IDEAS home Printed from https://ideas.repec.org/a/plo/pone00/0160766.html
   My bibliography  Save this article

Macrosomia, Perinatal and Infant Mortality in Cree Communities in Quebec, 1996-2010

Author

Listed:
  • Lin Xiao
  • Dan-Li Zhang
  • Jill Torrie
  • Nathalie Auger
  • Nancy Gros-Louis McHugh
  • Zhong-Cheng Luo

Abstract

Background: Cree births in Quebec are characterized by the highest reported prevalence of macrosomia (~35%) in the world. It is unclear whether Cree births are at greater elevated risk of perinatal and infant mortality than other First Nations relative to non-Aboriginal births in Quebec, and if macrosomia may be related. Methods: This was a population-based retrospective birth cohort study using the linked birth-infant death database for singleton births to mothers from Cree (n = 5,340), other First Nations (n = 10,810) and non-Aboriginal (n = 229,960) communities in Quebec, 1996–2010. Community type was ascertained by residential postal code and municipality name. The primary outcomes were perinatal and infant mortality. Results: Macrosomia (birth weight for gestational age >90th percentile) was substantially more frequent in Cree (38.0%) and other First Nations (21.9%) vs non-Aboriginal (9.4%) communities. Comparing Cree and other First Nations vs non-Aboriginal communities, perinatal mortality rates were 1.52 (95% confidence intervals 1.17, 1.98) and 1.34 (1.10, 1.64) times higher, and infant mortality rates 2.27 (1.71, 3.02) and 1.49 (1.16, 1.91) times higher, respectively. The risk elevations in perinatal and infant death in Cree communities attenuated after adjusting for maternal characteristics (age, education, marital status, parity), but became greater after further adjustment for birth weight (small, appropriate, or large for gestational age). Conclusions: Cree communities had greater risk elevations in perinatal and infant mortality than other First Nations relative to non-Aboriginal communities in Quebec. High prevalence of macrosomia did not explain the elevated risk of perinatal and infant mortality in Cree communities.

Suggested Citation

  • Lin Xiao & Dan-Li Zhang & Jill Torrie & Nathalie Auger & Nancy Gros-Louis McHugh & Zhong-Cheng Luo, 2016. "Macrosomia, Perinatal and Infant Mortality in Cree Communities in Quebec, 1996-2010," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-12, August.
    • Handle: RePEc:plo:pone00:0160766
    DOI: 10.1371/journal.pone.0160766
    as

    Download full text from publisher

    File URL: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0160766
    Download Restriction: no
    File URL: https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0160766&type=printable
    Download Restriction: no
    File URL: https://libkey.io/10.1371/journal.pone.0160766?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Castor, M.L. & Smyser, M.S. & Taualii, M.M. & Park, A.N. & Lawson, S.A. & Forquera, R.A., 2006. "A nationwide population-based study identifying health disparities between American Indians/Alaska Natives and the general populations living in select urban counties," American Journal of Public Health, American Public Health Association, vol. 96(8), pages 1478-1484.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Claradina Soto & Amy E. West & Guadalupe G. Ramos & Jennifer B. Unger, 2022. "Substance and Behavioral Addictions among American Indian and Alaska Native Populations," IJERPH, MDPI, vol. 19(5), pages 1-15, March.
    2. Kimberly R. Huyser & Sofia Locklear, 2022. "Examining the Association Between Veteran Status and Socioeconomic Status Among American Indian and Alaska Native Men in the USA," Journal of Economics, Race, and Policy, Springer, vol. 5(3), pages 167-180, September.
    3. Towne, Samuel D. & Probst, Janice C. & Hardin, James W. & Bell, Bethany A. & Glover, Saundra, 2017. "Health & access to care among working-age lower income adults in the Great Recession: Disparities across race and ethnicity and geospatial factors," Social Science & Medicine, Elsevier, vol. 182(C), pages 30-44.
    4. Julie A. Beans & Bobby Saunkeah & R. Brian Woodbury & Terry S. Ketchum & Paul G. Spicer & Vanessa Y. Hiratsuka, 2019. "Community Protections in American Indian and Alaska Native Participatory Research—A Scoping Review," Social Sciences, MDPI, vol. 8(4), pages 1-18, April.
    5. Helen Chung & Ming Ye & Chris Hanson & Oluwaseun Oladokun & Michael J Campbell & Gordon Kramer & Ordan J Lehmann, 2012. "Disparities in Healthcare Utilisation Rates for Aboriginal and Non-Aboriginal Albertan Residents, 1997–2006: A Population Database Study," PLOS ONE, Public Library of Science, vol. 7(11), pages 1-7, November.
    6. Liang-Ting Tsai & Feng-En Lo & Chih-Chien Yang & Wen-Min Lo & Joseph Jordan Keller & Chiou-Wei Hwang & Ching-Feng Lin & Shu-Yu Lyu & Donald E. Morisky, 2016. "Influence of Socioeconomic Factors, Gender and Indigenous Status on Smoking in Taiwan," IJERPH, MDPI, vol. 13(11), pages 1-11, October.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:plo:pone00:0160766. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: plosone (email available below). General contact details of provider: https://journals.plos.org/plosone/ .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.