Prenatal care initiation among pregnant teens in the United States: An analysis over 25 years
Prenatal care initiation among pregnant teens in the United States: An analysis over 25 years
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DOI：
10.1016/j.jadohealth.2007.08.027
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发表时间：
2008-03-01
影响因子：
7.6
通讯作者：
Diaz, Vanessa
中科院分区：
文献类型：
--
作者：
Hueston, William J.;Geesey, Mark E.;Diaz, Vanessa
目的：研究1978年至2003年美国少女产前护理开始的变化。利用国家卫生统计中心1978、1983、1988、1993、1998和2003年收集的出生证明数据，我们描述了青春期前产前护理的启动情况（10-14岁），青少年（15-16岁）和年龄较大的青少年（17-19岁）的三个月，其中护理开始。虽然所有三个年龄组都显示出产前护理更早的趋势，转向更早的产前护理主要是因为更多的女孩在头三个月开始接受护理，而在第二个三个月开始接受护理的女孩较少。在研究的每一年里，年轻的青少年更有可能推迟产前护理或没有接受产前护理。较少的教育和以前的出生也与增加的可能性接受延迟care.Conclusions：在产前护理开始的时间发生在美国从1978年至2003年的转变。大部分变化与医疗补助覆盖范围的扩大相对应，这表明缺乏医疗保健覆盖是早期产前护理的一个重大障碍。(C)2008青少年医学会。All rights reserved.
Purpose: To examine changes in the initiation of prenatal care by teenage girls in the United States between 1978 and 2003.Methods: Using birth certificate data collected by the National Center for Health Statistics from 1978, 1983, 1988, 1993, 1998, and 2003 we described initiation of prenatal care in preteens (aged 10-14 years), young adolescents (aged 15-16), and older adolescents (aged 17-19) by the trimester in which care began.Results: Although all three age groups showed trends toward earlier prenatal care, shifts to earlier prenatal care were mainly the result of more girls starting care in the first trimester and fewer in the second trimester. Younger teens were more likely to delay prenatal care or to receive no prenatal care for every year studied. Less education and prior births were also associated with increased likelihood of receiving delayed care.Conclusions: Shifts in timing of prenatal care initiation occurred in the U.S from 1978 to 2003. Much of the change corresponded to expanded eligibility in Medicaid coverage, suggesting that lack of health care coverage was a significant impediment to early prenatal care. (C) 2008 Society for Adolescent Medicine. All rights reserved.