{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T12:45:57Z","timestamp":1777898757643,"version":"3.51.4"},"reference-count":39,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T00:00:00Z","timestamp":1745884800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100000156","name":"Fonds de Recherche du Qu\u00e9bec \u2013 Sant\u00e9","doi-asserted-by":"publisher","award":["296785"],"award-info":[{"award-number":["296785"]}],"id":[{"id":"10.13039\/501100000156","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Quebec Population Health Research Network","award":["266659"],"award-info":[{"award-number":["266659"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Public Health Rep"],"abstract":"<jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>The health status of Middle Eastern or North African (MENA) populations in Western countries is poorly understood. We assessed whether MENA infants and mothers have a greater risk of adverse pregnancy and birth outcomes than non-MENA infants and mothers in Quebec, Canada.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a population-based observational study of 809\u2009172 infants born to pregnant women in Quebec from 2008 through 2020. We identified infants in the MENA group based on self-reported mother tongue (Arabic or Turkish) and parents\u2019 country of birth (North African or Middle Eastern country). We compared infant and maternal outcomes, including gestational diabetes, cesarean delivery, preterm birth, severe maternal or neonatal morbidity, and other pregnancy and birth complications between the MENA and non-MENA groups. Using log-binomial regression models, we calculated risk ratios (RRs) and 95% CIs to measure the risk of adverse pregnancy and birth outcomes for the MENA group compared with the non-MENA group, adjusting for maternal age, comorbidity, and other patient characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Compared with the non-MENA group (n\u2009=\u2009716\u2009387), the MENA group (n\u2009=\u200992\u2009785) had an elevated risk of gestational diabetes (RR\u2009=\u20091.51; 95% CI, 1.48-1.55), postterm birth (RR\u2009=\u20091.24; 95% CI, 1.08-1.42), and short-stay neonatal intensive care unit admission (RR\u2009=\u20091.91; 95% CI, 1.82-1.99). However, MENA infants were 15% to 50% less likely than non-MENA infants to be born preterm, have severe neonatal morbidity, and have a mother with preeclampsia or severe maternal morbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Although findings among MENA infants and mothers in Quebec were reassuring overall, MENA infants and mothers may benefit from closer perinatal follow-up to improve complications of gestational diabetes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00333549251314304","type":"journal-article","created":{"date-parts":[[2025,4,29]],"date-time":"2025-04-29T06:29:33Z","timestamp":1745908173000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Pregnancy and Birth Outcomes Among Middle Eastern or North African Infants and Mothers in Quebec, Canada, 2008-2020"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3242-9392","authenticated-orcid":false,"given":"Gabriel","family":"C\u00f4t\u00e9-Corriveau","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Sainte Justine Hospital Research Centre, University of Montreal, Montreal, QC, Canada"},{"name":"Institut national de sant\u00e9 publique du Qu\u00e9bec, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Silva-Lavigne","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Sainte Justine Hospital Research Centre, University of Montreal, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00e9lo\u00eb","family":"Maign\u00e9","sequence":"additional","affiliation":[{"name":"Institut national de sant\u00e9 publique du Qu\u00e9bec, Montreal, QC, Canada"},{"name":"Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aimina","family":"Ayoub","sequence":"additional","affiliation":[{"name":"Institut national de sant\u00e9 publique du Qu\u00e9bec, Montreal, QC, Canada"},{"name":"University of Montreal Hospital Research Centre, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thuy Mai","family":"Luu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Sainte Justine Hospital Research Centre, University of Montreal, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Olivier","family":"Drouin","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Sainte Justine Hospital Research Centre, University of Montreal, Montreal, QC, Canada"},{"name":"Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2412-0459","authenticated-orcid":false,"given":"Nathalie","family":"Auger","sequence":"additional","affiliation":[{"name":"Institut national de sant\u00e9 publique du Qu\u00e9bec, Montreal, QC, Canada"},{"name":"Department of Social and Preventive Medicine, School of Public Health, University of Montreal, Montreal, QC, Canada"},{"name":"University of Montreal Hospital Research Centre, Montreal, QC, Canada"},{"name":"Department of Epidemiology, Biostatistics and Occupational Health, McGill University, Montreal, QC, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,4,29]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2021.08.019"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0269158"},{"key":"e_1_3_2_4_2","unstructured":"Statistics Canada. Visible minority by gender and age: Canada provinces and territories. June 21 2023. Accessed October 2 2024. https:\/\/www150.statcan.gc.ca\/t1\/tbl1\/en\/tv.action?pid=9810035101"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2018.00262"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.18865\/ed.31.2.235"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1177\/1043659608317450"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/0033354920941146"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-9-84"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1177\/0033354919900894"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckz120"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-020-03095-y"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-1634"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-020-01115-1"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-012-1049-0"},{"key":"e_1_3_2_16_2","volume-title":"Cadre normatif du fichier des naissances\u2014K29","author":"Ministry of Health and Social Services","year":"2023","unstructured":"Ministry of Health and Social Services. Cadre normatif du fichier des naissances\u2014K29. Government of Quebec; 2023."},{"key":"e_1_3_2_17_2","volume-title":"Med-Echo System Normative Framework\u2014Maintenance and Use of Data for the Study of Hospital Clientele","author":"Ministry of Health and Social Services","year":"2023","unstructured":"Ministry of Health and Social Services. Med-Echo System Normative Framework\u2014Maintenance and Use of Data for the Study of Hospital Clientele. Government of Quebec; 2023."},{"key":"e_1_3_2_18_2","unstructured":"Statistics Canada. Census profile 2021 census of population. November 15 2023. Accessed April 1 2024. https:\/\/www12.statcan.gc.ca\/census-recensement\/2021\/dp-pd\/prof\/index.cfm?Lang=E"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1111\/ppe.12574"},{"key":"e_1_3_2_20_2","volume-title":"International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Canada (ICD-10-CA): Alphabetical Index and Tabular List","author":"Canadian Institute for Health Information","year":"2022","unstructured":"Canadian Institute for Health Information. International Statistical Classification of Diseases and Related Health Problems, Tenth Revision, Canada (ICD-10-CA): Alphabetical Index and Tabular List. Canadian Institute for Health Information; 2022."},{"key":"e_1_3_2_21_2","volume-title":"Canadian Classification of Diseases of Health Interventions (CCI): Alphabetical Index and Tabular List","author":"Canadian Institute for Health Information","year":"2022","unstructured":"Canadian Institute for Health Information. Canadian Classification of Diseases of Health Interventions (CCI): Alphabetical Index and Tabular List. Canadian Institute for Health Information; 2022."},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.1097\/EDE.0b013e31823029dd"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2020.07.047"},{"key":"e_1_3_2_24_2","doi-asserted-by":"publisher","DOI":"10.4239\/wjd.v7.i8.165"},{"key":"e_1_3_2_25_2","doi-asserted-by":"publisher","DOI":"10.2147\/IBPC.S50641"},{"key":"e_1_3_2_26_2","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.12758"},{"key":"e_1_3_2_27_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-016-3979-3"},{"key":"e_1_3_2_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabres.2019.03.037"},{"issue":"7","key":"e_1_3_2_29_2","first-page":"553","article-title":"Cesarean section among immigrants in Norway","volume":"79","author":"Vangen S","year":"2000","unstructured":"Vangen S, Stoltenberg C, Skrondal A, Magnus P, Stray-Pedersen B. Cesarean section among immigrants in Norway. Acta Obstet Gynecol Scand. 2000;79(7):553-558.","journal-title":"Acta Obstet Gynecol Scand"},{"key":"e_1_3_2_30_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0412.2012.01390.x"},{"key":"e_1_3_2_31_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckq046"},{"key":"e_1_3_2_32_2","doi-asserted-by":"publisher","DOI":"10.1159\/000371628"},{"key":"e_1_3_2_33_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm11154258"},{"key":"e_1_3_2_34_2","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2023.1121406"},{"key":"e_1_3_2_35_2","doi-asserted-by":"publisher","DOI":"10.1111\/1475-6773.13222"},{"key":"e_1_3_2_36_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10903-008-9203-x"},{"key":"e_1_3_2_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)61416-5"},{"key":"e_1_3_2_38_2","doi-asserted-by":"publisher","DOI":"10.1111\/pops.12803"},{"key":"e_1_3_2_39_2","doi-asserted-by":"publisher","DOI":"10.25318\/82-003-x201900400001-eng"},{"key":"e_1_3_2_40_2","doi-asserted-by":"publisher","DOI":"10.1136\/jech.2008.084491"}],"container-title":["Public Health Reports\u00ae"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00333549251314304","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00333549251314304","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00333549251314304","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T09:40:11Z","timestamp":1777628411000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00333549251314304"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,29]]},"references-count":39,"alternative-id":["10.1177\/00333549251314304"],"URL":"https:\/\/doi.org\/10.1177\/00333549251314304","relation":{},"ISSN":["0033-3549","1468-2877"],"issn-type":[{"value":"0033-3549","type":"print"},{"value":"1468-2877","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,29]]},"article-number":"00333549251314304"}}