Migrant Women’s Utilization of Prenatal Care: A Systematic Review

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• 作者：M. Heaman (1)
  H. Bayrampour (2) (3)
  D. Kingston (4)
  B. Blondel (5)
  M. Gissler (6) (7)
  C. Roth (8)
  S. Alexander (9)
  A. Gagnon (10)
  
• 关键词：Emigrants ; Immigrants ; Prenatal care ; Pregnancy ; Systematic review
• 刊名：Maternal and Child Health Journal
• 出版年：2013
• 出版时间：July 2013
• 年：2013
• 卷：17
• 期：5
• 页码：816-836
• 全文大小：367KB
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• 作者单位：M. Heaman (1)
  H. Bayrampour (2) (3)
  D. Kingston (4)
  B. Blondel (5)
  M. Gissler (6) (7)
  C. Roth (8)
  S. Alexander (9)
  A. Gagnon (10)
  
  1. CIHR Chair in Gender and Health, Faculty of Nursing, Helen Glass Centre for Nursing, University of Manitoba, Room 268, 89 Curry Place, Winnipeg, MB, R3T 2N2, Canada
  2. Department of Pediatrics, Faculty of Medicine, University of Calgary, Calgary, AB, Canada
  3. Alberta Centre for Child, Family and Community Research, Child Development Centre, #200, 3820-4 Avenue NW, Calgary, AB, T2N 1N4, Canada
  4. Faculty of Nursing, 5-258 Edmonton Clinic Health Academy, University of Alberta, 11405-87th Avenue, Edmonton, AB, T6G 1C9, Canada
  5. Unité de Recherche Epidémiologique sur la Santé périnatale et la Santé des Femmes et des Enfants, Epidemiological Research Unit on Perinatal Health and Women and Children Health, National Institute of Health and Medical Research (INSERM U953), Hopital Saint-Vincent de Paul, Batiment Lelong-porte 5, 82, avenue Denfert Rochereau, 75014, Paris, France
  6. Information Division, THL National Institute for Health and Welfare, P.O.BOX 30, 00271, Helsinki, Finland
  7. NHV Nordic School of Public Health, Nya varvet byggnad 25, Box 12133, 402 42, Gothenburg, Sweden
  8. Director of Undergraduate Programmes, Lead Midwife for Education, Clinical Education Centre, Keele University, Newcastle Road, Newcastle, ST4 6QG, UK
  9. PERU (Perinatal Epidemiology and Reproductive Health Unit), Ecole de Santé Publique, Universite Libre de Bruxelles, 808 route de Lennik, 1070, Brussels, Belgium
  10. Department of Obstetrics and Gynecology, School of Nursing, McGill University Health Centre, McGill University, 3506, rue University, Montreal, QC, H3A 2A7, Canada
  

文摘

Our objectives were to determine whether migrant women in Western industrialized countries have higher odds of inadequate prenatal care (PNC) compared to receiving-country women and to summarize factors that are associated with inadequate PNC among migrant women in these countries. We conducted searches of electronic databases (MEDLINE, EMBASE, and PsycINFO), reference lists, known experts, and an existing database of the Reproductive Outcomes And Migration international research collaboration for articles published between January, 1995 and April, 2010. Title and abstract review and quality appraisal were conducted independently by 2 reviewers using established criteria, with consensus achieved through discussion. In this systematic review of 29 studies, the majority of studies demonstrated that migrant women were more likely to receive inadequate PNC than receiving-country women, with most reporting moderate to large effect sizes. Rates of inadequate PNC among migrant women varied widely by country of birth. Only three studies explored predictors of inadequate PNC among migrant women. These studies found that inadequate PNC among migrant women was associated with being less than 20?years of age, multiparous, single, having poor or fair language proficiency, education less than 5?years, an unplanned pregnancy, and not having health insurance. We concluded that migrant women as a whole were more likely to have inadequate PNC and the magnitude of this risk differed by country of origin. Few studies addressed predictors of PNC utilization in migrant women and this limits our ability to provide effective PNC in this population.