Evidence map›Paper›PMID 37011928›Full record

ArticleCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne2023

Receipt of adequate prenatal care for privately sponsored versus government-assisted refugees in Ontario, Canada: a population-based cohort study.

Andrea Evans, Joel G Ray, Peter C Austin, Hong Lu, Sima Gandhi, Astrid Guttmann

Erratum issuedOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. 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
1.9field-weighted citation impact, top 16% 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, 6 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

Andrea EvansInstitute of Health Policy, Management and Evaluation (Evans, Ray, Austin, Guttmann), University of Toronto; ICES Central (Ray, Austin, Lu, Gandhi, Guttmann); Departments of Medicine, and Obstetrics and Gynaecology (Ray), St Michael's Hospital; The Hospital for Sick Children (Guttmann), Department of Paediatrics, and Edwin SH Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.
Joel G RayInstitute of Health Policy, Management and Evaluation (Evans, Ray, Austin, Guttmann), University of Toronto; ICES Central (Ray, Austin, Lu, Gandhi, Guttmann); Departments of Medicine, and Obstetrics and Gynaecology (Ray), St Michael's Hospital; The Hospital for Sick Children (Guttmann), Department of Paediatrics, and Edwin SH Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.
Peter C AustinInstitute of Health Policy, Management and Evaluation (Evans, Ray, Austin, Guttmann), University of Toronto; ICES Central (Ray, Austin, Lu, Gandhi, Guttmann); Departments of Medicine, and Obstetrics and Gynaecology (Ray), St Michael's Hospital; The Hospital for Sick Children (Guttmann), Department of Paediatrics, and Edwin SH Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.
Hong LuInstitute of Health Policy, Management and Evaluation (Evans, Ray, Austin, Guttmann), University of Toronto; ICES Central (Ray, Austin, Lu, Gandhi, Guttmann); Departments of Medicine, and Obstetrics and Gynaecology (Ray), St Michael's Hospital; The Hospital for Sick Children (Guttmann), Department of Paediatrics, and Edwin SH Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.
Sima GandhiInstitute of Health Policy, Management and Evaluation (Evans, Ray, Austin, Guttmann), University of Toronto; ICES Central (Ray, Austin, Lu, Gandhi, Guttmann); Departments of Medicine, and Obstetrics and Gynaecology (Ray), St Michael's Hospital; The Hospital for Sick Children (Guttmann), Department of Paediatrics, and Edwin SH Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont.
Astrid GuttmannInstitute of Health Policy, Management and Evaluation (Evans, Ray, Austin, Guttmann), University of Toronto; ICES Central (Ray, Austin, Lu, Gandhi, Guttmann); Departments of Medicine, and Obstetrics and Gynaecology (Ray), St Michael's Hospital; The Hospital for Sick Children (Guttmann), Department of Paediatrics, and Edwin SH Leong Centre for Healthy Children (Guttmann), University of Toronto, Toronto, Ont. astrid.guttmann@ices.on.ca.
St. Michael's Hospital · CAInstitute of Health Economics · CASt Michaels Hospital · GBUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCanada has 2 main streams of resettlement: government-assisted refugees and privately sponsored refugees, whereby citizens can privately sponsor refugees and provide resettlement services, including health care navigation. Our objective was to compare receipt of adequate prenatal care among privately sponsored and government-assisted refugees.

methodsThis population-based study used linked health administrative and demographic databases. We included all resettled refugees classified as female who landed in Ontario, Canada, between April 2002 and May 2017, and who had a live birth or stillbirth conceived at least 365 days after their landing date. Our primary outcome - adequacy of prenatal care - was a composite that comprised receipt of a first-trimester prenatal visit, the number of prenatal care visits recommended by the Society of Obstetricians and Gynaecologists of Canada and a prenatal fetal anatomy ultrasound. We accounted for potential confounding with inverse probability of treatment weighting, using a propensity score.

resultsWe included 2775 government-assisted and 2374 privately sponsored refugees. Compared with privately sponsored refugees (62.3% v. 69.3%), government-assisted refugees received adequate prenatal care less often, with a weighted relative risk of 0.93 (95% confidence interval 0.88-0.95).

interpretationAmong refugees resettled to Canada, a government-assisted resettlement model was associated with receiving less adequate prenatal care than a private sponsorship model. Government-assisted refugees may benefit from additional support in navigating health care beyond the first year after arrival.

Indexed as

Prenatal CareRefugeesCanadaCohort StudiesFemaleGovernmentHumansOntarioPregnancy

Identifiers

PMID37011928
PMCPMC10069929
OpenAlexW4362522347

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.