Fabienne El-Khoury Lesueur1, Anne-Laure Sutter-Dallay2,3, Lidia Panico4, Elie Azria5,6, Judith Van der Waerden7, Nolwenn Regnault Vauvillier8, Marie-Aline Charles9, Maria Melchior7. 1. Department of Social Epidemiology, Institut Pierre Louis d'Epidémiologie et de Santé Publique IPLESP, INSERM, Sorbonne Université, Paris, France. fabienne.khoury@inserm.fr. 2. University of Bordeaux, 33000, Bordeaux, France. 3. Team Pharmacoepidemiology, Bordeaux Population Health Research Center, University of Bordeaux, Inserm, UMR 1219, 33000, Bordeaux, France. 4. French Institute for Demographic Studies (INED), Paris, France. 5. Obstetrical, Perinatal and Pediatric Epidemiology Team (EPOPé), Epidemiology and Biostatistics Sorbonne Paris Cité Center, INSERM, UMR 1153, DHU Risk in Pregnancy, Paris, France. 6. Department of Obstetrics, Groupe Hospitalier Paris Saint Joseph, Paris Descartes University, Paris, France. 7. Department of Social Epidemiology, Institut Pierre Louis d'Epidémiologie et de Santé Publique IPLESP, INSERM, Sorbonne Université, Paris, France. 8. Department of Non-communicable Diseases and Trauma, Santé Publique France, Saint-Maurice, France. 9. Early ORigin of the Child's Health and Development Team (ORCHAD), Epidemiology and Biostatistics Sorbonne Paris Cité Center (CRESS), INSERM, UMR1153, Paris Descartes University, France, 75014, Paris, France.
Abstract
OBJECTIVES: Despite the healthy migrant effect, immigrants and descendants of immigrants face health challenges and socio-economic difficulties. The objective of this study is to examine the perinatal health of women of migrant origin. METHODS: The nationwide French ELFE (Etude Longitudinale Française Depuis l'Enfance) birth cohort study recruited approximately 18,000 women. We studied pre-pregnancy BMI, gestational diabetes mellitus (GDM), as well as tobacco, and alcohol consumption during pregnancy according to migrant status and region of origin. RESULTS: Women from North Africa and Turkey had a higher risk of pre-pregnancy overweight and GDM, while women from Eastern Europe and Asia had a lower risk of pre-pregnancy overweight and obesity, but a higher risk of GDM compared to non-immigrants. Women from Sub-Saharan Africa had a higher risk of being overweight or obese pre-pregnancy. Compared to non-immigrants, immigrants-but not descendants of immigrants-had lower levels of tobacco smoking, while descendants of immigrants were less likely to drink alcohol during pregnancy. CONCLUSIONS: Pregnant women of migrant origin have particular health needs and should benefit from a medical follow-up which addresses those needs.
OBJECTIVES: Despite the healthy migrant effect, immigrants and descendants of immigrants face health challenges and socio-economic difficulties. The objective of this study is to examine the perinatal health of women of migrant origin. METHODS: The nationwide French ELFE (Etude Longitudinale Française Depuis l'Enfance) birth cohort study recruited approximately 18,000 women. We studied pre-pregnancy BMI, gestational diabetes mellitus (GDM), as well as tobacco, and alcohol consumption during pregnancy according to migrant status and region of origin. RESULTS:Women from North Africa and Turkey had a higher risk of pre-pregnancy overweight and GDM, while women from Eastern Europe and Asia had a lower risk of pre-pregnancy overweight and obesity, but a higher risk of GDM compared to non-immigrants. Women from Sub-Saharan Africa had a higher risk of being overweight or obese pre-pregnancy. Compared to non-immigrants, immigrants-but not descendants of immigrants-had lower levels of tobacco smoking, while descendants of immigrants were less likely to drink alcohol during pregnancy. CONCLUSIONS: Pregnant women of migrant origin have particular health needs and should benefit from a medical follow-up which addresses those needs.
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