Factors associated with lack of adherence to antenatal care in African immigrant women and Spanish women in northern Spain: The role of social risk factors in combination with language proficiency

Santibáñez, Miguel; Paz-Zulueta, María; Ruiz, María de los Ángeles Martínez; Castro, Irene; Llorca, Javier

doi:10.1016/j.midw.2014.05.012

Cited by 8 publications

(10 citation statements)

References 37 publications

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“…This growth could explain the lack of the provision of and wish for counseling about the CT and the FAS among non-Western women in this study. Several studies show that language barriers are a threat to the effective provision and actual use of health services, which is in line with the positive association between the demand for counseling for the CT and the FAS and Dutch language proficiency found in this study (Thomas et al 2010 ; Nkulu Kalengayi 2012 ; Schouten and Meeuwesen 2006 ; Santibañez et al 2015 ). Immigrant women’s underutilization of midwifery services may be linked to the delay in the first antenatal visit (Otero-Garcia et al 2013 ).…”

Section: Discussionsupporting

confidence: 87%

Ethnicity and Language Proficiency Differences in the Provision of and Intention to Use Prenatal Screening for Down’s Syndrome and Congenital Anomalies. A Prospective, Non-selected, Register-Based Study in the Netherlands

Peters

Heetkamp

Ursem

et al. 2017

Matern Child Health J

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Objective We aimed to conduct an analysis of the associations between the information provision procedure of prenatal screening for Down’s syndrome and congenital anomalies and the intention to participate in prenatal screening (PS) of ethnicity groups and Dutch language proficiency groups. Design Using a prospective web-based registration form, we asked counselors (midwives, general practitioners, nurses and gynecologists) to report whether and how they offered information about PS to pregnant women. Duration The study was conducted from 2008 to 2010. Participants We collected data on the characteristics of the women who received an information offer about PS from counselors. Measurements Measures included socio-demographic and language proficiency level (LPL) characteristics, key elements of the provision procedure of PS, and intentional participation in PS. Findings The dataset represents 37% of the total population in the study area. Women with a non-native Dutch background and/or insufficient Dutch LPL received fewer information offers about PS, faced a reduced chance of receiving counseling, and showed lower intentional participation rates for PS. Key Conclusions Women with a non-native Dutch background and/or with an insufficient LPL are underserved in the Dutch PS program. These findings present evidence indicating that the fundamental principle of the Dutch Population Screening Act, namely, equal access to PS for all pregnant women, is not being realized. Implications for Practice Therefore, the study findings are important for national and international healthcare, policy makers and governmental professionals to allow ethnic and LPL-related differences in the provision and intentional uptake of PS.Electronic supplementary materialThe online version of this article (doi:10.1007/s10995-017-2364-2) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 87%

Ethnicity and Language Proficiency Differences in the Provision of and Intention to Use Prenatal Screening for Down’s Syndrome and Congenital Anomalies. A Prospective, Non-selected, Register-Based Study in the Netherlands

Peters

Heetkamp

Ursem

et al. 2017

Matern Child Health J

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“…Despite wide variations in the definitions of migrants, structures of health care systems, indicators of PNC use, and measures of association used, our findings are, in general, aligned with the latest systematic review on PNC utilization among migrants and with recent Canadian and European studies that reported higher odds for migrant women of having inadequate PNC than receiving‐country women in western industrialized countries 6,22‐26 …”

Section: Discussionsupporting

confidence: 82%

Host‐country language proficiency and migrant‐native disparities in prenatal care utilization: A nationwide study in Portugal

Hamwi

Lorthe

Barros

2022

Birth

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Background: Migrant-native disparities in perinatal health and care utilization are well-established, yet most evidence comes from countries without universal health coverage. Migrant-specific factors potentially contributing to such disparities are seldom examined. We investigated the association between migration and host-country language proficiency and inadequate utilization of prenatal care (PNC) in Portugal. Methods:We used robust Poisson regression to analyze data from 1419 migrant and 2477 native women enrolled in the Portuguese Bambino cohort study who had given birth at a Portuguese public hospital between 2017 and 2019. Migrant women's language proficiency was self-rated for understanding, speaking, reading, and writing skills. PNC utilization inadequacy was assessed using three dimensions: initiation, number of visits, and the modified Adequacy of Prenatal Care Utilization (mAPNCU) Index score. Results: Migrant women were overall more likely to initiate PNC late and have inadequate/intermediate mAPNCU scores than natives. Migrant-native disparities in the number of PNC visits were only observed among recent migrants (≤5 years in Portugal). Full, intermediate, and limited Portuguese skills were associated with increasingly higher risks of late PNC initiation (aRR 1.34 [95%CI 1.20-1.50]); (aRR 1.52 [95%CI 1.28-1.80]); (aRR 1.91 [95%CI 1.52-2.40]), inadequate number of PNC visits (aRR 1.

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“…Like most Western countries, Sweden as a country has an influx of refugees from the global conflict regions thus changing the ill-health patterns in the population and brings up a need for new clinical practices [12, 13]. Non-adherence to medication and advice can be due to lack of cultural competence from a care-giver perspective leading to that clinical needs are missed [14] such as the deficient levels of vitamin D (25-OHD) in pregnant non-Western women living in Europe [15–17], in adolescent girls in England [18], and in post-partum mothers [15].…”

Section: Discussionmentioning

confidence: 99%

Long-term adherence and effects on grip strength and upper leg performance of prescribed supplemental vitamin D in pregnant and recently pregnant women of Somali and Swedish birth with 25-hydroxyvitamin D deficiency: a before-and-after treatment study

Kalliokoski

Rodhe

Bergqvist

et al. 2016

BMC Pregnancy Childbirth

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BackgroundMuscular weakness and severe vitamin D deficiency is prevalent in Somali (veiled) pregnant women, Sweden. The study aims here were to explore adherence to prescribed supplemental vitamin D in new mothers with vitamin D deficiency and its effects on grip strength and upper leg performance in Somali (target group TG) and Swedish women (reference group RG) from spring through winter.MethodsA before- and after study was designed. A cross-sectional sample of women in antenatal care with serum 25-OHD ≤50 nmol/L were prescribed one or two tablets daily (800 or 1600 IU vitamin D3 with calcium) for 10 months. Reminders were made by Somali nurses (TG) or Swedish doctors (RG). Baseline and 10 month measurements of plasma nmol/L 25-OHD, maximal grip strength held for 10 s (Newton, N) and ability to squat (yes;no) were done. Total tablet intake (n) was calculated. Outcome variables were changes from baseline in grip strength and ability to squat. Predicting variables for change in grip strength and ability to squat were calculated using linear and binary regression in final models. Undetectable 25-OHD values (<10 nmol/L) were replaced with ‘9’ in statistic calculations.ResultsSeventy-one women (46 TG, 1/3 with undetectable baseline 25-OHD; 25 RG) participated. At the 10-month follow up, 17% TG and 8% RG women reported having refrained from supplement. Mean 25-OHD increased 16 to 49 nmol/L (TG) and 39 nmol/L to 67 nmol/L (RG), (both p < 0.001). Grip strength had improved from 153 to 188 N (TG) (p < 0.001) and from 257 to 297 N (RG) (p = 0.003) and inability to squat had decreased in TG (35 to 9, p < 0.001). Intake of number of tablets predicted increased grip strength (B 0.067, 95%CI 0.008–0.127, p = 0.027). One tablet daily (>300 in total) predicted improved ability to squat (OR 16; 95% CI 1.8–144.6).ConclusionsAdherence to supplemental vitamin D and calcium should be encouraged as an even moderate intake was associated to improved grip strength and upper leg performance, which was particularly useful for the women with severe 25-OHD deficiency and poor physical performance at baseline.Trial registrationClinicalTrials.gov Identifier: NCT02922803. Date of registration: September 28, 2016.

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Factors associated with lack of adherence to antenatal care in African immigrant women and Spanish women in northern Spain: The role of social risk factors in combination with language proficiency

Cited by 8 publications

References 37 publications

Ethnicity and Language Proficiency Differences in the Provision of and Intention to Use Prenatal Screening for Down’s Syndrome and Congenital Anomalies. A Prospective, Non-selected, Register-Based Study in the Netherlands

Ethnicity and Language Proficiency Differences in the Provision of and Intention to Use Prenatal Screening for Down’s Syndrome and Congenital Anomalies. A Prospective, Non-selected, Register-Based Study in the Netherlands

Host‐country language proficiency and migrant‐native disparities in prenatal care utilization: A nationwide study in Portugal

Long-term adherence and effects on grip strength and upper leg performance of prescribed supplemental vitamin D in pregnant and recently pregnant women of Somali and Swedish birth with 25-hydroxyvitamin D deficiency: a before-and-after treatment study

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