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Table 4 Unadjusted and adjusted odds ratio estimates for behavioral perinatal health indicators among immigrant childbearing women in Manitoba, Canada

From: Psychosocial and behavioral health indicators among immigrant and non-immigrant recent mothers

International immigrants

n = 33,754

Maternal alcohol use during

pregnancy

(n = 29,983)c

Maternal smoking during

pregnancy

(n = 32,547)c

Maternal substance use during

pregnancy

(n = 29,867)c

Late initiation of

Prenatal care

(n = 32,261)c

OR (95% CI)a

aOR (95% CI)b

OR (95% CI)a

aOR (95% CI)b

OR (95% CI)a

aOR (95% CI)b

OR (95% CI)a

aOR (95% CI)b

Immigrants

 Primary

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

 Secondary

0.77 (0.64, 0.94)

0.94 (0.75, 1.17)

0.70 (0.53, 0.93)

0.71 (0.52, 0.97)

0.64 (0.31, 1.30)

0.81 (0.37, 1.78)

1.63 (1.25, 2.13)

1.32 (0.97, 1.78)

Refugees

 Non-refugee

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

 Refugee

1.18 (0.96, 1.46)

0.95 (0.72, 1.25)

1.98 (1.54, 2.53)

1.20 (0.85, 1.71)

2.60 (1.43, 4.76)

0.94 (0.40, 2.19)

2.43 (1.86, 3.17)

1.59 (1.07, 2.36)

Maternal birth region

 Western Europe

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

(−)

(−)

1.0 (Reference)

1.0 (Reference)

 Southeast Asia

0.86 (0.60, 1.23)

1.02 (0.66, 1.60)

0.53 (0.34, 0.82)

0.63 (0.36, 1.11)

(−)

(−)

1.37 (0.65, 2.92)

1.88 (0.82, 4.30)

 South & Rest of Asia

0.31 (0.21, 0.45)

0.45 (0.28, 0.71)

0.28 (0.17, 0.45)

0.40 (0.23, 0.72)

(−)

(−)

0.96 (0.45, 2.08)

1.23 (0.54, 2.82)

 Eastern Europe

1.43 (0.98, 2.09)

1.96 (1.27, 3.04)

1.02 (0.64, 1.62)

1.53 (0.89, 2.62)

(−)

(−)

1.78 (0.79, 4.00)

1.77 (0.75, 4.17)

 Rest of Europe

2.39 (1.58, 3.60)

2.10 (1.31, 3.39)

3.62 (2.28, 5.74)

3.57 (2.10, 6.07)

(−)

(−)

1.30 (0.51, 3.30)

1.54 (0.58, 4.07)

 East Africa

0.61 (0.38, 0.97)

0.83 (0.46, 1.49)

0.61 (0.35, 1.05)

0.41 (0.20, 0.86)

(−)

(−)

1.86 (0.81, 4.26)

1.06 (0.40, 2.76)

 West Africa

0.54 (0.29, 1.01)

0.63 (0.31, 1.27)

0.26 (0.11, 0.61)

0.25 (0.09, 0.65)

(−)

(−)

1.68 (0.67, 4.22)

1.48 (0.53, 4.15)

 Rest of Africa

0.68 (0.41, 1.12)

0.84 (0.46, 1.51)

0.53 (0.27, 1.04)

0.35 (0.14, 0.87)

(−)

(−)

2.53 (1.10, 5.81)

1.40 (0.55, 3.60)

 North America & Oceania

2.00 (1.31, 3.05)

2.47 (1.52, 4.02)

1.48 (0.83, 2.65)

1.64 (0.85, 3.20)

(−)

(−)

1.01 (0.37, 2.74)

1.04 (0.37, 2.93)

 Latin America & Caribbean

1.69 (1.15, 2.47)

1.74 (1.10, 2.74)

1.51 (0.95, 2.41)

1.14 (0.66, 1.99)

(−)

(−)

1.76 (0.78, 3.96)

1.31 (0.56, 3.05)

Duration of residence

  < 5 years

0.35 (0.30, 0.41)

0.43 (0.35, 0.52)

0.33 (0.27, 0.40)

0.46 (0.36, 0.60)

0.08 (0.04, 0.17)

0.07 (0.03, 0.16)

1.26 (0.93, 1.72)

1.50 (1.07, 2.12)

 5–9 years

0.42 (0.35, 0.51)

0.52 (0.42, 0.64)

0.43 (0.34, 0.54)

0.58 (0.45, 0.75)

0.39 (0.23, 0.68)

0.44 (0.25, 0.78)

0.86 (0.59, 1.25)

0.94 (0.64, 1.40)

 10 years and more

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

1.0 (Reference)

  1. aOR Odds Ratios with 95% CI (Confidence Intervals) are derived from Generalized Estimating Equation models
  2. baOR Odds Ratios with 95% CI (Confidence Intervals) are derived from Generalized Estimating Equation models, adjusted for Maternal age, lone mother, low education, neighborhood income quintile, urban residence, family size, employment & income assistance, and knowledge of official Canadian languages
  3. Bold values = Significant association (p < 0.05)
  4. (−) = unreportable (n < 6 for internal comparison group)
  5. cTotal excludes missing values for outcomes where (n=)
  6. Frequencies missing for outcomes: (Alcohol use during pregnancy n = 3771; Smoking during pregnancy n = 1207; Substance use during pregnancy n = 3887; Late initiation of prenatal care > 13 weeks n = 1493)