Utilization of Maternal Health Care Among Immigrant Mothers in New York City, 2016-2018.
Utilization of Maternal Health Care Among Immigrant Mothers in New York City, 2016-2018.
复制标题
2016-2018 年纽约市移民母亲对孕产妇保健的利用情况。
DOI：
10.1007/s11524-021-00584-5
复制
发表时间：
2021-12
期刊：
影响因子：
--
通讯作者：
Reynolds S
中科院分区：
文献类型：
--
作者：
Maru S;Glenn L;Belfon K;Birnie L;Brahmbhatt D;Hadler M;Janevic T;Reynolds S
移民妇女占纽约市 (NYC) 出生人口的一半，一些移民群体孕产妇健康状况不佳的风险较高。整个孕产保健范围内医疗保健利用的差异可能会导致孕产妇健康结果的差异。文献中关于移民孕产妇健康利用的数据尚未得到充分探讨。我们使用 2016-2018 年与出生证明变量相关的数据，对基于人口的纽约市妊娠风险评估监测系统调查进行了横断面分析，以探索自我报告的孕前、产前和产后保健的利用情况以及潜在的解释途径。我们按母亲出生情况对结果进行分层，对于移民来说，按在美国居住的年数对结果进行分层。原产地地理区域；和原籍国收入分组。在移民女性中，43% 的人在怀孕前一年没有去看医疗保健提供者，而美国出生的女性为 27%（风险差异 [RD] = 0.16，95% CI [0.13, 0.20]），64% 的人在怀孕期间没有洗牙，而美国出生的女性为 49%（RD = 0.15，95% CI [0.11, 0.11]）。 0.18]），11% 的产后失去健康保险，而美国出生的女性这一比例为 1%（RD = 0.10，95% CI [0.08，0.11]）。最大的差异是最近抵达美国的人和来自中美洲、南美洲、南亚和撒哈拉以南非洲国家的移民。使用差异的部分原因是保险类型、父亲出生、母亲教育程度以及种族和民族。通过与移民社区的社区组织合作制定提高利用率的策略，以及扩大怀孕前后的医疗保健服务和公共健康保险覆盖范围，可以减少差异。在线版本包含可在 10.1007/s11524-021-00584-5 获取的补充材料。
Immigrant women represent half of New York City (NYC) births, and some immigrant groups have elevated risk for poor maternal health outcomes. Disparities in health care utilization across the maternity care spectrum may contribute to differential maternal health outcomes. Data on immigrant maternal health utilization are under-explored in the literature. We conducted a cross-sectional analysis of the population-based NYC Pregnancy Risk Assessment Monitoring System survey, using 2016–2018 data linked to birth certificate variables, to explore self-reported utilization of preconception, prenatal, and postpartum health care and potential explanatory pathways. We stratified results by maternal nativity and, for immigrants, by years living in the US; geographic region of origin; and country of origin income grouping. Among immigrant women, 43% did not visit a health care provider in the year before pregnancy, compared to 27% of US-born women (risk difference [RD] = 0.16, 95% CI [0.13, 0.20]), 64% had no dental cleaning during pregnancy compared to 49% of US-born women (RD = 0.15, 95% CI [0.11, 0.18]), and 11% lost health insurance postpartum compared to 1% of US-born women (RD = 0.10, 95% CI [0.08, 0.11]). The largest disparities were among recent arrivals to the US and immigrants from countries in Central America, South America, South Asia, and sub-Saharan Africa. Utilization differences were partially explained by insurance type, paternal nativity, maternal education, and race and ethnicity. Disparities may be reduced by collaborating with community-based organizations in immigrant communities on strategies to improve utilization and by expanding health care access and eligibility for public health insurance coverage before and after pregnancy. The online version contains supplementary material available at 10.1007/s11524-021-00584-5.
登录
查看更多内容
影响因子：
3.3
作者：
Li Y;Luo Z;Holzman C;Liu H;Margerison CE
通讯作者：
Margerison CE
影响因子：
3.1
作者：
Blakeney, Erin L.;Herting, Jerald R.;Zierler, Brenda K.
通讯作者：
Zierler, Brenda K.
无证件移民的卫生保健障碍：文献综述。
影响因子：
3.5
作者：
Hacker K;Anies M;Folb BL;Zallman L
通讯作者：
Zallman L
影响因子：
1.5
作者：
Howell EA
通讯作者：
Howell EA
影响因子：
12.7
作者：
Carrasquillo, O;Carrasquillo, AI;Shea, S
通讯作者：
Shea, S