title: Disparities in Prenatal Care Utilization Among U.S. Versus Foreign-Born Women with Chronic Conditions.
abstract: We examined disparities in prenatal care utilization (PNCU) among U.S. and foreign-born women with chronic conditions. We performed a cross-sectional analyses using data from 2011 to 2012 National Center for Health Statistics Natality Files (n = 6,644,577) to examine the association between maternal nativity (U.S. vs. foreign-born), presence of a chronic condition (diabetes or hypertensive disorder) and PNCU. After adjustment for selected maternal characteristics, overall and among those with chronic conditions, foreign-born women reported significantly lower odds of intensive and adequate PNCU and higher odds of intermediate and inadequate PNCU than U.S.-born women. Few differences in report of no care were found by maternal nativity. These findings suggest that foreign-born women may be receiving some form of prenatal care, but adequacy of care is likely to be lower compared to U.S.-born counterparts, even among those with chronic conditions.
authors.affiliation: Department of Behavioral Sciences and Social Medicine, College of Medicine, Florida State University, 1115 W. Call Street, Tallahassee, FL, 32306-4300, USA. samantha.goldfarb@med.fsu.edu.
authors.forename: Samantha S
authors.initials: SS
authors.lastname: Goldfarb
authors.affiliation: Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Whitney
authors.initials: W
authors.lastname: Smith
authors.affiliation: Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Anne E
authors.initials: AE
authors.lastname: Epstein
authors.affiliation: Carbone Cancer Center, University of Wisconsin, Madison, WI, USA.
authors.forename: Stevie
authors.initials: S
authors.lastname: Burrows
authors.affiliation: Maternal and Child Health Policy and Leadership Program, Department of Health Care Organization and Policy, School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA.
authors.forename: Martha
authors.initials: M
authors.lastname: Wingate
mesh_terms: D000293:Adolescent; D000328:Adult; D002908:Chronic Disease; D003430:Cross-Sectional Studies; D054242:Emigrants and Immigrants / Q000706:statistics & numerical data*; D005260:Female; D054625:Healthcare Disparities; D006801:Humans; D006973:Hypertension / Q000208:ethnology*; D010298:Parity; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000208:ethnology*; D011254:Pregnancy in Diabetics / Q000208:ethnology*; D011295:Prenatal Care / Q000706:statistics & numerical data*; D012307:Risk Factors; D012959:Socioeconomic Factors; D014481:United States; D055815:Young Adult
keywords: Maternal chronic conditions; Maternal health; Maternal nativity; Prenatal care utilization