Influence of Maternal Birthplace on Postpartum Health and Health Services Use

Ganann, Rebecca; Sword, Wendy; Black, Margaret E.; Carpio, Barbara

doi:10.1007/s10903-011-9477-2

Cited by 62 publications

(66 citation statements)

References 24 publications

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“…The most reported barriers in quantitative studies were linguistic barriers [14,16,17,19,20], lack of information about how to access or navigate services [14,16,[18][19][20], and long wait times/lists [16,[18][19][20]. Among qualitative studies (n = 15), the most reported barriers were found to be linguistic barriers, cultural differences, and lack of information about how to access or navigate services.…”

Section: Trends In Quantitative and Qualitative Studiesmentioning

confidence: 99%

See 1 more Smart Citation

A Scoping Review of Immigrant Experience of Health Care Access Barriers in Canada

Kalich

Heinemann

Ghahari

2015

J Immigrant Minority Health

149

116

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Canadian population-based surveys report comparable access to health care services between immigrant and non-immigrant populations, yet other research reports immigrant-specific access barriers. A scoping review was conducted to explore research regarding Canadian immigrants' unique experiences in accessing health care, and was guided by the research question: "What is currently known about the barriers that adult immigrants face when accessing Canadian health care services?" The findings of this study suggest that there are unmet health care access needs specific to immigrants to Canada. In reviewing research of immigrants' health care experiences, the most common access barriers were found to be language barriers, barriers to information, and cultural differences. These findings, in addition to low cultural competency reported by interviewed health care workers in the reviewed articles, indicate inequities in access to Canadian health care services for immigrant populations. Suggestions for future research and programming are discussed.

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Section: Trends In Quantitative and Qualitative Studiesmentioning

confidence: 99%

“…Women's mental health was exclusively studied only in the context of postpartum health [14,18,34]. Immigrant women were found to be more likely than Canadian-born women to rate their postpartum health as poor, and rated their number one barrier to accessing services as an inability to find appropriate care [18].…”

Section: Women-focused Studiesmentioning

confidence: 99%

A Scoping Review of Immigrant Experience of Health Care Access Barriers in Canada

Kalich

Heinemann

Ghahari

2015

J Immigrant Minority Health

149

116

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“…Migrant women are at greater risk (two times more likely than native-born women) for postpartum depression (FalahHassani et al 2015). They also have significant barriers in accessing health and social services (Ganann et al 2012;Merry et al 2011;Sword et al 2006). Our findings suggest that we may be able to identify a substantial number of migrant women early in the postpartum period, who may be at risk of sustained depression while they are still engaged with the healthcare system.…”

Section: Dear Editormentioning

confidence: 99%

Missed the take-home message

Merry

2017

Arch Womens Ment Health

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Dear EditorThank you for the letter. The reader was quite diligent and they are correct. The sentence they quote from our discussion section B…using the cut-offs of 9/10 and 12/13, the 1-week EPDS accurately classified the majority of women at 16 weeks postpartum with elevated E PDS scores^is not quite right. It would have been better to say B…using the cut-offs of 9/10, the 1-week EPDS accurately classified the majority of women … with elevated EPDS scores.^Without getting into a debate about semantics, we do feel it was reasonable to make this latter statement. Looking at the sensitivity analyses in column 1, in Table 1, the results for the whole sample, and sub-groups, for EPDS scores at 16 weeks, ranged from 47 to 67%. Only two results were less than 50% and this is in the context of a 4-month period, which is a significant time difference to have a high predictive validity.We also do not feel that we misled readers. Despite making the above statement regarding the 12/13 cut-off, a few sentences down in the same section we stated: B…when the cut-off score of 12/13 was used, the sensitivity of the measure was far less adequate with significantly more missed women at 16 weeks with depressive symptomatology.^Moreover, the conclusion of our study, as stated in the abstract and at the end of the article, was BOur findings suggest that refugee, asylumseeking, non-refugee immigrant, and Canadian born women at risk of postpartum depression may be identified early in the postpartum period such that secondary preventive interventions may be implemented.^We did not overstate our findings or draw definitive conclusions.We would also like to reiterate here the potential clinical utility of our findings for the migrant population. Migrant women are at greater risk (two times more likely than native-born women) for postpartum depression (FalahHassani et al.

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“…Our goal was to verify whether there are differences regarding women's perceptions about quality and appropriateness of care received between immigrant and native women, during pregnancy and postpartum. We believe that the users' perspective still offers a sensitive quality indicator of received care (Ganann et al, 2012;Jonkers et al, 2011)and helps to identify possible gaps emerging from budgetary restructuring in public health policies. Our study was conducted in Porto, the second largest city of Portugal.…”

Section: Introductionmentioning

confidence: 99%

Social vulnerability on maternal health in immigrants. A problem of interculturality

Almeida

Caldas²,

Catrib³

et al. 2017

R Est Inv Psico y Educ

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The scientific literature indicates how often migrants tend to be the most vulnerable population groups, especially women of childbearing age, that regularly show greater foetal and neonatal mortality, and more complications during pregnancy and postpartum. The study followed a qualitative methodology for collecting and analysing data and was conducted in Porto. Participants were 25 recent immigrant mothers from Eastern European countries, Brazil, Portuguese-speaking African countries and six native Portuguese recent mothers (for comparison), contacted through social associations and institutions. Data suggests that healthcare depends not only on accessibility but especially on social opportunities and intercultural integration in the host country. Keywords: Social vulnerability; interculturality; Maternal Welfare; Migration ResumoA literatura científica refere que os imigrantes tendem a ser os grupos populacionais mais vulneráveis, especialmente as mulheres em idade fértil, que regularmente mostram maior mortalidade fetal e neonatal e mais complicações durante a gravidez e pós-parto. O presente estudo seguiu uma metodologia qualitativa para coleta e análise de dados e foi realizado na cidade do Porto. Os participantes foram vinte e cinco imigrante recentemente mães de países do Leste Europeu, Brasil, e PALOP's e seis Portuguesas também recentemente mães (para comparação), contactadas através de instituições e associações sociais. Os dados sugerem que a saúde depende não só da acessibilidade ao SNS mas especialmente sobre oportunidades sociais e integração intercultural no país de acolhimento. Palavras-chave: Vulnerabilidade Social; interculturalidade; Bem-estar materno; Migração

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Influence of Maternal Birthplace on Postpartum Health and Health Services Use

Cited by 62 publications

References 24 publications

A Scoping Review of Immigrant Experience of Health Care Access Barriers in Canada

A Scoping Review of Immigrant Experience of Health Care Access Barriers in Canada

Missed the take-home message

Social vulnerability on maternal health in immigrants. A problem of interculturality

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