Evidence map›Paper›PMID 34910898›Full record

ArticleHealth promotion and chronic disease prevention in Canada : research, policy and practice2021

Characteristics of vulnerable women and their association with participation in a Canada Prenatal Nutrition Program site in Toronto, Canada.

Jane Francis, Samantha Ismail, Alison Mildon, Stacia Stewart, Bronwyn Underhill, Valerie Tarasuk, Erica Di Ruggiero, Alex Kiss, Daniel W Sellen, Deborah L O'Connor

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in Health promotion and chronic disease prevention in Canada : research, policy and practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03372408 (Parkdale Infant Nutrition Security Targeted Evaluation Project), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 75% 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.

NCT03372408 completednot on this map

Parkdale Infant Nutrition Security Targeted Evaluation Project (PINSTEP): Formative Research (Objective 1-Retrospective Chart Review)

TypeobservationalSponsorUniversity of TorontoRan2018 to 2019Enrolled338ConditionsPrenatal Community Program, Vulnerable Population, Postnatal Community ProgramArmsChart review
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 0 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

10 authors at 4 institutions in 1 country.

Jane FrancisNutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
Samantha IsmailNutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
Alison MildonNutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
Stacia StewartHealth Promotion and Community Engagement, Parkdale Queen West Community Health Centre, Toronto, Ontario, Canada.
Bronwyn UnderhillHealth Promotion and Community Engagement, Parkdale Queen West Community Health Centre, Toronto, Ontario, Canada.
Valerie TarasukNutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
Erica Di RuggieroDalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.
Alex KissResearch Design and Biostatistics, Sunnybrook Research Institute, Toronto, Ontario, Canada.
Daniel W SellenNutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
Deborah L O'ConnorNutritional Sciences, University of Toronto, Toronto, Ontario, Canada.
University of Toronto · CAPublic Health Ontario · CARegent Park Community Health Centre · CASunnybrook Health Science Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe Canada Prenatal Nutrition Program (CPNP) supports community organizations to provide maternal-infant health services for socially/economically vulnerable women. As part of our research program exploring opportunities to provide postnatal breastfeeding support through the CPNP, we investigated the sociodemographic and psychosocial characteristics of clients enrolled in a Toronto CPNP site and explored associations with participation.

methodsData were collected retrospectively from the charts of 339 women registered in one southwest Toronto CPNP site from 2013 to 2016. Multivariable regression analyses were used to assess associations between 10 maternal characteristics and three dimensions of prenatal program participation: initiation (gestational age at enrolment in weeks), intensity (number of times one-on-one supports were received) and duration (number of visits).

resultsThe mean (SD) age of clients was 31 (5.7) years; 80% were born outside of Canada; 29% were single; and 65% had household incomes below the Statistics Canada family size-adjusted low-income cut-offs. Income was the only characteristic associated with all dimensions of participation. Compared to clients living above the low-income cut-off, those living below the low-income cut-off enrolled in the program 2.85 weeks earlier (95% CI: -5.55 to -0.16), had 1.29 times higher number of one-on-one supports (95% CI: 1.03 to 1.61) and had 1.29 times higher number of program visits (95% CI: 1.02 to 1.63).

conclusionOur findings show that this CPNP site serves vulnerable women, with few differences in participation based on maternal characteristics. This evidence can guide service provision and monitoring decisions at this program site. Further research is needed to explore new program delivery models to enhance perinatal services for vulnerable women.

Indexed as

Postnatal CarePrenatal Nutritional Physiological PhenomenaAdultCanadaChildFemaleHumansInfantPovertyPregnancyPrenatal CareRetrospective StudiesCanada Prenatal Nutrition ProgramCPNPpregnant womenprenatal programprogram evaluationvulnerable populations

Identifiers

PMID34910898
PMCPMC8796968
OpenAlexW4200532708

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.