A test of the epidemiological paradox in a context of forced migration: low birthweight among Syrian newborns in Lebanon

Abdulrahim, Sawsan; Rafei, Rym El; Beydoun, Zahraa; Hayek, Ghinwa El; Nakad, Pascale; Yunis, Khalid

doi:10.1093/ije/dyy200

Cited by 5 publications

(6 citation statements)

References 39 publications

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“…The screening of titles and abstracts resulted in the exclusion of 134 studies. After a full-text appraisal of 81 studies, 40 studies were included ( 3 , 13 , 20 – 57 ), involving 215,718 pregnant women with an immigration background from conflict-zone countries and 12,806,469 native-origin women. The manual search yielded no additional study.…”

Section: Resultsmentioning

confidence: 99%

“…The quality appraisal of the included studies has been presented in Supplementary Tables 2, 3 . A total of 30 studies were judged as high quality ( 3 , 13 , 20 , 22 – 26 , 28 , 30 , 32 , 34 , 36 – 38 , 40 – 44 , 46 – 50 , 52 , 54 – 56 ); 10 for moderate quality ( 21 , 29 , 31 , 33 , 35 , 39 , 45 , 51 , 53 , 57 ); and no study had low quality.…”

Section: Resultsmentioning

confidence: 99%

“…A total of 77.5% of studies were conducted in Europe [ n = 31, including Norway ( 3 , 34 , 42 , 43 , 49 , 50 , 52 , 54 , 56 ), Finland ( 23 , 24 ), Israel ( 28 , 40 ), Turkey ( 26 – 31 , 33 , 35 , 37 , 39 , 45 , 51 ), Sweden ( 32 , 36 , 38 , 48 ), Finland ( 41 ), Denmark ( 44 , 47 ), Netherlands ( 53 ), UK ( 57 )], 7.5% in Asia [ n = 3, including Lebanon ( 20 ), Jordan ( 21 ), Pakistan ( 22 )], and 12.5% in others ( n = 5, including USA ( 13 , 56 ), Canada ( 46 ), and Australia ( 25 – 27 )].…”

Section: Resultsmentioning

confidence: 99%

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Perinatal and Neonatal Outcomes in Immigrants From Conflict-Zone Countries: A Systematic Review and Meta-Analysis of Observational Studies

Behboudi‐Gandevani

Panahi

Mardani

et al. 2022

Front. Public Health

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ObjectivesThere are controversies regarding the risk of adverse pregnancy outcomes among immigrants from conflict-zone countries. This systematic review and meta-analysis aimed to investigate the risk of perinatal and neonatal outcomes among immigrants from conflict-zone countries compared to native-origin women in host countries.MethodsA systematic search on the databases of PubMed/MEDLINE, Scopus, and Web of Science was carried out to retrieve studies on perinatal and neonatal outcomes among immigrants from Somalia, Iraq, Afghanistan, Yemen, Syria, Nigeria, Sudan, Ethiopia, Eritrea, Kosovo, Ukraine, and Pakistan. Only peer-reviewed articles published in the English language were included in the data analysis and research synthesis. The odds ratio and forest plots were constructed for assessing the outcomes of interests using the DerSimonian and Laird, and the inverse variance methods. The random-effects model and the Harbord test were used to account for heterogeneity between studies and assess publication bias, respectively. Further sensitivity analysis helped with the verification of the reliability and stability of our review results.ResultsThe search process led to the identification of 40 eligible studies involving 215,718 pregnant women, with an immigration background from the conflict zone, and 12,806,469 women of native origin. The adverse neonatal outcomes of the risk of small for gestational age (Pooled OR = 1.8, 95% CI = 1.6, 2.1), a 5-min Apgar score <7 (Pooled OR = 1.4, 95% CI = 1.0, 2.1), stillbirth (Pooled OR = 1.9, 95% CI = 1.2, 3.0), and perinatal mortality (Pooled OR = 2, 95% CI = 1.6, 2.5) were significantly higher in the immigrant women compared to the women of native-origin. The risk of maternal outcomes, including the cesarean section (C-S) and emergency C-S, instrumental delivery, preeclampsia, and gestational diabetes was similar in both groups.ConclusionAlthough the risk of some adverse maternal outcomes was comparable in the groups, the immigrant women from conflict-zone countries had a higher risk of neonatal mortality and morbidity, including SGA, a 5-min Apgar score <7, stillbirth, and perinatal mortality compared to the native-origin population. Our review results show the need for the optimization of health care and further investigation of long-term adverse pregnancy outcomes among immigrant women.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Perinatal and Neonatal Outcomes in Immigrants From Conflict-Zone Countries: A Systematic Review and Meta-Analysis of Observational Studies

Behboudi‐Gandevani

Panahi

Mardani

et al. 2022

Front. Public Health

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“…The quality appraisal of the included studies has been presented in supplementary Tables 3 and 4. A total of 106 studies were judged as high quality [ 11 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 82 83 84 85 86 87 88 89 90 91 92 93 94 …”

Section: Resultsmentioning

confidence: 99%

Adverse Pregnancy Outcomes and International Immigration Status: A Systematic Review and Meta-analysis

Behboudi‐Gandevani

Panahi

Mardani

et al. 2022

Annals of Global Health

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Background: Disparities in health outcomes between immigrant and native-origin populations, particularly pregnant women, pose significant challenges to healthcare systems. The aim of this systematic-review and meta-analysis was to investigate the risk of adverse pregnancy outcomes among immigrant-women compared to native-origin women in the host country.Methods: PubMed (including MEDLINE), Scopus, and Web of Science were searched to retrieve studies published in English language up to September 2020. All observational studies examining the prevalence of at least one of the short-term single pregnancy outcomes for immigrants who crossed international borders compared to native-origin pregnant population were included. The meta-prop method was used for the pooledestimation of adverse pregnancy-outcomes' prevalence. For pool-effect estimates, the association between the immigration-status and outcomes of interest, the randomeffects model was applied using the model described by DerSimonian and Laird. I 2 statistic was used to assess heterogeneity. The publication bias was assessed using the Harbord-test. Meta-regression was performed to explore the effect of geographical region as the heterogeneity source.Findings: This review involved 11 320 674 pregnant women with an immigrationbackground and 56 102 698 pregnant women as the native-origin population. The risk of emergency cesarean section (Pooled-OR = 1.1, 95%CI = 1.0-1.2), shoulder dystocia (Pooled-OR = 1.1, 95%CI = 1.0-1.3), gestational diabetes mellites (Pooled-OR = 1.4, 95%CI = 1.2-1.6), small for gestational age (Pooled-OR=1.3, 95%CI = 1.1-0.4), 5-min Apgar less than 7 (Pooled-OR = 1.2, 95%CI = 1.0-1.3) and oligohydramnios (Pooled-OR = 1.8, 95%CI = 1.0-3.3) in the immigrant women were significantly higher than those with the native origin background. The immigrant women had a lower risk of labor induction (Pooled-OR = *Author affiliations can be found in the back matter of this article 2 Behboudi-Gandevani et al.

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“…Sawsan ve ark. (2018) çalışmasında, sosyoekonomik açıdan kötü durumda olan Suriyeli annelerde aynı yaş ve eğitimli Lübnanlı annelere göre prematür bebek doğurma oranı daha yüksek bulunmuştur (35). İtalya'da göçmenlerde erken doğum riskini araştıran bir çalışmada; Afrika'dan göç eden kadınların prematüre bebek doğurma oranı %20.7, Asya ve Güney Amerikada'dan göç edenlerde %13.6 ve İtalyan kadınlarda bu oran %6.2'dir (36).…”

Section: Doğum öNcesi Bakım Ve Doğum Hizmeti Kullanımıunclassified

Göç ve Kadın Sağlığı Hizmetleri

Ekşioğlu

Yücel

Türkoğlu

2021

Adnan Menderes Üniversitesi Sağlık Bilimleri Fakültesi Dergisi

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Son yıllarda, insanlık tarihi kadar eski ve evrensel bir olgu olan göç bazı ülkelerde oldukça artmıştır. 2019 yılında tüm uluslararası göçmenlerin üçte biri sadece on ülkeden göç etmiştir. Suriye 8.2 milyon vatandaşının göç etmesi ile bu on ülke arasında birinci sıradadır. Türkiye, Suriye ile sınır komşuluğu nedeni ile son on yılda Suriye'den en fazla göç alan ülkedir. Ülkemiz, 2011 Suriye krizinden sonra, 3.6 milyon Suriye'den göçmene ev sahipliği yapmaktadır. Ülkemizde bulunan 1.651.627 göçmen kadının 820.495'i üreme çağında Suriyeli kadın ve genç kızlardır. Göç olgusunda kadınlar, üreme sağlığı açısından hem göçmen hem de kadın olmanın çifte yükünü taşımaktadırlar. Bu derleme çalışmasında göçmen kadınların başlıca üreme sağlığı sorunlarından; gebelik, doğumla ilgili sorunlar (adölesan gebelik, sağlıksız düşük ve doğumlar, yüksek doğurganlık) ve üreme sağlığı hizmetlerine erişim engelleri literatür incelemesi ile ele alınmıştır.

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A test of the epidemiological paradox in a context of forced migration: low birthweight among Syrian newborns in Lebanon

Cited by 5 publications

References 39 publications

Perinatal and Neonatal Outcomes in Immigrants From Conflict-Zone Countries: A Systematic Review and Meta-Analysis of Observational Studies

Perinatal and Neonatal Outcomes in Immigrants From Conflict-Zone Countries: A Systematic Review and Meta-Analysis of Observational Studies

Adverse Pregnancy Outcomes and International Immigration Status: A Systematic Review and Meta-analysis

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