{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,28]],"date-time":"2025-07-28T21:42:30Z","timestamp":1753738950621},"reference-count":0,"publisher":"Health Promotion and Chronic Disease Prevention Branch (HPCDP) Public Health Agency of Canada","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Health Promot Chronic Dis Prev Can"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<sec>\n         <title>Introduction<\/title>\n         <p>In Quebec, women living on low income receive a number of additional\nprenatal care visits, determined by their area of residence, of both multi-component and\nfood supplementation programs. We investigated whether increasing the number of\nvisits reduces the odds of the main outcome of small for gestational age (SGA) birth\n(weight o 10th percentile on the Canadian scale).<\/p>\n       <\/sec>\n       <sec>\n         <title>Methods<\/title>\n         <p>In this ecological study, births were identified from Quebec\u2019s registry of\ndemographic events between 2006 and 2008 (n \u00bc 156 404; 134 areas). Individual\ncharacteristics were extracted from the registry, and portraits of the general population\nwere deduced from data on multi-component and food supplement interventions, the\nCanadian census and the Canadian Community Health Survey. Mothers without a high\nschool diploma were eligible for the programs. Multilevel logistic regression models were\nfitted using generalized estimating equations to account for the correlation between\nindividuals on the same territory. Potential confounders included sedentary behaviour\nand cigarette smoking. The odds ratios (ORs) were adjusted for mother\u2019s age, marital\nstatus, parity, program coverage and mean income in the area.<\/p>\n       <\/sec>\n       <sec>\n         <title>Results<\/title>\n         <p>Mothers eligible for the programs remain at a higher odds of SGA than noneligible\nmothers (OR \u00bc 1.40; 95% confidence interval [CI]: 1.30\u20131.51). Further, areas\nthat provide more visits to eligible mothers (4\u20136 food supplementation visits) seem more\nsuccessful at reducing the frequency of SGA birth than those that provide 1\u20132 or 3 visits\n(OR \u00bc 0.86; 95% CI: 0.75\u20130.99).<\/p>\n       <\/sec>\n\t   <sec>\n         <title>Conclusion<\/title>\n         <p>Further studies that validate whether an increase in the number of prenatal\ncare interventions reduces the odds of SGA birth in different populations and evaluate\nother potential benefits for the children should be done.<\/p>\n       <\/sec>","DOI":"10.24095\/hpcdp.36.7.01","type":"journal-article","created":{"date-parts":[[2017,3,31]],"date-time":"2017-03-31T17:17:23Z","timestamp":1490980643000},"page":"121-129","source":"Crossref","is-referenced-by-count":1,"title":["Association between prenatal care and small for gestational age birth: an ecological study in Quebec, Canada"],"prefix":"10.24095","volume":"36","author":[{"given":"N.","family":"Savard","sequence":"first","affiliation":[{"name":"Minist\u00e8re de la Sant\u00e9 et des Services sociaux du Qu\u00e9bec, Qu\u00e9bec, Quebec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P.","family":"Levallois","sequence":"additional","affiliation":[{"name":"D\u00e9partement de m\u00e9decine sociale et pr\u00e9ventive, Universit\u00e9 Laval, Qu\u00e9bec, Quebec, Canada"},{"name":"Sant\u00e9 environnementale et toxicologie, Institut national de sant\u00e9 publique du Qu\u00e9bec, Qu\u00e9bec, Quebec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"LP.","family":"Rivest","sequence":"additional","affiliation":[{"name":"D\u00e9partement de math\u00e9matique et statistiques, Universit\u00e9 Laval, Qu\u00e9bec, Quebec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Gingras","sequence":"additional","affiliation":[{"name":"Vice-pr\u00e9sidence aux affaires scientifiques, Institut national de sant\u00e9 publique du Qu\u00e9bec, Qu\u00e9bec, Quebec, Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10188","container-title":["Health Promotion and Chronic Disease Prevention in Canada"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-36-no-7-2016\/association-between-prenatal-care-small-gestational-age-birth-ecological-study-quebec-canada.html","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2017,12,6]],"date-time":"2017-12-06T19:40:41Z","timestamp":1512589241000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.canada.ca\/en\/public-health\/services\/reports-publications\/health-promotion-chronic-disease-prevention-canada-research-policy-practice\/vol-36-no-7-2016\/association-between-prenatal-care-small-gestational-age-birth-ecological-study-quebec-canada.html"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,7]]},"references-count":0,"journal-issue":{"issue":"7"},"URL":"https:\/\/doi.org\/10.24095\/hpcdp.36.7.01","archive":["Internet Archive"],"relation":{},"ISSN":["2368-738X"],"issn-type":[{"value":"2368-738X","type":"print"}],"subject":[],"published":{"date-parts":[[2016,7]]}}}