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1.
Health Care Women Int ; 41(11-12): 1294-1312, 2020.
Article in English | MEDLINE | ID: mdl-33085577

ABSTRACT

Intimate partner violence (IPV) is a significant national and global public health concern, with COVID-19 pandemic increasing IPV and associated health issues. Immigrant women may be disproportionately vulnerable to IPV-related health risks during the pandemic. Using qualitative in-depth interviews, we explored the perspectives of service providers (n = 17) and immigrant survivors of IPV(n = 45) on the impact of COVID-19 on immigrant women, existing services for survivors and strategies needed needed to enhance women's health and safety. Participants reported issues such as increased IPV and suggested strategies (e.g. strengthening virtual platforms). The findings could be informative for providers in national and international settings.


Subject(s)
COVID-19/psychology , Emigrants and Immigrants/psychology , Intimate Partner Violence/psychology , Adult , COVID-19/epidemiology , Female , Humans , Middle Aged , Qualitative Research , Quarantine , SARS-CoV-2 , Spouse Abuse/psychology , Survivors/psychology , Women's Health , Young Adult
2.
Sci Rep ; 10(1): 5219, 2020 03 23.
Article in English | MEDLINE | ID: mdl-32251348

ABSTRACT

The objective of the present study was to examine the association between birth by Caesarean section (CS) and otitis media (OM) in childhood. We assembled a retrospective cohort of children born between 2003 and 2007 in Nova Scotia and followed them through to 2014. The cohort was derived through a linkage of the Nova Scotia Atlee Perinatal Database with provincial administrative health data. Cox proportional hazards, negative binomial regression and logistic regression were used to examine the association between CS and OM. Among the 36,318 children, 27% were born by CS, and 78% had at least one OM episode (median 2 episodes). Children born by CS were at a slightly higher risk of OM (hazard ratio 1.06, 95% confidence interval (CI) 1.03, 1.09), had more OM episodes in the first 7 years of life (incidence rate ratio 1.04, 95% CI 1.01, 1.07), and were more likely to be above the 95th percentile for OM episodes than children born vaginally (odds ratio 1.10, 95% CI 0.99, 1.23). Our study shows that birth by CS is weakly associated with OM in childhood, but the clinical and public health impact of these findings is small.


Subject(s)
Cesarean Section/adverse effects , Cesarean Section/statistics & numerical data , Otitis Media/epidemiology , Otitis Media/etiology , Adult , Child , Child, Preschool , Delivery, Obstetric/statistics & numerical data , Female , Humans , Incidence , Infant , Logistic Models , Male , Maternal Age , Nova Scotia/epidemiology , Odds Ratio , Retrospective Studies
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