Unpacking Racial/Ethnic Disparities in Prenatal Care Use: The Role of Individual-, Household-, and Area-Level Characteristics

Journal of Women's Health
Tiffany L Green

Abstract

To identify the contributions of individual-, household-, and area-level characteristics to disparities in the use of prenatal care (PNC). This study used individual-level data from the 2001 Early Childhood Longitudinal Study-Birth Cohort linked to county-level U.S. Census data (N ≈ 5,200). I used nonlinear regression decomposition to quantify the contributions of several groups of factors-maternal health and pregnancy characteristics, preconception health behaviors, insurance coverage, PNC location, socioeconomic status (SES), and the social/economic and healthcare environments-to PNC disparities. Relative to whites, blacks and Hispanics were less likely to initiate first-trimester PNC and to have adequate PNC. The models explained 61.20%-79.90% and 52.15%-79.09% of the disparities in PNC initiation and adequacy, respectively. The most important factor was SES, which explained 50.68%-79.92% of the black-white gap and 37.50%-49.51% of the Hispanic-white gap in PNC use. Location of care, insurance status, and pregnancy characteristics also made significant contributions to these disparities. SES is a key driver of inequality in PNC, particularly black-white inequality. Addressing socioeconomic factors may improve PNC use among m...Continue Reading

References

Mar 16, 2000·Social Work·J D Perloff, K D Jaffee
Mar 1, 1997·Maternal and Child Health Journal·M KotelchuckB W Jack
Jul 13, 2000·JAMA : the Journal of the American Medical Association·M D KoganE Papiernik
Mar 29, 2001·Maternal and Child Health Journal·M NothnagleP Braveman
Mar 29, 2002·American Journal of Public Health·David R Williams
Apr 10, 2002·Journal of Health Economics·Janet Currie, Jeffrey Grogger
Mar 7, 2006·Health Economics·Karen Smith Conway, Andrea Kutinova
Feb 10, 2007·Human Reproduction·Barbara Luke, Morton B Brown
Aug 2, 2007·Obstetrics and Gynecology·Jeannette R IckovicsSharon Schindler Rising
Jun 27, 2009·Maternal and Child Health Journal·Marlene I BengiaminMathilda B Ruwe
Apr 27, 2010·American Journal of Obstetrics and Gynecology·Jay D Iams, Vincenzo Berghella
Jun 29, 2010·Review of Economics of the Household·Nancy E ReichmanOfira Schwartz-Soicher
Feb 5, 2011·Health Economics·Aparna Lhila, Sharon Long
Mar 17, 2012·American Journal of Public Health·Carol Cristina Guarnizo-Herreño, George L Wehby
Nov 20, 2012·American Journal of Obstetrics and Gynecology·Elizabeth E KransEleanor B Schwarz
Jul 4, 2015·Maternal and Child Health Journal·Christine T LoftusStephen E Hawes
Jun 4, 2016·Hispanic Health Care International : the Official Journal of the National Association of Hispanic Nurses·Rosamar Torres

❮ Previous
Next ❯

Citations

Mar 9, 2018·Journal of Community Health·Tiffany L GreenNao Hagiwara
Dec 20, 2019·Journal of Pediatric Orthopedics. Part B·Venus VakhshoriNina Lightdale
May 10, 2018·Journal of Women's Health·John Capitman
Oct 9, 2020·American Journal of Community Psychology·Brett Russell ColemanCourtney M Bonam
Dec 29, 2020·American Journal of Obstetrics & Gynecology MFM·Annie M DudeLynn M Yee
Aug 26, 2020·Patient Education and Counseling·Anne Chevalier McKechnieSteven R Leuthner
Apr 29, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Cindy L GrinesMichael N Young
Jul 30, 2021·JDR Clinical and Translational Research·H LeeL Shi
Nov 29, 2021·American Journal of Perinatology·Elizabeth NortonLorraine Dugoff
Dec 3, 2021·Obstetrics and Gynecology·Michelle P DebbinkUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Maternal-Fetal Medicine Units (MFMU)

❮ Previous
Next ❯

Software Mentioned

Social Explorer
STATA

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.