Pescarini, JM;
Falcao, IR;
Reboucas, P;
Paixao, ES;
Sanchez-Clemente, N;
Goes, EF;
Abubakar, I;
Rodrigues, LC;
Brickley, EB;
Smeeth, L;
et al.
Pescarini, JM; Falcao, IR; Reboucas, P; Paixao, ES; Sanchez-Clemente, N; Goes, EF; Abubakar, I; Rodrigues, LC; Brickley, EB; Smeeth, L; Barreto, ML
(2023)
Perinatal health outcomes of international migrant women in Brazil: A nationwide data linkage study of the CIDACS birth cohort (2011-2018).
Travel Med Infect Dis, 57.
p. 102672.
ISSN 1873-0442
https://doi.org/10.1016/j.tmaid.2023.102672
SGUL Authors: Sanchez Clemente, Nuria
Abstract
BACKGROUND: We investigated perinatal outcomes among live births from international migrant and local-born mothers in a cohort of low-income individuals in Brazil. METHODS: We linked nationwide birth registries to mortality records and socioeconomic data from the CIDACS Birth Cohort and studied singleton live births of women aged 10-49 years from 1st January 2011 to 31st December 2018. We used logistic regressions to investigate differences in antenatal care, adverse pregnancy outcomes, and neonatal (i.e., ≤28 days) mortality among international migrants compared to non-migrants in Brazil; and explored the interaction between migration, race/ethnicity and living in international border municipalities. RESULTS: We studied 10,279,011 live births, of which 9469 (0.1 %) were born to international migrants. Migrant women were more likely than their Brazilian-born counterparts to have a previous foetal loss (ORadj: 1.16, 1.11-1.22), a delayed start of antenatal care (i.e., beyond 1st trimester) (1.22, 95%CI:1.16-1.28), a newborn who is large for gestational age (1.29, 1.22-1.36), or a newborn with congenital anomalies (1.37, 1.14-1.65). Conversely, migrant women were less likely to deliver prematurely (0.89, 0.82-0.95) or have a low birth weight infant (0.74, 0.68-0.81). There were no differences in neonatal mortality rates between migrants and non-migrants. Our analyses also showed that, when disparities in perinatal outcomes were present, disparities were mostly concentrated among indigenous mothers in international borders and among live births of Black mothers in non-borders. CONCLUSION: Although live births of international migrants generally have lower rates of adverse birth outcomes, our results suggest that indigenous and Black migrant mothers may face disproportionate barriers to accessing antenatal care.
Item Type: |
Article
|
Additional Information: |
© 2023 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/). |
Keywords: |
Infant, Newborn, Infant, Female, Pregnancy, Humans, Transients and Migrants, Brazil, Birth Cohort, Information Storage and Retrieval, Outcome Assessment, Health Care, Humans, Pregnancy, Information Storage and Retrieval, Infant, Infant, Newborn, Transients and Migrants, Brazil, Female, Outcome Assessment, Health Care, Birth Cohort, 1103 Clinical Sciences, 1117 Public Health and Health Services, Tropical Medicine |
SGUL Research Institute / Research Centre: |
Academic Structure > Infection and Immunity Research Institute (INII) |
Journal or Publication Title: |
Travel Med Infect Dis |
ISSN: |
1873-0442 |
Language: |
eng |
Dates: |
Date | Event |
---|
22 December 2023 | Published | 22 December 2023 | Published Online | 18 November 2023 | Accepted |
|
Publisher License: |
Creative Commons: Attribution 4.0 |
Projects: |
|
PubMed ID: |
38036158 |
Web of Science ID: |
WOS:001144970500001 |
![](http://static.pubmed.gov/portal/portal3rc.fcgi/2745237/img/27842) |
Go to PubMed abstract |
URI: |
https://openaccess.sgul.ac.uk/id/eprint/116463 |
Publisher's version: |
https://doi.org/10.1016/j.tmaid.2023.102672 |
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