Document Detail

Risk factors and health profiles of recent migrant women who experienced violence associated with pregnancy.
MedLine Citation:
PMID:  22900928     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Violence associated with pregnancy is a major public health concern, but little is known about it in recent migrant women. This study looked at (1) risk factors for violence associated with pregnancy among newly arrived migrant women in Canada and (2) if those who experienced violence associated with pregnancy had a different health profile or use of healthcare services for themselves or their infants during pregnancy and up to 4 months postpartum compared to other childbearing migrant women.
METHODS: Pregnant migrant women in Canada <5 years were recruited in 12 hospitals in 3 large cities between 2006 and 2009 and followed to 4 months postpartum. Data were collected on maternal background, migration history, violence associated with pregnancy, maternal and infant physical and mental health, and services used.
RESULTS: Of a total of 774 pregnant migrant women, 59 (7.6%) women reported violence associated with pregnancy. Migrant women who experienced violence, compared to those who did not, were at increased risk of violence if they lived without a partner, were asylum seekers, migrated <2 years ago, or had less than high school education. Women who reported violence were less likely to have up-to-date vaccinations, take folic acid before pregnancy, more likely to commence prenatal care after 3 months gestation and to not use contraceptives after birth. They were also more likely to have a history of miscarriage and report more postpartum pain and increased bleeding. They were also more likely to have inadequate social support and report more depression, anxiety, somatization, and posttraumatic stress disorder (PTSD) on standardized tests. No differences were found in the health status of the infants of women who experienced violence compared to those who did not.
CONCLUSIONS: Clinicians should sensitively ask recent migrant women (asylum seekers, refugees, and nonrefugee immigrants) about violence associated with pregnancy and appropriately assess, treat, and refer them.
Donna E Stewart; Anita J Gagnon; Lisa A Merry; Cindy-Lee Dennis
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-08-17
Journal Detail:
Title:  Journal of women's health (2002)     Volume:  21     ISSN:  1931-843X     ISO Abbreviation:  J Womens Health (Larchmt)     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-05     Completed Date:  2012-12-12     Revised Date:  2013-10-10    
Medline Journal Info:
Nlm Unique ID:  101159262     Medline TA:  J Womens Health (Larchmt)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1100-6     Citation Subset:  IM    
University Health Network and University of Toronto, Ontario, Canada.
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MeSH Terms
Analysis of Variance
Canada / ethnology
Confidence Intervals
Emigrants and Immigrants / statistics & numerical data*
Health Behavior / ethnology*
Health Services Accessibility
Health Status*
Patient Acceptance of Health Care / ethnology
Postpartum Period
Pregnancy Outcome / ethnology
Risk Assessment
Risk Factors
Social Support
Socioeconomic Factors
Spouse Abuse / ethnology*,  psychology,  statistics & numerical data
Young Adult
Grant Support
128087//Canadian Institutes of Health Research

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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