ArticleMaternal and child health journal2016
Severe Neonatal Morbidity Among Births to Refugee Women.
Article in Maternal and child health journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Adverse Pregnancy Outcomes and International Immigration Status: A Systematic Review and Meta-analysis.Annals of global health · 2022Pooled it
- Perinatal and Neonatal Outcomes in Immigrants From Conflict-Zone Countries: A Systematic Review and Meta-Analysis of Observational Studies.Frontiers in public health · 2022Pooled it
- Maternal and perinatal outcomes of asylum seekers and undocumented migrants in Europe: a systematic review.European journal of public health · 2019Pooled it
- Disparities in Obstetric and Anaesthetic Care Between Migrant and Native Populations in High-Income Countries: A Narrative Review.Acta medica academica · 2025Review
- Infertility and Risk of Autism Spectrum Disorder in Children.JAMA network open · 2023Article
- Refugee Births and the Migrant Health Effect in Syracuse NY.Maternal and child health journal · 2023Article
- Single-Centre Retrospective Cohort Study of Demographic Characteristics and Perinatal Outcomes in Pregnant Refugee Patients in Toronto, Canada.Journal of immigrant and minority health · 2023Article
- Morbidity and mortality of newborns born to immigrant and nonimmigrant females residing in low-income neighbourhoods.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2023Article
- Perinatal and pediatric outcomes associated with the use of fertility treatment: a population-based retrospective cohort study in Ontario, Canada.BMC pregnancy and childbirth · 2023Article
- Attention-deficit hyperactivity disorder in children born to mothers with infertility: a population-based cohort study.Human reproduction (Oxford, England) · 2022Article
- Evaluation of Adverse Pregnancy Outcomes in Physicians Compared With Nonphysicians.JAMA network open · 2022Article
- A composite neonatal adverse outcome indicator using population-based data: an update.International journal of population data science · 2020Article
- Stillbirth in Greece during the years of economic crisis: a population-based study.European journal of pediatrics · 2020Article
- Article
- Refugee maternal and perinatal health in Ontario, Canada: a retrospective population-based study.BMJ open · 2018Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
Background Despite being considered high risk, little is known about the perinatal health of refugees in developed countries. Our objectives were to examine whether: (1) the healthy migrant effect applies to infants born to refugee women with respect to severe neonatal morbidity (SNM); (2) refugee status was a risk factor for SNM among immigrants; (3) refugee sponsorship status was a risk factor for SNM by comparing asylum-seekers to sponsored refugees; and (4) refugees were at greater risk of specific SNM subtypes. Methods Immigration records (1985-2010) linked to Ontario hospital data (2002-2010) were used to examine SNM. We calculated adjusted risk ratios (ARR) with 95 % confidence intervals (95 % CI) for SNM and unadjusted risk ratios with 99 % CI for SNM subtypes using log-binomial regression. Results There were borderline differences in SNM among refugees (N = 29,755) compared to both non-immigrants (N = 860,314) (ARR = 0.94, 95 % CI 0.89, 0.99) and other immigrants (N = 230,847) (ARR = 1.10, 95 % CI 1.04, 1.18) with a larger difference comparing other immigrants to non-immigrants (ARR = 0.83, 95 % CI 0.81, 0.85). Asylum-seekers did not differ from sponsored refugees (ARR = 1.07, 95 % CI 0.90, 1.27). Though rare, several SNM subtypes were significant with large effect sizes. Conclusion With respect to SNM risk, the healthy migrant effect clearly applies to non-refugee immigrants, but is weaker for refugees and may not apply. Among immigrants, refugee status was a weak risk factor for SNM and may not be clinically important. Sponsorship status was not associated with greater risk of SNM. Further investigation of several SNM subtypes is warranted.
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Registered trials
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.