Evidence suggests that immigrant women having different ethnocultural backgrounds than those dominant in the host country have difficulty during their access to and reception of maternity care services. Amongst immigrant populations in Canada, refugee women are one of the most vulnerable groups and pregnant women with immediate needs for health care services may be at higher risk of health problems. The findings of this paper revealed that there are many beliefs that impact upon behaviours and perceptions during the perinatal period. Traditionally, the women mostly avoid anything that they believe could harm themselves or their babies. Pregnancy and delivery were strongly believed to be natural events without need for special attention or intervention. Furthermore, the sub-Saharan culture supports the dominance of the family by males and the ideology of patriarchy. Pregnancy and birth are events reflecting a certain empowerment for women, and the women tend to exert control in ways that may or may not be respected by their husbands. Individual choices are often made to foster self and outward-perceptions of managing one’s affairs with strength. In today’s multicultural society there is a strong need to avert misunderstandings, and perhaps harm, through facilitating cultural awareness and competency of care rather than misinterpretations of resistance to care. Evidence suggests that immigrant women having different ethnocultural backgrounds than those dominant in the host country have difficulty during their access to and reception of maternity care services. Amongst immigrant populations in Canada, refugee women are one of the most vulnerable groups and pregnant women with immediate needs for health care services may be at higher risk of health problems. The findings of this paper revealed that there are many beliefs that impact upon behaviours and perceptions during the perinatal period. Traditionally, the women mostly avoid anything that they believe could harm themselves or their babies. Pregnancy and delivery were strongly believed to be natural events without need for special attention or intervention. Furthermore, the sub-Saharan culture supports the dominance of the family by males and the ideology of patriarchy. Pregnancy and birth are events reflecting a certain empowerment for women, and the women tend to exert control in ways that may or may not be respected by their husbands. Individual choices are often made to foster self and outward-perceptions of managing one’s affairs with strength. In today’s multicultural society there is a strong need to avert misunderstandings, and perhaps harm, through facilitating cultural awareness and competency of care rather than misinterpretations of resistance to care.
This publication has no Abstract to dispaly
There is significant evidence to support the importance of prenatal care in preventing adverse outcomes such as preterm birth and low infant birth weight. In previous studies, the group prenatal care model CenteringPregnancy® had been shown to reduce adverse birth outcomes, but to date, no comparison had been made with a model that included prenatal education. These results suggest that CenteringPregnancy® can recruit and retain a vulnerable group of women with a constellation of risk factors for poor pregnancy and birth outcomes, including poverty, language barriers and poor mental health. Post program, the rates of stress, anxiety and depression were similar to other women with more social and financial advantage. These findings suggest that CenteringPregnancy® may be a community based care strategy that contributes to improved mental health, knowledge, and behaviours to optimize outcomes for mothers and children. There is significant evidence to support the importance of prenatal care in preventing adverse outcomes such as preterm birth and low infant birth weight. In previous studies, the group prenatal care model CenteringPregnancy® had been shown to reduce adverse birth outcomes, but to date, no comparison had been made with a model that included prenatal education. These results suggest that CenteringPregnancy® can recruit and retain a vulnerable group of women with a constellation of risk factors for poor pregnancy and birth outcomes, including poverty, language barriers and poor mental health. Post program, the rates of stress, anxiety and depression were similar to other women with more social and financial advantage. These findings suggest that CenteringPregnancy® may be a community based care strategy that contributes to improved mental health, knowledge, and behaviours to optimize outcomes for mothers and children.
This publication has no Abstract to dispaly
Maternal alcohol consumption during pregnancy may potentially constitute a major public health concern in Canada. The present study assessed the prevalence and predictors of maternal alcohol consumption during pregnancy of women living in Canada from 2005-2006 who had a singleton live birth and whose child remained in their care 5-9 months following birth. The analysis shows that 10.8% of women drank alcohol at some point during their pregnancies. Drinking alcohol during pregnancy was significantly associated with several important factors including marital status, smoking status, reaction to the pregnancy and immigrant status. While being an immigrant to Canada appeared to confer a protective effect (immigrants were less likely to consume alcohol during pregnancy than Canadian women), women who have partners and smoked during pregnancy were significantly more likely to drink alcohol during their pregnancies. Perhaps most importantly, pregnant women who reported indifference or being unhappy/very unhappy in regards to their pregnancies exhibited an increased risk of drinking alcohol during their pregnancies. Maternal alcohol consumption during pregnancy may potentially constitute a major public health concern in Canada. The present study assessed the prevalence and predictors of maternal alcohol consumption during pregnancy of women living in Canada from 2005-2006 who had a singleton live birth and whose child remained in their care 5-9 months following birth. The analysis shows that 10.8% of women drank alcohol at some point during their pregnancies. Drinking alcohol during pregnancy was significantly associated with several important factors including marital status, smoking status, reaction to the pregnancy and immigrant status. While being an immigrant to Canada appeared to confer a protective effect (immigrants were less likely to consume alcohol during pregnancy than Canadian women), women who have partners and smoked during pregnancy were significantly more likely to drink alcohol during their pregnancies. Perhaps most importantly, pregnant women who reported indifference or being unhappy/very unhappy in regards to their pregnancies exhibited an increased risk of drinking alcohol during their pregnancies.
This publication has no Abstract to dispaly
The Canadian population is aging and also becoming more ethnically diverse. This study examined
differences in identities among South Asian seniors who immigrated at different life stages with
different lengths of residency in Canada. We interviewed 161 immigrants of South Asian descent
in Edmonton, Canada, aged 60 and older about their ethnic/national identity, transnational ties,
cultural retention and practices, and participation in and concerns about life in Canada. Our findings
show that women were more likely than men to see themselves as more South Asian than
Canadian. Furthermore, logistic regression analysis showed that older age at immigration and low
English-language proficiency were significant predictors of ethnic identity. These findings indicated
the importance of language for ethnic and national (Canadian) identity and revealed that South
Asian immigrant elders who came to Canada in later life tended to retain their ethnic identities,
while immigrant elders who came to Canada earlier in life were more likely to have developed a
bicultural identity that incorporated both ethnic and Canadian identity. Related to the notion of
bicultural identity, strong transnational ties with the country of origin were associated with greater
participation in Canadian society. The Canadian population is aging and also becoming more ethnically diverse. This study examined
differences in identities among South Asian seniors who immigrated at different life stages with
different lengths of residency in Canada. We interviewed 161 immigrants of South Asian descent
in Edmonton, Canada, aged 60 and older about their ethnic/national identity, transnational ties,
cultural retention and practices, and participation in and concerns about life in Canada. Our findings
show that women were more likely than men to see themselves as more South Asian than
Canadian. Furthermore, logistic regression analysis showed that older age at immigration and low
English-language proficiency were significant predictors of ethnic identity. These findings indicated
the importance of language for ethnic and national (Canadian) identity and revealed that South
Asian immigrant elders who came to Canada in later life tended to retain their ethnic identities,
while immigrant elders who came to Canada earlier in life were more likely to have developed a
bicultural identity that incorporated both ethnic and Canadian identity. Related to the notion of
bicultural identity, strong transnational ties with the country of origin were associated with greater
participation in Canadian society.
This publication has no Abstract to dispaly
Current recommendations for tuberculosis control are to screen high risk populations and provide chemoprophylaxis for those infected. In Edmonton, Alberta, one strategy has been to identify and provide TB skin tests to newly arrived immigrant school age children from TB endemic areas. The difficulty has been in identifying these children in the school population. This article describes a process tried in 1993–94 to find a better approach and to determine the outcome of a concentrated effort at screening and follow-up of this population. Using this method, 1,146 students were TB skin tested using 5tu PPD: 15% showed significant reactions (10mm), 89% were offered chemoprophylaxis, and 68% of those offered (84% of those accepting) completed 9 months of chemoprophylaxis. The success of this process was dependent on the dedicated follow-up provided by the specialty public health clinic devoted to the prevention and treatment of tuberculosis. Current recommendations for tuberculosis control are to screen high risk populations and provide chemoprophylaxis for those infected. In Edmonton, Alberta, one strategy has been to identify and provide TB skin tests to newly arrived immigrant school age children from TB endemic areas. The difficulty has been in identifying these children in the school population. This article describes a process tried in 1993–94 to find a better approach and to determine the outcome of a concentrated effort at screening and follow-up of this population. Using this method, 1,146 students were TB skin tested using 5tu PPD: 15% showed significant reactions (10mm), 89% were offered chemoprophylaxis, and 68% of those offered (84% of those accepting) completed 9 months of chemoprophylaxis. The success of this process was dependent on the dedicated follow-up provided by the specialty public health clinic devoted to the prevention and treatment of tuberculosis.
This publication has no Abstract to dispaly
