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Prenatal care use among selected Asian American groups.

S M Yu1, G R Alexander, R Schwalberg

  • 1Maternal and Child Health Bureau, Office of Data and Information Management, Rockville, Md 20857, USA. syu@hrsa.gov

American Journal of Public Health
|October 31, 2001
PubMed
Summary

Prenatal care use varied significantly among Asian American ethnic groups. Young mothers, single mothers, and those with lower education had the lowest prenatal care utilization.

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Area of Science:

  • Public Health
  • Sociology
  • Demography

Background:

  • Prenatal care is crucial for maternal and infant health outcomes.
  • Understanding disparities in prenatal care access among diverse populations is essential.
  • Previous research has highlighted variations in healthcare utilization among Asian American subgroups.

Purpose of the Study:

  • To investigate the predictors of different prenatal care use patterns.
  • To examine variations in prenatal care utilization among Chinese, Japanese, Korean, and Vietnamese American women.
  • To identify risk factors associated with no prenatal care, late initiation, and inadequate use.

Main Methods:

  • Analysis of a large dataset of single live births from US natality files (1992-1996).
  • Inclusion of mothers of Chinese, Japanese, Korean, and Vietnamese ancestry (n = 273,604).

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  • Logistic regression modeling to assess the impact of maternal characteristics on prenatal care use.
  • Main Results:

    • Korean and Vietnamese American women exhibited the lowest rates of prenatal care use.
    • Key risk factors for inadequate prenatal care included young maternal age, single motherhood, high parity for age, and low educational attainment.
    • Significant differences in prenatal care utilization were observed across the four Asian American ethnic groups.

    Conclusions:

    • Prenatal care use patterns display considerable heterogeneity among Asian American ethnic groups.
    • Socioeconomic and demographic factors significantly influence prenatal care access and utilization.
    • Targeted interventions may be necessary to address disparities in prenatal care among specific Asian American subgroups.