Les déterminants de l'inégalité en santé périnatale au Québec : Les facteurs de risque de prématurité reliés à l'environnement social, physique, et clinique et l'interaction entre ces facteurs dans les populations québécoises les plus vulnérables

Chercheurs-boursiers cliniciens -Junior 1 | Concours 2012-2013


Nathalie Auger

Centre de recherche du CHUM

 

Domaine : Santé de la mère, des enfants et des adolescents 

Being born too early in pregnancy, which is known as preterm birth, can have negative effects on the health of newborns and children throughout life, especially when babies are born at extremely early gestational ages. The causes of preterm birth are not well understood, which is concerning because preventing preterm birth depends on understanding its causes and patterns over time and over the duration of pregnancy. Our aim is to determine how new aspects of the social environment, physical environment, and clinical health service factors are related to preterm birth over time and over the course of pregnancy. Specific objectives will include investigating preterm birth in relation to ethnic/linguistic minority, inter-ethnic family status, gender-based characteristics of neighbourhoods, and characteristics of the physical environment including air pollution, elevated summer temperature extremes, and folic acid food fortification. We will investigate the influence of labour induction and caesarean delivery on trends in PTB. We will pay particular attention to identifying populations most vulnerable to these risk factors, including those that are socioeconomically disadvantaged, and will evaluate trends over time and across gestational age. To undertake the analyses, we will use existing live birth and hospital data from the province of Québec, which contain invaluable information not present in population datasets from other provinces (e.g., maternal education and language are present in the live birth file, and gestational age is present in the hospital file). The findings of this research program will help us understand which factors and population groups to target to prevent preterm birth, and improve the health of newborns in Québec.