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Ethnocultural Status and Risk of Preeclampsia in a Canadian Setting
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Title |
Ethnocultural Status and Risk of Preeclampsia in a Canadian Setting
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Abstract |
The authors note that disparities in hypertensive disorders of pregnancy are prevalent in the U.S. but are understudied in other settings. Their objective was to determine if ethnocultural disparity in the risk of preeclampsia was present in Quebec. They carried out a retrospective cohort study of 862,759 pregnancies between 2008 and 2020 in the province. The study design exposure was the ethnocultural status of women, defined by linguistic origin (Anglophone or Francophone). Their outcome measures were preeclampsia, including severity (severe, superimposed, mild), presence of fetal growth restriction, and gestational onset time (early or late onset of hypertension). They estimated risk ratios (RR) and 95 % confidence intervals (CI) for the association between ethnocultural status and risk of preeclampsia adjusted for maternal characteristics. Their study results in adjusted models found that Anglophones had a slightly elevated risk of preeclampsia compared with Francophones (40.5 vs. 37.2 per 1000 pregnancies; RR 1.03, 95 % CI 1.00-1.07). Associations were stronger for selected subtypes of preeclampsia, with Anglophones at greater risk of mild preeclampsia (RR 1.09, 95 % CI 1.04-1.13), preeclampsia without fetal growth restriction (RR 1.04, 95 % CI 1.00-1.08), and late onset preeclampsia (RR 1.04, 95 % CI 1.01-1.08). An association with severe preeclampsia was less apparent, although Anglophones lacking a high school diploma (RR 1.46, 95 % CI 1.12-1.90) or who were younger than 25 years (RR 1.19, 95 % CI 1.01-1.40) had a greater risk of severe preeclampsia compared with Francophones. Their conclusion was that Quebec Anglophones, especially those Anglophones in vulnerable subgroups, have a slightly elevated risk of preeclampsia compared with Francophones Quebecers.
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Publication |
Pregnancy Hypertens
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Volume |
Vol. 39
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Date |
March 2025
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Language |
en
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Citation |
Auger, Nathalie, Aimina Ayoub, Marianne Bilodeau-Bertrand, Nahantara Lafleur, and Shu Qin Wei. “Ethnocultural Status and Risk of Preeclampsia in a Canadian Setting.” Pregnancy Hypertens Vol. 39 (March 2025). https://www.sciencedirect.com/science/article/pii/S2210778925000182#:~:text=We%20examined%20ethnocultural%20inequality%20in,nevertheless%20elevated%20among%20disadvantaged%20Anglophones.
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