title: Stillbirth in an Anglophone minority of Canada.
abstract: OBJECTIVE
  We assessed trends in stillbirth over time for Francophones and Anglophones of Quebec, a large Canadian province with publically funded health care and an English-speaking minority.
  
  
  METHODS
  We calculated stillbirth rates for Francophones and Anglophones, and estimated hazard ratios (HR) by decade from 1981 to 2010, adjusting for maternal characteristics. We analyzed temporal trends by gestational interval and cause of fetal death.
  
  
  RESULTS
  Stillbirth rates decreased in Quebec during the three decades, due to improved rates in Francophones. Rates decreased for Anglophones in 1991-2000, but increased in 2001-2010 at term, during the second trimester, and for most causes of fetal death. In the 2000s, the hazard of stillbirth for Anglophones was nearly the same as the hazard for Francophones in the 1980s (HR 0.93, 95 % confidence interval 0.82, 1.05).
  
  
  CONCLUSIONS
  Stillbirth rates declined in both Francophones and Anglophones before the turn of the century, but increased thereafter for Anglophones, suggesting that linguistic inequalities in stillbirth may be emerging in Quebec. Linguistic status may be a useful marker for surveillance of inequalities in stillbirth.
authors.affiliation: Institut national de santé publique du Québec, 190, boul. Crémazie Est, Montreal, QC, H2P 1E2, Canada, nathalie.auger@inspq.qc.ca.
authors.forename: Nathalie
authors.initials: N
authors.lastname: Auger
authors.forename: Mark
authors.initials: M
authors.lastname: Daniel
authors.forename: Laust
authors.initials: L
authors.lastname: Mortensen
authors.forename: Clarisse
authors.initials: C
authors.lastname: Toa-Lou
authors.forename: André
authors.initials: A
authors.lastname: Costopoulos
mesh_terms: D000328:Adult; D005260:Female; D005313:Fetal Death; D005865:Gestational Age; D006801:Humans; D007802:Language; D008913:Minority Groups; D011247:Pregnancy; D011792:Quebec / Q000453:epidemiology; D012959:Socioeconomic Factors; D050497:Stillbirth / Q000208:ethnology*