Evidence map›Paper›PMID 33863298›Full record

ArticleBMC public health2021

Association of source country gender inequality with experiencing assault and poor mental health among young female immigrants to Ontario, Canada.

Michael Lebenbaum, Therese A Stukel, Natasha Ruth Saunders, Hong Lu, Marcelo Urquia, Paul Kurdyak, Astrid Guttmann

Open access · goldAbstract read
In one paragraph

Article in BMC public health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 33% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

7 authors at 3 institutions in 2 countries.

Michael LebenbaumICES, 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada.
Therese A StukelICES, 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada.
Natasha Ruth SaundersICES, 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada.
Hong LuICES, 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada.
Marcelo UrquiaICES, 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada.
Paul KurdyakICES, 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada.
Astrid GuttmannICES, 2075 Bayview Ave, Toronto, ON, M4N 3M5, Canada. Astrid.guttmann@ices.on.ca.ORCID 0000-0001-8177-2253
University of Toronto · CACentre for Addiction and Mental Health · CAManitoba Health · CA

Funding

Canadian Institutes for Health Research
6 · The paper itself

Abstract

backgroundGender inequality varies across countries and is associated with poor outcomes including violence against women and depression. Little is known about the relationship of source county gender inequality and poor health outcomes in female immigrants.

methodsWe used administrative databases to conduct a cohort study of 299,228 female immigrants ages 6-29 years becoming permanent residence in Ontario, Canada between 2003 and 2017 and followed up to March 31, 2020 for severe presentations of suffering assault, and selected mental health disorders (mood or anxiety, self-harm) as measured by hospital visits or death. Poisson regression examined the influence of source-country Gender Inequality Index (GII) quartile (Q) accounting for individual and country level characteristics.

resultsImmigrants from countries with the highest gender inequality (GII Q4) accounted for 40% of the sample, of whom 83% were from South Asia (SA) or Sub-Saharan Africa (SSA). The overall rate of assault was 10.9/10,000 person years (PY) while the rate of the poor mental health outcome was 77.5/10,000 PY. Both GII Q2 (Incident Rate Ratio (IRR): 1.48, 95% Confidence Interval (CI): 1.08, 2.01) and GII Q4 (IRR: 1.58, 95%CI: 1.08, 2.31) were significantly associated with experiencing assault but not with poor mental health. For females from countries with the highest gender inequality, there were significant regional differences in rates of assault, with SSA migrants experiencing high rates compared with those from SA. Relative to economic immigrants, refugees were at increased risk of sustaining assaults (IRR: 2.96, 95%CI: 2.32, 3.76) and poor mental health (IRR: 1.73, 95%CI: 1.50, 2.01). Higher educational attainment (bachelor's degree or higher) at immigration was protective (assaults IRR: 0.64, 95%CI: 0.51, 0.80; poor mental health IRR: 0.69, 95% CI: 0.60, 0.80).

conclusionSource country gender inequality is not consistently associated with post-migration violence against women or severe depression, anxiety and self-harm in Ontario, Canada. Community-based research and intervention to address the documented socio-demographic disparities in outcomes of female immigrants is needed.

Indexed as

Emigrants and ImmigrantsMental HealthAdolescentAdultAfrica South of the SaharaAsiaChildCohort StudiesFemaleHumansOntarioYoung Adult

Identifiers

PMID33863298
PMCPMC8052772
OpenAlexW3156562335

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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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.