Racial and ethnic disparities in the discordance between women's assessment of the timing of their prenatal care entry and the first trimester standard.

Publisher: Kluwer Academic/Plenum Publishers Country of Publication: United States NLM ID: 9715672 Publication Model: Print Cited Medium: Print ISSN: 1092-7875 (Print) Linking ISSN: 10927875 NLM ISO Abbreviation: Matern Child Health J Subsets: MEDLINE

Publication: 1999- : New York, NY : Kluwer Academic/Plenum Publishers
Original Publication: New York : Plenum Press, c1997-

Socioeconomic Factors*; Ethnicity/*psychology ; Patient Acceptance of Health Care/*psychology ; Pregnancy Trimester, First/*psychology ; Prenatal Care/*standards ; Public Health Practice/*standards; Adolescent ; Adult ; California ; Female ; Humans ; Pregnancy ; Pregnancy Outcome ; Risk ; Time Factors

Objective: The purpose of this study was to investigate whether the discordance between women's assessment of the adequacy of the timing of their prenatal care entry and the standard of first trimester initiation was associated with maternal race or ethnicity.
Methods: A population-based surveillance system, the California Pregnancy Risk Assessment Monitoring System, provided data on a stratified random sample of 4,987 women. The women delivered live-born infants from 1994-95 in three perinatal regions. Respondents completed an in-hospital, self-administered questionnaire. Weighted data were analyzed with multiple logistic regression.
Results: Twenty-two percent of the women in the sample initiated prenatal care after the first trimester of pregnancy (n = 1,097). Among the women with untimely care, 57% (n = 591) were satisfied with the time of care initiation. Discordance between the women's perception of the adequacy of the time of care initiation and the public health standard of first trimester initiation was associated with maternal ethnicity. After controlling for potential confounders, Mexican-born women with untimely care were more likely to report being satisfied with the time of initiation than were white non-Latina women with untimely care (OR = 4.03, CI = 2.46, 6.59).
Conclusions: The design of public health interventions to increase the timeliness of prenatal care initiation will require a greater understanding of pregnant women's own perceptions of their needs for prenatal care, and the differences in perceptions across ethnic groups.

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Date Created: 20011019 Date Completed: 20020124 Latest Revision: 20211203

20231215

10.1023/a:1011348018061

11605723