Association between maternal social deprivation and prenatal care utilization: the PreCARE cohort study

BMC Pregnancy and Childbirth
Clémentine GonthierElie Azria

Abstract

Maternal social deprivation is associated with an increased risk of adverse maternal and perinatal outcomes. Inadequate prenatal care utilization (PCU) is likely to be an important intermediate factor. The health care system in France provides essential health services to all pregnant women irrespective of their socioeconomic status. Our aim was to assess the association between maternal social deprivation and PCU. The analysis was performed in the database of the multicenter prospective PreCARE cohort study. The population source consisted in all parturient women registered for delivery in 4 university hospital maternity units, Paris, France, from October 2010 to November 2011 (N = 10,419). This analysis selected women with singleton pregnancies that ended after 22 weeks of gestation (N = 9770). The associations between maternal deprivation (four variables first considered separately and then combined as a social deprivation index: social isolation, poor or insecure housing conditions, no work-related household income, and absence of standard health insurance) and inadequate PCU were tested through multivariate logistic regressions also adjusted for immigration characteristics and education level. Attendance at prenatal care w...Continue Reading

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Citations

Jun 21, 2017·BJOG : an International Journal of Obstetrics and Gynaecology·M LinardUNKNOWN PreCARE study group
Oct 18, 2018·Paediatric and Perinatal Epidemiology·Ayesha SiddiquiUNKNOWN EPIMOMS Study Group
Apr 7, 2020·Scientific Reports·Ayesha SiddiquiElie Azria
Jan 20, 2018·BMC Health Services Research·Marjolein WintersMilena Pavlova
Oct 4, 2020·International Journal of Environmental Research and Public Health·Maxime EslierElie Azria
Dec 29, 2020·American Journal of Perinatology·Ashish PremkumarEmily S Miller
Nov 10, 2018·Journal of Gynecology Obstetrics and Human Reproduction·Thomas VermeulinVéronique Merle
Jul 31, 2021·Biometrical Journal. Biometrische Zeitschrift·Valérie GarèsDavid Hajage
Aug 6, 2021·Obstetrics and Gynecology·Ashish PremkumarUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU)
Sep 5, 2017·Gynécologie, Obstétrique, Fertilité & Sénologie·S VigoureuxUNKNOWN TRAJECTOIRES study group

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