Journal Article

Disparities in Prenatal Care Utilization Among U.S. Versus Foreign-Born Women with Chronic Conditions

Wingate, Martha, Epstein, Anne E., Smith, Whitney, Burrows, Stevie, Goldfarb, Samantha S.

2017

Overview

We examined disparities in prenatal care utilization (PNCU) among U.S. and foreign-born women with chronic conditions. We performed a cross-sectional analyses using data from 2011 to 2012 National Center for Health Statistics Natality Files (n = 6,644,577) to examine the association between maternal nativity (U.S. vs. foreignborn), presence of a chronic condition (diabetes or hypertensive disorder) and PNCU. After adjustment for selected maternal characteristics, overall and among those with chronic conditions, foreign-born women reported significantly lower odds of intensive and adequate PNCU and higher odds of intermediate and inadequate PNCU than U.S.-born women. Few differences in report of no care were found by maternal nativity. These findings suggest that foreign-born women may be receiving some form of prenatal care, but adequacy of care is likely to be lower compared to U.S.-born counterparts, even among those with chronic conditions.

• Publisher: Springer Science + Business Media,Springer US,Springer Nature B.V
• Subject: Adequacy / Adjustment disorder / Adolescent / Adult / Attrition (Research Studies) / Behavioral Sciences / Birth Rate / Chronic conditions / Chronic Disease / Chronic Illness / Chronic illnesses / College Credits / College Science / Comparative Law / Cross-Sectional Studies / Data processing / Departments / Diabetes / Diabetes mellitus / Emigrants and Immigrants - statistics & numerical data / Female / Females / Health disparities / Health Services / Healthcare Disparities / Humans / Hypertension / Hypertension - ethnology / International & Foreign Law / Marital Status / Maternal characteristics / Medicine / Medicine & Public Health / Mothers / Natality / ORIGINAL PAPER / Outcomes of Treatment / Parity / Pregnancy / Pregnancy Complications, Cardiovascular - ethnology / Pregnancy in Diabetics - ethnology / Premature Infants / Prenatal Care / Prenatal Care - utilization / Private International Law / Public Health / Risk Factors / School Policy / Socioeconomic Factors / Sociology / Statistics / United States / Women / Young Adult