Evidence map›Paper›PMID 31438906›Full record

ArticleBMC public health2019

The British Columbia Healthy Connections Project: findings on socioeconomic disadvantage in early pregnancy.

Nicole L A Catherine, Rosemary Lever, Debbie Sheehan, Yufei Zheng, Michael H Boyle, Lawrence McCandless, Amiram Gafni, Andrea Gonzalez, Susan M Jack, Lil Tonmyr and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01672060 (A Scientific Evaluation of the Nurse-Family Partnership), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
–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.

NCT01672060 nacompletednot on this map

A Scientific Evaluation of the Nurse-Family Partnership (NFP) Program in British Columbia

TypeinterventionalSponsorSimon Fraser UniversityRan2013 to 2022Enrolled739ConditionsEffectiveness of Nurse-Family Partnership (NFP) in BCArmsNurse-Family Partnership (NFP), Existing services
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

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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

14 authors.

Nicole L A CatherineChildren's Health Policy Centre, Faculty of Health Sciences, Simon Fraser University, Room 2431, 515 West Hastings Street, Vancouver, BC, V6B 5K3, Canada. nicole_catherine@sfu.ca.ORCID http://orcid.org/0000-0002-1190-4326
Rosemary LeverChildren's Health Policy Centre, Faculty of Health Sciences, Simon Fraser University, Room 2431, 515 West Hastings Street, Vancouver, BC, V6B 5K3, Canada.
Debbie SheehanChildren's Health Policy Centre, Faculty of Health Sciences, Simon Fraser University, Room 2431, 515 West Hastings Street, Vancouver, BC, V6B 5K3, Canada.
Yufei ZhengChildren's Health Policy Centre, Faculty of Health Sciences, Simon Fraser University, Room 2431, 515 West Hastings Street, Vancouver, BC, V6B 5K3, Canada.
Michael H BoyleOfford Centre for Child Studies, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Lawrence McCandlessFaculty of Health Sciences, Simon Fraser University, Burnaby, BC, Canada.
Amiram GafniFaculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Andrea GonzalezOfford Centre for Child Studies, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Susan M JackSchool of Nursing, McMaster University, Hamilton, Ontario, Canada.
Lil TonmyrPublic Health Agency of Canada, Ottawa, Ontario, Canada.
Colleen VarcoeSchool of Nursing, University of BC, Vancouver, BC, Canada.
Harriet L MacMillanDepartments of Psychiatry and Behavioural Neurosciences and of Pediatrics, Offord Centre for Child Studies, Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.
Charlotte WaddellChildren's Health Policy Centre, Faculty of Health Sciences, Simon Fraser University, Room 2431, 515 West Hastings Street, Vancouver, BC, V6B 5K3, Canada.
British Columbia Healthy Connections Project Scientific Team

Funding

BC Ministries of Health and Child and Family Development XLP0764X01
6 · The paper itself

Abstract

backgroundMaternal exposure to socioeconomic disadvantage increases the risk of child injuries and subsequent child developmental and mental health problems - particularly for young mothers. To inform early intervention planning, this research therefore aimed to describe the health and social adversities experienced by a cohort of girls and young women in early pregnancy in British Columbia (BC), Canada.

methodsParticipants were recruited for the BC Healthy Connections Project (BCHCP), a randomized controlled trial examining the effectiveness of Nurse-Family Partnership, a home visitation program, in improving child and maternal outcomes. Baseline data were collected from 739 participants on trial entry. Participants were selected on the basis of preparing to parent for the first time and experiencing socioeconomic disadvantage. Analyses involved descriptive statistics and age-group comparisons.

resultsMost participants reported having low income (84%), having limited education (52%) and being single (91%) at trial entry. Beyond these eligibility criteria, other health and social adversities included: housing instability (52%); severe anxiety or depression (47%); other diagnosed mental disorders (22%); prenatal nicotine and cannabis use (27 and 21%); physical health problems (20%); child maltreatment when younger (56%); and intimate partner violence recently (50%). As well, few (29%) had received income assistance entitlements. More than two thirds (70%) were experiencing four or more forms of adversity. Age-group differences were observed for cognitive functioning, being single, low income, limited education, psychological distress and service use (p-value ≤0.05).

conclusionsThis cohort was selected on the basis of socioeconomic disadvantage. Yet all participants were experiencing substantial added adversities - at higher rates than other Canadians. Furthermore, despite Canada's public programs, these pregnant girls and young women were not being adequately reached by social services. Our study adds new data to inform early intervention planning, suggesting that unacceptably high levels of socioeconomic disadvantage exist for some young British Columbians. Therefore greater health and social supports and services are warranted for these young mothers and their children.

trial registrationRegistered August 24, 2012 with ClinicalTrials.gov Identifier: NCT01672060 . Active not recruiting.

Indexed as

Maternal HealthPovertyAdolescentBritish ColumbiaCohort StudiesFemaleHumansMaternal Health ServicesPregnancyAdolescentsCumulative disadvantageMaternal healthPregnancySocioeconomic disadvantage

Identifiers

PMID31438906
PMCPMC6704647

What OpenQuestion holds

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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.