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Maternal Care and Pregnancy Outcomes of Venezuelan and Colombian Refugees.
Weigel, M Margaret; Armijos, Rodrigo X.
Afiliação
  • Weigel MM; Department of Environmental & Occupational Health, Indiana University School of Public Health, Bloomington, Indiana, USA. weigelm@iu.edu.
  • Armijos RX; Global Environmental Health Research Laboratory, Indiana University-Bloomington School of Public Health, Bloomington, Indiana, USA. weigelm@iu.edu.
J Immigr Minor Health ; 25(1): 86-95, 2023 Feb.
Article em En | MEDLINE | ID: mdl-35666372
BACKGROUND: Ecuador is a major host country for Colombians fleeing violence and Venezuelans escaping a complex humanitarian crisis, many of whom are pregnant women. METHODS: We used national birth registry data (2018-2020) to compare the maternal care and infant outcomes of Venezuelan and Colombian immigrants with Ecuadorian nationals. RESULTS: Venezuelan immigrants had a lower adjusted odds (AOR) for adequate prenatal care (AOR = 0.64;95%CI = 0.62,0.67) but a higher AOR for institutional (AOR = 2.68;95%CI = 1.84,3.93) and C-section delivery (AOR = 1.28;95%CI = 1.23,1.32) and birthing infants who were moderate-late preterm (AOR = 1.12;95%CI = 1.05,1.20), very preterm (AOR = 1.20;95%CI = 1.04,1.40), extremely pre-term (AOR = 1.65;95%CI = 1.27,2.14), low birthweight (LBW) (AOR = 1.11;95%CI = 1.05,1.17), very LBW (AOR = 1.35;95%CI = 1.12,1.62), and extremely LBW (AOR = 1.71;95%CI = 1.36,2.16). Colombians had decreased AORs for adequate prenatal care (AOR = 0.82;95%CI = 0.78,0.87) but increased AORs for institutional (AOR = 2.03;95%CI = 1.19,3.46) and C-section deliveries (AOR = 1.07;95%CI = 1.01,1.13) and birthing infants with moderate-late preterm (AOR = 1.17;95%CI = 1.05,1.30) but not LBW. DISCUSSION: The findings underscore the need to address the causes of adequate prenatal care, excess C-sections, and poorer infant outcomes among refugee and immigrant women, especially Venezuelans.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Refugiados / Nascimento Prematuro / Serviços de Saúde Materna Limite: Female / Humans / Infant / Newborn / Pregnancy País/Região como assunto: America do sul / Colombia / Venezuela Idioma: En Revista: J Immigr Minor Health Assunto da revista: CIENCIAS SOCIAIS / SAUDE PUBLICA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Refugiados / Nascimento Prematuro / Serviços de Saúde Materna Limite: Female / Humans / Infant / Newborn / Pregnancy País/Região como assunto: America do sul / Colombia / Venezuela Idioma: En Revista: J Immigr Minor Health Assunto da revista: CIENCIAS SOCIAIS / SAUDE PUBLICA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Estados Unidos País de publicação: Estados Unidos