title: [Ethnic disparities in the use of reproductive health services by indigenous and African-descendant Colombian women].
abstract: The aim of this study in Colombia was to analyze the use of reproductive health services (prenatal care, childbirth, and postpartum) according to women's ethnicity, based on the National Demographic and Health Survey for 2010. Ethnicity was self-reported (indigenous, African-descendant, or neither), and logistic models were performed for each service. The use of reproductive health services was lower among indigenous and African-descendant Colombian women when compared to those that did not declare their ethnicity. According to the regression models, indigenous women showed lower odds of having an adequate number of prenatal visits (OR = 0.61), and the same was true for African-descendant women. The same situation prevailed for institutional childbirth care: indigenous women (OR = 0.33) and African-descendant women (OR = 0.60); and postpartum follow-up: indigenous (OR = 0.80), African-descendant (OR = 0.80). In conclusion, there are inequities in the use of reproductive health services by women belonging to ethnic groups in Colombia, who should be targeted with government strategies to guarantee their right to health.
authors.affiliation: Universidad de Antioquia, Medellín, Colombia.
authors.forename: Camilo
authors.initials: C
authors.lastname: Noreña-Herrera
authors.affiliation: Instituto Nacional de Salud Pública, Cuernavaca, México.
authors.forename: René
authors.initials: R
authors.lastname: Leyva-Flores
authors.affiliation: Instituto Nacional de Salud Pública, Cuernavaca, México.
authors.forename: Lina Sofía
authors.initials: LS
authors.lastname: Palacio-Mejía
authors.affiliation: Instituto Nacional de Salud Pública, Cuernavaca, México.
authors.forename: María Beatriz
authors.initials: MB
authors.lastname: Duarte-Gómez
mesh_terms: D000293:Adolescent; D000328:Adult; D044383:Black People; D003105:Colombia / Q000208:ethnology; D005260:Female; D006303:Health Services, Indigenous; D054625:Healthcare Disparities / Q000208:ethnology*; D006801:Humans; D007199:Indians, South American; D008875:Middle Aged; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D034121:Reproductive Health Services / Q000706:statistics & numerical data*; D012959:Socioeconomic Factors; D014932:Women's Health Services; D055815:Young Adult