Skip to main content

Advertisement

Log in

Infant mortality among Arabic-speakers in Quebec, Canada, 1989–2017

  • Original Paper
  • Published:
Journal of Immigrant and Minority Health Aims and scope Submit manuscript

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

Background

We assessed trends in infant mortality for Arabic-speakers in Quebec, Canada between 1981 and 2017.

Methods

We computed infant mortality rates for Arabic versus French and English-speakers in Quebec over time. We used adjusted risk ratios (aRR) and 95% confidence intervals (CI) to investigate trends among Arabic-speakers according to socioeconomic status, age, and cause of death.

Results

Infant mortality rates were 3.0 for Arabic-speakers and 5.1 for French and English-speakers per 1,000 live births. Infant mortality increased for Arabic-speakers between 1989–1995 and 2010-2017 (aRR 2.07; 95% CI, 1.04–4.12), but decreased for French and English-speakers (aRR 0.77; 95% CI, 0.73–0.81). The increase in infant mortality was greater for socioeconomically advantaged Arabic-speakers (aRR 2.52; 95% CI, 1.20–5.28) and early neonatal mortality (aRR 1.64; 95% CI, 0.98–2.76).

Discussion

Arabic-speakers in Quebec have a lower risk of infant mortality than French and English-speakers, but increasing infant mortality among Arabic-speakers is narrowing the gap.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Shumanty R. Mortality: overview, 2014 to 2016. Ottawa: Statistics Canada; 2018.

    Google Scholar 

  2. Guendelman S, Buekens P, Blondel B, et al. Birth outcomes of immigrant women in the United States, France, and Belgium. Matern Child Health J. 1999;3(4):177–87.

    Article  CAS  Google Scholar 

  3. Ravelli AC, Tromp M, Eskes M, et al. Ethnic differences in stillbirth and early neonatal mortality in the Netherlands. J Epidemiol Community Health. 2011;65(8):696–701.

    Article  CAS  Google Scholar 

  4. Gissler M, Alexander S, MacFarlane A, et al. Stillbirths and infant deaths among migrants in industrialized countries. Acta Obstet Gynecol Scand. 2009;88(2):134–48.

    Article  Google Scholar 

  5. Troe EJ, Bos V, Deerenberg IM, et al. Ethnic differences in total and cause-specific infant mortality in the Netherlands. Paediatr Perinat Epidemiol. 2006;20(2):140–7.

    Article  Google Scholar 

  6. Finkton DW, El-Sayed AM, Galea S. Infant mortality among Arab-Americans: findings from the Arab-American birth outcomes study. Matern Child Health J. 2013;17(4):732–45.

    Article  Google Scholar 

  7. Auger N, Racape J, Raynault MF, et al. Stillbirth among Arab women in Canada, 1981-2015. Public Health Rep. 2020;135(2):245–52.

    Article  Google Scholar 

  8. Bézy S, Payeur F, Azeredo AC, et al. Demographic portrait of Quebec, 2019 Edition. 2019. Institut de la statistique du Québec. https://www.stat.gouv.qc.ca/statistiques/population-demographie/bilan2019.pdf. Accessed 21 Apr 2020.

  9. Statistics Canada. Proportion of mother tongue responses for various regions in Canada, 2016 Census. 2017. https://www12.statcan.gc.ca/census-recensement/2016/dp-pd/dv-vd/lang/index-eng.cfm. Accessed 5 Jan 2020.

  10. Dajani G. 750,925 Canadians hail from Arab lands. 2014. https://static1.squarespace.com/static/5e09162ecf041b5662cf6fc4/t/5e5c6fe517c29a501a5a0e14/1583116261768/750%2C925+Canadians+Hail+from+Arab+Lands.pdf. Accessed 5 Jan 2020.

  11. Ford CL, Harawa NT. A new conceptualization of ethnicity for social epidemiologic and health equity research. Soc Sci Med. 2010;71(2):251–8.

    Article  Google Scholar 

  12. Sterne JA, White IR, Carlin JB, et al. Multiple imputation for missing data in epidemiological and clinical research: potential and pitfalls. BMJ. 2009;338:b2393.

    Article  Google Scholar 

  13. Oza S, Cousens SN, Lawn JE. Estimation of daily risk of neonatal death, including the day of birth, in 186 countries in 2013: a vital-registration and modelling-based study. Lancet Glob Health. 2014;2(11):e635–44.

    Article  Google Scholar 

  14. Cole S, Hartford RB, Bergsjø P, et al. International collaborative effort (ICE) on birth weight, plurality, perinatal, and infant mortality. III: a method of grouping underlying causes of infant death to aid international comparisons. Acta Obstet Gynecol Scand. 1989;68(2):113–7.

    Article  CAS  Google Scholar 

  15. Auger N, Park AL, Daniel M. Contribution of local area deprivation to cultural-linguistic inequalities in foetal growth restriction: trends over time in a Canadian metropolitan centre. Health Place. 2013;22:38–47.

    Article  Google Scholar 

  16. Pampalon R, Hamel D, Gamache P, et al. An area-based material and social deprivation index for public health in Québec and Canada. Can J Public Health. 2012;103(Suppl. 2):S17–22.

    Article  Google Scholar 

  17. Abuelezam NN, El-Sayed AM, Galea S. The health of Arab Americans in the United States: an updated comprehensive literature review. Front Public Health. 2018;6:262.

    Article  Google Scholar 

  18. Reidpath DD, Allotey P. Infant mortality rate as an indicator of population health. J Epidemiol Community Health. 2003;57(5):344–6.

    Article  CAS  Google Scholar 

  19. Blaxter M. The health of children. A review of research on the place of health in cycles of disadvantage. London: Heinemann Educational; 1981.

    Google Scholar 

  20. El Reda DK, Grigorescu V, Posner SF, et al. Lower rates of preterm birth in women of Arab ancestry: an epidemiologic paradox—Michigan, 1993–2002. Matern Child Health J. 2007;11(6):622–7.

    Article  Google Scholar 

  21. El-Sayed AM, Galea S. Explaining the low risk of preterm birth among Arab Americans in the United States: an analysis of 617451 births. Pediatrics. 2009;123(3):e438–45.

    Article  Google Scholar 

  22. Franzini L, Ribble JC, Keddie AM. Understanding the Hispanic paradox. Ethn Dis. 2001;11(3):496–518.

    CAS  PubMed  Google Scholar 

  23. Urquia ML, Frank JW, Moineddin R, et al. Immigrants’ duration of residence and adverse birth outcomes: a population-based study. BJOG. 2010;117(5):591–601.

    Article  CAS  Google Scholar 

  24. El-Sayed AM, Galea S. Community context, acculturation and low-birth-weight risk among Arab Americans: evidence from the Arab-American birth-outcomes study. J Epidemiol Community Health. 2010;64(2):155–60.

    Article  Google Scholar 

  25. Heslehurst N, Brown H, Pemu A, et al. Perinatal health outcomes and care among asylum seekers and refugees: a systematic review of systematic reviews. BMC Med. 2018;16(1):89.

    Article  Google Scholar 

  26. Hyman I, Dussault G. The effect of acculturation on low birthweight in immigrant women. Can J Public Health. 1996;87(3):158–62.

    CAS  PubMed  Google Scholar 

  27. Abuelezam NN, El-Sayed AM, Galea S. Relevance of the “immigrant health paradox” for the health of Arab Americans in California. Am J Public Health. 2019;109(12):1733–8.

    Article  Google Scholar 

  28. Negy C, Woods DJ. A note on the relationship between acculturation and socioeconomic status. Hisp J Behav Sci. 1992;14(2):248–51.

    Article  Google Scholar 

  29. Crump C, Lipsky S, Mueller BA. Adverse birth outcomes among Mexican-Americans: are US-born women at greater risk than Mexico-born women? Ethn Health. 1999;4(1–2):29–34.

    Article  CAS  Google Scholar 

  30. Almeida LM, Caldas J, Ayres-de-Campos D, et al. Maternal healthcare in migrants: a systematic review. Matern Child Health J. 2013;17(8):1346–54.

    Article  Google Scholar 

  31. Trempe N, Boivin M-C, Lo E, et al. Assessment of validity for the ‘language spoken at home’ variable in Québec death records: summary. Québec: Institut national de santé publique du Québec; 2012.

    Google Scholar 

Download references

Acknowledgements

This work was supported by Health Canada via the McGill Training and Retention of Health Professionals Project [3.1/2019-2021/06/01], and the Fonds de recherche du Québec-Santé [34695].

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Nathalie Auger.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Bolster-Foucault, C., Bilodeau-Bertrand, M., Djeha, A. et al. Infant mortality among Arabic-speakers in Quebec, Canada, 1989–2017. J Immigrant Minority Health 23, 215–221 (2021). https://doi.org/10.1007/s10903-020-01115-1

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10903-020-01115-1

Keywords

Navigation