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Receipt of routine preventive care among infant daughters and sons of immigrant mothers in Ontario, Canada: a retrospective cohort study.


ABSTRACT: OBJECTIVES:To explore gender disparities in infant routine preventive care across maternal countries of birth (MCOB) and by mother tongue among infants of Indian-born mothers. SETTING:Retrospective population-based administrative cohort in Ontario, Canada (births between 2002 and 2014). PARTICIPANTS:350?366 (inclusive) healthy term singletons belonging to families with a minimum of one opposite gender child. OUTCOME MEASURES:Fixed effects conditional logistic regression generated adjusted ORs (aORs) for a daughter being underimmunised and having an inadequate number of well-child visits compared with her brother, stratified by MCOB. Moderation by maternal mother tongue was assessed among children to Indian-born mothers. RESULTS:Underimmunisation and inadequate well-child visits were common among both boys and girls, ranging from 26.5% to 58.2% (underimmunisation) and 10.5% to 47.8% (inadequate well-child visits). depending on the maternal birthplace. Girls whose mothers were born in India had 1.19 times (95%?CI 1.07 to 1.33) the adjusted odds of inadequate well-child visits versus their brothers. This association was only observed among the Punjabi mother tongue subgroup (aOR: 1.26, 95%?CI 1.08 to 1.47). In the Hindi mother tongue subgroup, girls had lower odds of underimmunisation than their brothers (aOR: 0.73, 95%?CI 0.54 to 0.98). CONCLUSIONS:Gender equity in routine preventive healthcare is mostly achieved among children of immigrants. However, daughters of Indian-born mothers whose mother tongue is Punjabi, appear to be at a disadvantage for well-child visits compared with their brothers. This suggests son preference may persist beyond the family planning stage among some Indian immigrants.

SUBMITTER: Pulver A 

PROVIDER: S-EPMC7398108 | biostudies-literature | 2020 Jul

REPOSITORIES: biostudies-literature

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Receipt of routine preventive care among infant daughters and sons of immigrant mothers in Ontario, Canada: a retrospective cohort study.

Pulver Ariel A   Guttmann Astrid A   Ray Joel G JG   O'Campo Patricia J PJ   Urquia Marcelo L ML  

BMJ open 20200731 7


<h4>Objectives</h4>To explore gender disparities in infant routine preventive care across maternal countries of birth (MCOB) and by mother tongue among infants of Indian-born mothers.<h4>Setting</h4>Retrospective population-based administrative cohort in Ontario, Canada (births between 2002 and 2014).<h4>Participants</h4>350 366 (inclusive) healthy term singletons belonging to families with a minimum of one opposite gender child.<h4>Outcome measures</h4>Fixed effects conditional logistic regress  ...[more]

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