Factors predicting the initiation of prenatal care in Mexican women

Quelopana, Ana M.; Champion, Jane Dimmitt; Salazar, Bertha Cecilia

doi:10.1016/j.midw.2007.04.008

Cited by 15 publications

(8 citation statements)

References 7 publications

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“…Previous studies have shown that young maternal age [4-6], low education [2,6-9], unemployed status [10,11], immigrant status [8,12,13], pluriparous status [5,8,14] and single marital status [6,15-17] are all barriers to early initiation of prenatal care and to an appropriate number of prenatal examinations.…”

Section: Introductionmentioning

confidence: 99%

Socio-demographic determinants and access to prenatal care in Italy

Chiavarini

Lanari

Minelli

et al. 2014

BMC Health Serv Res

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BackgroundMany governments have made commitments to examine inequalities in healthcare access based on studies assessing the association between several socio-demographic factors and late initiation or fewer prenatal examinations. This study addressed the question of whether socio-demographic determinants were significant in explaining differences in prenatal care in one administrative region of Italy, Umbria.MethodsData were obtained from the administrative source of the regional Standard Certificate of Live Births between 2005 and 2010, and were merged with Census data to include a socio-economic deprivation index. Standard and multilevel logistic regression models were used to analyze the magnitude of various individual-level maternal characteristics and socio-demographic indicators, such as nationality, employment status, education with respect to late access to the first examination, and low number of medical visits.ResultsThe study involved approximately 37,000 women. The heterogeneous effects of socio-demographic variables were documented on the prenatal care indicators analyzed. A multivariate model showed that women born outside Italy had a higher probability of making their first visit later than the 12th week of pregnancy and low numbers of prenatal medical visits; the estimated odds ratio for the analyzed indicators range from 2.25 to 3.05. Inadequate prenatal healthcare use was also observed in younger and pluriparous women and those with low education; in addition, having a job improved the use of services, possibly through transmission of information of negative consequences due to delayed or few prenatal visits. Interestingly, this study found a substantial reduction in the number of pregnant women who do not use prenatal healthcare services properly.ConclusionsThe aim of this research is to provide more accurate knowledge about the inadequate use of prenatal healthcare in Italy. Results highlight the existence of differences in healthcare use during pregnancy, especially for women from less advantaged social classes (i.e., unemployed or poorly educated). Such inequalities should be examined in all areas of public policy and public services, to ensure equal opportunity for their use.

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Section: Introductionmentioning

confidence: 99%

Socio-demographic determinants and access to prenatal care in Italy

Chiavarini

Lanari

Minelli

et al. 2014

BMC Health Serv Res

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“…Social support from the partner was reported as a relevant factor for the adequate use of prenatal care and for the adoption of health related behaviors during pregnancy 17 . Furthermore, women who initiated prenatal care at an early stage were more likely to live with a partner and had more social networks 18 .…”

Section: Introductionmentioning

confidence: 99%

The relationship between social capital, social support and the adequate use of prenatal care

et al. 2011

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This study investigated the relationship between social capital and social support and the adequate use of prenatal care. A follow-up study involving 1,485 pregnant women was conducted in two cities in the Rio de Janeiro State, Brazil. Demographic and socioeconomic characteristics, social support and social capital data were collected during the first trimester of pregnancy. The post-partum period included information on levels of prenatal care utilization, social networks, parity, obstetric and gestational risk and prenatal care attendance. Hierarchized multinomial logistic regression was used in the statistical analysis. Prenatal care use above adequate levels was associated with high social capital at the city level (aggregated social capital), socioeconomic status and working during pregnancy. Lower non-aggregated contextual and compositional social capital, gestational risk and pattern of prenatal care were associated with inadequate prenatal care utilization. Contextual social capital and social support were found to be social determinants for the appropriate use of prenatal care.

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“…Despite the importance of prenatal care early on, only 13% of the women in this study began prenatal care during the first trimester, 66% began at the beginning of the second trimester, and the other 20% during the middle to end of the second trimester. Similarly, Quelopana et al [24] found that only 35% of Hispanic women began prenatal care during the first trimester; and in California only 42% of migrant women farmworkers began prenatal care during the first trimester [1].…”

Section: Discussionmentioning

confidence: 99%

Barriers to Perinatal Care among Migrant Women Farmworkers in Northern Ohio

Pilling¹,

Estes²

2016

ujph

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The purpose of this qualitative study was to examine the barriers that may inhibit migrant women farmworkers' management of perinatal care while working in Northern Ohio. Face-to-face interviews were conducted with 15 migrant women farmworkers who had experienced at least one gestational period while working in the Midwest agricultural stream. Participants were voluntarily recruited using purposeful sampling. All participants reported several occupational and access barriers that hindered them from receiving perinatal care while working in the fields. These findings may inform public health providers and migrant healthcare clinicians of the barriers migrant women farmworkers' experience while working in Northern Ohio; results can also be used to influence local and national migrant healthcare policies on developing comprehensive maternal healthcare.

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Factors predicting the initiation of prenatal care in Mexican women

Cited by 15 publications

References 7 publications

Socio-demographic determinants and access to prenatal care in Italy

Socio-demographic determinants and access to prenatal care in Italy

The relationship between social capital, social support and the adequate use of prenatal care

Barriers to Perinatal Care among Migrant Women Farmworkers in Northern Ohio

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