Prenatal care utilization among non-Hispanic Whites, African Americans, and Mexican Americans.
Prenatal care utilization among non-Hispanic Whites, African Americans, and Mexican Americans.
复制标题
DOI：
10.1023/a:1011393717603
复制
发表时间：
2001-03-01
影响因子：
2.3
通讯作者：
Hummer, R A
中科院分区：
文献类型：
--
作者：
Frisbie, W P;Echevarria, S;Hummer, R A
目的：本研究的总体目的是解释在非西班牙裔白人（盎格鲁）、非洲裔美国人和墨西哥裔美国妇女的全国代表性样本中产前护理（PNC）使用的差异。方法：以全国母婴健康调查为基础进行分析。采用多变量、多项逻辑回归模型来调整人口统计学、社会经济、医疗风险和项目参与因素，以及感知障碍。对种族/民族特定模型和以种族/民族作为协变量的模型进行了估计。结果：与非裔美国人和墨西哥裔美国人（分别为22.1%和25.0%）相比，盎格鲁人（10.4%）使用PNC不足的情况要少得多。在完全调整的模型中，非裔美国人接受不足PNC的优势比（OR）为1.46，而墨西哥裔美国人的风险更大（OR = 1.93）。对PNC准入障碍的感知使获得不充分护理的几率增加了一倍，但这种社会心理变量对种族/民族差异影响不大。种族/民族特定模型揭示了与感知障碍、婚姻状况和项目参与相关的潜在重要种族/民族差异。结论：虽然相同的危险因素有时在不同种族/民族群体中有不同的影响，虽然某些研究结果表明健康外展工作和项目参与的有益影响，但我们的研究结果支持PNC利用继续沿着种族/民族分层的结论。
OBJECTIVES: The general objective of this study is to explain differentials in prenatal care (PNC) utilization in a nationally representative sample of non-Hispanic White (Anglo), African American, and Mexican American women.METHOD: The analysis is based on the National Maternal and Infant Health Survey. Multivariate, multinomial logistic regression models were employed to adjust for demographic, socioeconomic, medical risk, and program participation factors, as well as for perceived barriers. Both race/ethnic-specific models and models with race/ethnicity as a covariate were estimated.RESULTS: Inadequate PNC use was much less common among Anglos (10.4%) as compared to African Americans and Mexican Americans (22.1% and 25.0%, respectively). In fully adjusted models, the odds ratio (OR) of African Americans receiving inadequate PNC was 1.46, while the risk for Mexican Americans was greater (OR = 1.93). Perception of obstacles to PNC access doubled the odds of receiving inadequate care, but this psychosocial variable had little impact on race/ethnic differentials. Race/ethnic-specific models uncovered potentially important racial/ethnic variations associated with perception of barriers, marital status, and program participation.CONCLUSIONS: Although the same risk factors sometimes have different effects across race/ethnic groups, and while certain findings indicate a beneficial impact of health outreach efforts and program participation, our findings support the conclusion that PNC utilization continues to be stratified along race/ethnic lines.