed countries. Immigrant women may experience barriers to access and use of postpartum mental health services, but little is known about their service use on a population level. We described postpartum mental health service use of immigrant mothers living in Ontario, Canada, comparing to a referent group of mothers who were either born in Canada or had lived in Ontario or another Canadian province since 1985.

methodAmong all women in Ontario, Canada, delivering a live infant from 2008 to 2012 (n = 450,622), we described mental health service use within 1 year postpartum, including mental health physician visits, psychiatric emergency department visits, and psychiatric hospitalization. Adjusted odds ratios (aORs) and 95% confidence intervals (CIs) comparing immigrant women to the referent group were adjusted for maternal age, parity, income, rurality, mental health services in prior 2 years, and maternal and newborn health.

resultsImmigrant women (n = 123,231; 27%) were less likely to use mental health services than women in the referent group (14.1% vs. 21.4%; aOR, 0.59; 95% CI, 0.58 to 0.61), including for physician-based (13.9% vs. 21.1%; aOR, 0.59; 95% CI, 0.58 to 0.61) and emergency department (0.6% vs. 1.3%; aOR, 0.63; 95% CI, 0.57 to 0.68) services. Hospitalization risk was lower among immigrants (0.20% vs. 0.33%) but became similar after covariate adjustment (aOR, 0.92; 95% CI, 0.79 to 1.06).

conclusionsUnderuse of postpartum mental health services may be contributing to the high burden of postpartum mental disorders among immigrant women.

Indexed as

AdultEmigrants and ImmigrantsFemaleHospitalizationHumansMental DisordersMental Health ServicesOntarioPuerperal DisordersYoung Adulthealth service useimmigrationpostpartumpublic mental healthwomen’s health

Identifiers

PMID27310236
PMCPMC5066549
OpenAlexW2336268134

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.