The British Columbia Healthy Connections Project: findings on socioeconomic disadvantage in early pregnancy

被引：17

作者：

Catherine, Nicole L. A. ^{[1
]}

Lever, Rosemary ^{[1
]}

Sheehan, Debbie ^{[1
]}

Zheng, Yufei ^{[1
]}

Boyle, Michael H. ^{[2
]}

McCandless, Lawrence ^{[3
]}

Gafni, Amiram ^{[4
]}

Gonzalez, Andrea ^{[2
]}

Jack, Susan M. ^{[5
]}

Tonmyr, Lil ^{[6
]}

Varcoe, Colleen ^{[7
]}

MacMillan, Harriet L. ^{[8
,9
,10
]}

Waddell, Charlotte ^{[1
]}

机构：

[1] Simon Fraser Univ, Fac Hlth Sci, Childrens Hlth Policy Ctr, Room 2431,515 West Hastings St, Vancouver, BC V6B 5K3, Canada

[2] McMaster Univ, Fac Hlth Sci, Offord Ctr Child Studies, Hamilton, ON, Canada

[3] Simon Fraser Univ, Fac Hlth Sci, Burnaby, BC, Canada

[4] McMaster Univ, Fac Hlth Sci, Hamilton, ON, Canada

[5] McMaster Univ, Sch Nursing, Hamilton, ON, Canada

[6] Publ Hlth Agcy Canada, Ottawa, ON, Canada

[7] Univ British Columbia, Sch Nursing, Vancouver, BC, Canada

[8] McMaster Univ, Fac Hlth Sci, Offord Ctr Child Studies, Dept Psychiat, Hamilton, ON, Canada

[9] McMaster Univ, Fac Hlth Sci, Offord Ctr Child Studies, Dept Behav Neurosci, Hamilton, ON, Canada

[10] McMaster Univ, Fac Hlth Sci, Offord Ctr Child Studies, Dept Pediat, Hamilton, ON, Canada

来源：

BMC PUBLIC HEALTH | 2019年 / 19卷 / 01期

关键词：

Pregnancy; Adolescents; Maternal health; Socioeconomic disadvantage; Cumulative disadvantage; SOCIAL DETERMINANTS; MENTAL-DISORDERS; HOME-VISITATION; TEENAGE MOTHERS; CHILDREN;

D O I：

10.1186/s12889-019-7479-5

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background Maternal exposure to socioeconomic disadvantage increases the risk of child injuries and subsequent child developmental and mental health problems - particularly for young mothers. To inform early intervention planning, this research therefore aimed to describe the health and social adversities experienced by a cohort of girls and young women in early pregnancy in British Columbia (BC), Canada. Methods Participants were recruited for the BC Healthy Connections Project (BCHCP), a randomized controlled trial examining the effectiveness of Nurse-Family Partnership, a home visitation program, in improving child and maternal outcomes. Baseline data were collected from 739 participants on trial entry. Participants were selected on the basis of preparing to parent for the first time and experiencing socioeconomic disadvantage. Analyses involved descriptive statistics and age-group comparisons. Results Most participants reported having low income (84%), having limited education (52%) and being single (91%) at trial entry. Beyond these eligibility criteria, other health and social adversities included: housing instability (52%); severe anxiety or depression (47%); other diagnosed mental disorders (22%); prenatal nicotine and cannabis use (27 and 21%); physical health problems (20%); child maltreatment when younger (56%); and intimate partner violence recently (50%). As well, few (29%) had received income assistance entitlements. More than two thirds (70%) were experiencing four or more forms of adversity. Age-group differences were observed for cognitive functioning, being single, low income, limited education, psychological distress and service use (p-value <= 0.05). Conclusions This cohort was selected on the basis of socioeconomic disadvantage. Yet all participants were experiencing substantial added adversities - at higher rates than other Canadians. Furthermore, despite Canada's public programs, these pregnant girls and young women were not being adequately reached by social services. Our study adds new data to inform early intervention planning, suggesting that unacceptably high levels of socioeconomic disadvantage exist for some young British Columbians. Therefore greater health and social supports and services are warranted for these young mothers and their children.

引用

页数：11

共 56 条

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