Factors Associated with Difficulty Accessing Health Care for Infants in Canada: Mothers’ Reports from the Cross-Sectional Maternity Experiences Survey

Factors Associated with Difficulty Accessing Health Care for Infants in Canada: Mothers’ Reports from the Cross-Sectional Maternity Experiences Survey

Factors Associated with Difficulty Accessing Health Care for Infants in Canada: Mothers’ Reports from the Cross-Sectional Maternity Experiences Survey

Factors Associated with Difficulty Accessing Health Care for Infants in Canada: Mothers’ Reports from the Cross-Sectional Maternity Experiences Surveys

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Référence bibliographique [19384]

Brandon, Alisa D., Costanian, Christy, El Sayed, Manal F. et Tamim, Hala. 2016. «Factors Associated with Difficulty Accessing Health Care for Infants in Canada: Mothers’ Reports from the Cross-Sectional Maternity Experiences Survey ». BMC Pediatrics, vol. 16, p. 1-9.

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Fiche synthèse

1. Objectifs


Intentions :
«[T]he objective of this study was to examine the characteristics associated with [Canadian] mothers’ reporting difficulty in accessing non-routine health care for their infants.» (p. 2)

2. Méthode


Échantillon/Matériau :
«This study used data from the Maternity Experiences Survey (MES). […] The MES included a nationally representative, random sample of mothers who delivered single live infants while aged 15 years or older [...] in the Canadian provinces or [...] in the Canadian Territories and lived with their infant at the time of survey administration. [A total of] 6421 mothers completed the survey […].» (p. 2)

Instruments :
Questionnaire

Type de traitement des données :
Analyse statistique

3. Résumé


Authors show that «[a]fter adjustment, maternal factors significantly associated with report of difficulty were: living in Quebec, being an immigrant, having a mistimed pregnancy, social support none or little of the time, good health (in comparison to excellent/very good), postpartum depression symptoms, and feeling that the postpartum hospital stay was “too short”.» (p. 5-7) «Compared to mothers residing in the Atlantic provinces, mothers residing in Quebec had about twice the odds of reporting difficulty accessing health care for their infant. This is consistent with reports that show Quebec to be the Canadian province with the highest percentage (24.9%) of residents without a family doctor.» (p. 7) Authors conclude that «ease of accessing health care for an infant may not be equitable under Canada’s universal health system. These disparities may lead to increased health inequality, contribute to the adverse health and development outcomes for infants of mothers with depressive symptoms, and lead to poor social integration and increased levels of stress for immigrant mothers.» (p. 8)