The 2016 Presidential Election and Prenatal Care Utilization Among Foreign-born Hispanic Pregnant People
The 2016 Presidential Election and Prenatal Care Utilization Among Foreign-born Hispanic Pregnant People
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2016 年总统选举和外国出生的西班牙裔孕妇的产前护理利用情况
DOI：
10.1097/mlr.0000000000001753
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发表时间：
2022
期刊：
影响因子：
3
通讯作者：
A. Gemmill
中科院分区：
文献类型：
--
作者：
A. Young;R. Catalano;A. Gemmill
背景：很少有研究评估移民孕妇充分和及时的产前护理与近期政治气候（包括 2016 年选举和相关运动）之间的关系。目标：我们研究 2016 年总统选举是否与美国外国出生的西班牙裔孕妇产前护理利用率的变化有关。研究设计：中断时间序列。受试者：2008 年至 2017 年期间居住在 2008 年 1 月之前全面实施 2003 年版出生证明的 23 个州的所有在外国出生的西班牙裔和美国出生的非西班牙裔白人，其中出生的单胎婴儿（n=12,397,503）。措施：我们研究了总统选举与西班牙裔移民孕妇中产前护理不足或延迟/无产前护理的几率变化之间的关系，以及选举前产前护理利用率的趋势。结果：我们的结果显示，在妊娠晚期之前接受选举的 7 个每月受孕队列中，在接受不充分的产前护理以及延迟/未进行产前护理方面没有出现意外的变化。然而，我们发现，2015 年 6 月和 2016 年 1 月，外国出生的西班牙裔孕妇中护理不足和延迟/不进行产前护理的几率分别有所增加。这些向上水平的变化在我们时间序列的剩余时间中持续存在，直到 2016 年 12 月左右受孕的队列结束。结论：我们观察到的产前护理利用率的恶化变化可能是移民妇女及其家庭结局恶化的风向标。因此，迫切需要开展研究来调查这些相关趋势的决定因素和后果。
Background: Few studies have evaluated the relationship between adequate and timely prenatal care among immigrant pregnant people and the recent political climate, including the 2016 election and associated campaigns. Objectives: We examine whether the 2016 presidential election was associated with changes in prenatal care utilization among US foreign-born Hispanic pregnant people. Research Design: Interrupted time series. Subjects: All foreign-born Hispanic and US-born non-Hispanic White people delivering singleton infants from 2008 to 2017 who resided in the 23 states that fully implemented the 2003 version of the birth certificate before January 2008 (n=12,397,503). Measures: We examine the relationship between the presidential election and changes in the odds of inadequate or late/no prenatal care among immigrant Hispanic pregnant people, as well as trends in prenatal care utilization before the election. Results: Our results show no unexpected changes in receipt of inadequate prenatal care, and late/no prenatal care, among the 7 monthly conception cohorts exposed to the election before the third trimester. However, we detected increases in the odds of both inadequate care and late/no prenatal care among foreign-born Hispanic pregnant people in June 2015 and January 2016, respectively. These upward level shifts persisted through the remainder of our time series ending with the cohort conceived around December 2016. Conclusions: The worsening shifts in prenatal care utilization we observe may serve as a bellwether for worsening outcomes among immigrant women and their families. Research is therefore urgently needed to investigate the determinants and consequences of these concerning trends.
移民执法和混合身份家庭：驱逐出境风险对医疗补助使用的影响。
影响因子：
3.3
作者：
Vargas,EdwardD
通讯作者：
Vargas,EdwardD