2021
DOI: 10.1186/s12884-021-03782-w
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An unconditional prenatal income supplement is associated with improved birth and early childhood outcomes among First Nations children in Manitoba, Canada: a population-based cohort study

Abstract: Background In Manitoba, Canada, low-income pregnant women are eligible for the Healthy Baby Prenatal Benefit, an unconditional income supplement of up to CAD $81/month, during their latter two trimesters. Our objective was to determine the impact of the Healthy Baby Prenatal Benefit on birth and early childhood outcomes among Manitoba First Nations women and their children. Methods We used administrative data to identify low-income First Nations wo… Show more

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Cited by 18 publications
(17 citation statements)
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“…In this cross-sectional study, we found, contrary to our hypothesis, that the odds of LBW increased above expected values in 5 of the 6 monthly birth cohorts during the CTC advance payment distribution period among births exposed to the payment (ie, births to parous people). These findings differ from previous studies in the US and Canada that showed positive associations of income transfers with birth weight and reductions in LBW . Few previous studies, however, accounted for time-dependent autocorrelation in the outcome in the test group (which is particularly complex for perinatal outcomes), identified a clear comparison group, or targeted the exact timing of receipt of income transfers, as we have done in this study.…”
Section: Discussioncontrasting
confidence: 99%
“…In this cross-sectional study, we found, contrary to our hypothesis, that the odds of LBW increased above expected values in 5 of the 6 monthly birth cohorts during the CTC advance payment distribution period among births exposed to the payment (ie, births to parous people). These findings differ from previous studies in the US and Canada that showed positive associations of income transfers with birth weight and reductions in LBW . Few previous studies, however, accounted for time-dependent autocorrelation in the outcome in the test group (which is particularly complex for perinatal outcomes), identified a clear comparison group, or targeted the exact timing of receipt of income transfers, as we have done in this study.…”
Section: Discussioncontrasting
confidence: 99%
“…19 Rent costs are rising faster than renters' wages, putting many families at risk of eviction-more than 2 million families were evicted in 2016, with low-income, Black, and Hispanic families particularly at risk. [20][21][22] Policies and programs that address social needs during pregnancy have clear benefits for birth and developmental outcomes, such as preterm birth and low birth weight, 14,15,[23][24][25][26][27] and may help to alleviate the highly prevalent general financial stress observed in this study.…”
Section: Discussionmentioning
confidence: 99%
“…Similar effects have been found for improved affordability and quality of housing, and unconditional income supplements, both of which reduce infection and sepsis comorbidities risk (Enns et al, 2021;Foster & Hall, 2021;Jackson et al, 2011;UNICEF SEWA, 2013).…”
Section: …And Perpetuates Chronic Social Adversity Changing Immune Fu...mentioning
confidence: 63%
“…Cases of both diseases have since substantially lowered, and the incidence ratio between Indigenous and non‐Indigenous peoples lessened, though the campaigns still face challenges with vaccine delivery and difficult to control Pneumococcus strains (Meder et al, 2020; Webster et al, 2019). Similar effects have been found for improved affordability and quality of housing, and unconditional income supplements, both of which reduce infection and sepsis comorbidities risk (Enns et al, 2021; Foster & Hall, 2021; Jackson et al, 2011; UNICEF SEWA, 2013). There is even evidence that reduction of social adversity can alleviate the effects of stress on white blood cell reprogramming and transcriptional activity.…”
Section: Introductionmentioning
confidence: 64%