Evidence map›Paper›PMID 32737090›Full record

ArticleBMJ open2020

Receipt of routine preventive care among infant daughters and sons of immigrant mothers in Ontario, Canada: a retrospective cohort study.

Ariel Pulver, Astrid Guttmann, Joel G Ray, Patricia J O'Campo, Marcelo L Urquia

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 34% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Obstetric trauma and its association with race and immigration: a population-based cohort study in Ontario, Canada.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2026
    Article
  3. Article
  4. Article
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 2 institutions in 1 country.

Ariel PulverDepartment of Epidemiology, University of Toronto Dalla Lana School of Public Health, Toronto, Ontario, Canada.ORCID 0000-0001-7010-8496
Astrid GuttmannICES, Toronto, Ontario, Canada.
Joel G RayICES, Toronto, Ontario, Canada.
Patricia J O'CampoDepartment of Epidemiology, University of Toronto Dalla Lana School of Public Health, Toronto, Ontario, Canada.
Marcelo L UrquiaDepartment of Epidemiology, University of Toronto Dalla Lana School of Public Health, Toronto, Ontario, Canada Marcelo_Urquia@cpe.umanitoba.ca.
St. Michael's Hospital · CAUniversity of Toronto · CA

Funding

Canadian Institutes for Health Research 337110Canadian Institutes for Health Research FDN-154280Canadian Institutes for Health Research MOP-130498
6 · The paper itself

Abstract

objectivesTo explore gender disparities in infant routine preventive care across maternal countries of birth (MCOB) and by mother tongue among infants of Indian-born mothers.

settingRetrospective population-based administrative cohort in Ontario, Canada (births between 2002 and 2014).

participants350 366 (inclusive) healthy term singletons belonging to families with a minimum of one opposite gender child. OUTCOME MEASURES: Fixed effects conditional logistic regression generated adjusted ORs (aORs) for a daughter being underimmunised and having an inadequate number of well-child visits compared with her brother, stratified by MCOB. Moderation by maternal mother tongue was assessed among children to Indian-born mothers.

resultsUnderimmunisation and inadequate well-child visits were common among both boys and girls, ranging from 26.5% to 58.2% (underimmunisation) and 10.5% to 47.8% (inadequate well-child visits). depending on the maternal birthplace. Girls whose mothers were born in India had 1.19 times (95% CI 1.07 to 1.33) the adjusted odds of inadequate well-child visits versus their brothers. This association was only observed among the Punjabi mother tongue subgroup (aOR: 1.26, 95% CI 1.08 to 1.47). In the Hindi mother tongue subgroup, girls had lower odds of underimmunisation than their brothers (aOR: 0.73, 95% CI 0.54 to 0.98).

conclusionsGender equity in routine preventive healthcare is mostly achieved among children of immigrants. However, daughters of Indian-born mothers whose mother tongue is Punjabi, appear to be at a disadvantage for well-child visits compared with their brothers. This suggests son preference may persist beyond the family planning stage among some Indian immigrants.

Indexed as

Gender EquityMothersAdolescentAdultAfghanistanChild Health ServicesEmigrants and ImmigrantsFemaleHumansIndiaInfantInfant HealthLanguageMaleOntarioPreventive Health Servicescommunity child healthepidemiologypaediatricsprimary care

Identifiers

PMID32737090
PMCPMC7398108
OpenAlexW3046648361

What OpenQuestion holds

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LicenceCC BY-NC
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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.