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Impact of Destination Country Integration Policies on Birthweight of Migrant Women's Babies

This study examines the association between newborn birthweight, mother's region of origin, and destination country integration policies, using data from 10 destination countries. The study analyzes policy indicators within 8 areas to measure integration policies and explores the influence of these policies on birthweight. Results show that integration policy is associated with infant birthweight among some migrant groups, with the Migrant Integration Policy Index explaining 44-55% of the variation, depending on maternal region of origin. This study highlights the importance of integration policies in promoting positive birth outcomes for migrant women.

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Impact of Destination Country Integration Policies on Birthweight of Migrant Women's Babies

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  1. Birthweightofbabiesof migrant women - whatroledoesdestination country play? Ingvil KrarupSørbye MD PhD for the Reproductive Outcomes and Migration (ROAM) Collaboration Consultant OBGYN Oslo University Hospital, Norway MERH Edinburgh May 18th 2018

  2. Background Mother’s region of origin Living conditions Parity Age Diabetes Obesity Pregnancy complications Newborn birthweight at term Smoking Planned caesarean Drugs MERH Edinburgh May 18th 2018

  3. Aim Explore association between newborn birthweight,mother’s region of origin and destination country integration policies Infantbirthweight (BW) at term Maternal region oforigin Destination country integrationpolicies MERH Edinburgh May 18th 2018

  4. Material and methods 8 policy areas: Labour market mobility Education Political participation Access to nationality Family reunion Health Permanent residence Anti-discrimination • Migrant Integration Policy Index (MIPEX score) • Measures policies to integrate migrants • >150 policy indicators within 8 areas www.mipex.eu MERH Edinburgh May 18th 2018

  5. Eastern Europe Rest of Europe North Africa/Middleeast SubsaharanAfrica Southern Asia Rest of Asia Latin America/Caribbean North America/Oceania Destination country National/regional registry data from 10 destinationcountries Material and methods SWEDEN NORWAY FINLAND SCOTLAND CANADA DENMARK BELGIUM SPAIN JAPAN AUSTRALIA MERH Edinburgh May 18th 2018

  6. SWEDEN NORWAY FINLAND SCOTLAND CANADA DENMARK • Singleton births • Gestation 37-41 weeks • 1998-2014 BELGIUM SPAIN JAPAN • BW with standard deviationreported in categories by maternal region oforigin, age, parity, yearofbirth • Regressionanalysis for aggregatecontinuous data AUSTRALIA MERH Edinburgh May 18th 2018

  7. Results: Number of births per destination country Total: 31 407 288 births MERH Edinburgh May 18th 2018

  8. Results: Proportion births to migrants MERH Edinburgh May 18th 2018

  9. Results: Proportion births by maternal migrant origin MERH Edinburgh May 18th 2018

  10. Results MIPEX 2010 MIPEX score <67 MIPEX score >67 MERH Edinburgh May 18th 2018

  11. Mothers born in Rest of Asia

  12. Mothers born in Latin America/ Caribbean

  13. Mothers born in North Africa/ Middle East

  14. Mothers born in Subsaharan Africa

  15. Mothers born in North America/ Oceania

  16. Mothers born in destination country

  17. Conclusions • Integration policy associated to infant birthweight among some migrant groups • MIPEX explains 44-5% of variation, depending on maternal region of origin • BW in migrants associated to BW in the majority population MERH Edinburgh May 18th 2018

  18. Partners from the ROAM Collaboration AUSTRALIA: Rhonda Small, La TrobeUniversity, VictoriaBELGIUM: Judith Racape, FreeUniversityof Brussels CANADA: Marcelo Urquia, Universityof Manitoba, Winnipeg DENMARK: AM Nybo-Andersen, Universityof Copenhagen FINLAND: Mika Gissler, Public Health Institute JAPAN: NahoMorisaki, Nat. Center Child Health & Development NORWAY Siri Vangen, Oslo University Hospital SCOTLAND: Rachael Wood, NHS ScotlandSPAIN: Fransisco Bolumar and A. Castello, UniversityofAlcaláSWEDEN: Sol Juarez, CHESS, Universityof Stockholm

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