1. Objectifs

Intentions :
«[T]he objectives of the study were to determine: 1) the prevalence of pregnancy adverse outcomes […] of the [Montreal Diet] Dispensary program participants compared to the Canadian population; 2) if the intervention is as effective at reducing pregnancy complications among women recently migrated to Canada compared to those born in Canada and those residing in Canada for more than 5 years; and 3) if the intervention is effectively reducing pregnancy complications among women of visible minority compared to White women.» (p. 23)

2. Méthode

Échantillon/Matériau :
«The program evaluation was conducted using secondary data analysis from an electronic database established in June 2013 at the [Montreal Diet] Dispensary. [A total of] 387 files were available for analysis.» (p. 28-29)

Type de traitement des données :
Analyse statistique

3. Résumé

«The analysis showed that the intervention was successful in supporting the health of newborn infants overall with significantly lower rates of LBW [low birth weight], SGA [small for gestational age] and PTB [preterm birth] than Montreal, Quebec and Canada. Similar conclusions were drawn when comparing with the rates of the poorest income quintile of Quebec. On the other hand, the prevalence of LGA [large for gestational age] infants was significantly larger than the rate in Montreal, although it was not different from Canada overall. [T]he outcomes of our population were different than other Canadian reports in the literature as they were not affected by the healthy migrant effect. The concept of the healthy migrant effect is that newcomers tend to have better health at arrival in a country than native-born. Going through an extensive medical screening before migrating, people with diseases usually stay in their country. Over time, health of migrants seems to decline as the time spent in the receiving country increases and becomes comparable to the host population. In our population, outcomes in migrants tended to decrease, except for anemia, even though not significantly different from Canadian-born, as time in Canada increased.» (p. 55-56)