Predictors of the timing of initiation of antenatal care in an ethnically diverse urban cohort in the UK.
Predictors of the timing of initiation of antenatal care in an ethnically diverse urban cohort in the UK.
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DOI：
10.1186/1471-2393-13-103
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发表时间：
2013-05-03
影响因子：
3.1
通讯作者：
Renton A
中科院分区：
文献类型：
--
作者：
Cresswell JA;Yu G;Hatherall B;Morris J;Jamal F;Harden A;Renton A
在英国，建议妇女在怀孕第12周之前接受产科服务并制定护理计划。本研究的目的是在东伦敦的一个不同种族的队列中确定产前保健晚开始的预测因素。对从纽汉大学医院NHS信托基金（NUHT）常规收集的电子病历数据进行横断面分析。本研究纳入了2008年1月1日至2011年1月24日期间在NUHT接受产前预约的所有妇女。主要的结局指标是产前预约，定义为妊娠12周（+6天）后参加产前预约。使用具有稳健标准误的多变量逻辑回归分析数据。在多变量模型中，产前护理晚开始与非英国（白色）种族、不会说英语和非英国母亲出生地独立相关。然而，在那些说英语和出生在英国的女性中，唯一一个延迟预订风险增加的种族群体是非洲/加勒比海女性（aOR：1.40：95% CI：1.11，1.76）相对于英国人（白色）。确定的其他预测因素包括母亲年龄小于20岁（aOR：1.32; 95%CI：1.13-1.54），高产次（aOR：2.09; 95%CI：1.77-2.46）和住在临时住所（aOR：1.71; 95%CI：1.35-2.16）。除了英语能力差或同化外，社会文化因素也可能在决定早期开始产前保健方面发挥重要作用。未来的研究应侧重于有效的干预措施，以鼓励和使这些少数群体参与孕产妇服务。
In the UK, women are recommended to engage with maternity services and establish a plan of care prior to the 12th completed week of pregnancy. The aim of this study was to identify predictors for late initiation of antenatal care within an ethnically diverse cohort in East London. Cross-sectional analysis of routinely collected electronic patient record data from Newham University Hospital NHS Trust (NUHT). All women who attended their antenatal booking appointment within NUHT between 1st January 2008 and 24th January 2011 were included in this study. The main outcome measure was late antenatal booking, defined as attendance at the antenatal booking appointment after 12 weeks (+6 days) gestation. Data were analysed using multivariable logistic regression with robust standard errors. Late initiation of antenatal care was independently associated with non-British (White) ethnicity, inability to speak English, and non-UK maternal birthplace in the multivariable model. However, among those women who both spoke English and were born in the UK, the only ethnic group at increased risk of late booking were women who identified as African/Caribbean (aOR: 1.40: 95% CI: 1.11, 1.76) relative to British (White). Other predictors identified include maternal age younger than 20 years (aOR: 1.32; 95% CI: 1.13-1.54), high parity (aOR: 2.09; 95% CI: 1.77-2.46) and living in temporary accommodation (aOR: 1.71; 95% CI: 1.35-2.16). Socio-cultural factors in addition to poor English ability or assimilation may play an important role in determining early initiation of antenatal care. Future research should focus on effective interventions to encourage and enable these minority groups to engage with the maternity services.
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影响因子：
2.7
作者：
Chote, Anushka A.;de Groot, Christianne J. M.;Foets, Marleen
通讯作者：
Foets, Marleen
DOI：
10.1111/j.1471-0528.2011.03156.x
发表时间：
2012-02-01
影响因子：
5.8
作者：
Makgoba, M.;Savvidou, M. D.;Steer, P. J.
通讯作者：
Steer, P. J.
影响因子：
5.2
作者：
Baker, E. C.;Rajasingam, D.
通讯作者：
Rajasingam, D.
DOI：
10.1111/j.1471-0528.2002.00524.x
发表时间：
2002-03-01
影响因子：
5.8
作者：
Kupek, E;Petrou, S;Maresh, M
通讯作者：
Maresh, M
影响因子：
5.4
作者：
Aspinall, PJ;Dyson, SM;Anionwu, EN
通讯作者：
Anionwu, EN