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Differences in timely antenatal care between first and second-generation migrants in the Netherlands
Anushka A Choté1, Gerrit T Koopmans, Christianne J M de Groot
1Department of Health Policy and Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR, Rotterdam, The Netherlands, chote@bmg.eur.nl.
Journal of Immigrant and Minority Health
|May 25, 2013
Summary
First-generation migrant women are less likely to attend early antenatal care compared to second-generation women. This delay in seeking prenatal care may impact health education and screening opportunities for these women.
Area of Science:
- Public Health
- Sociology
- Reproductive Health
Background:
- Timely antenatal care is crucial for maternal and fetal health.
- Migrant populations may face unique barriers to accessing healthcare services.
- First-generation migrants may have different healthcare-seeking behaviors than subsequent generations.
Purpose of the Study:
- To compare the timing of the first antenatal care visit between first and second-generation migrant women.
- To identify factors influencing any observed differences in antenatal care attendance.
Main Methods:
- Utilized data from the multi-ethnic, population-based Generation R Study in Rotterdam.
- Included 845 women from six major ethnic groups.
- Analyzed data from electronic antenatal charts and questionnaires using logistic regression.
Main Results:
- First-generation migrant women were more likely than second-generation women to have their first antenatal care visit after 14 weeks of pregnancy (28.1% vs. 18.7%).
- Behaviors regarding healthy pregnancy practices, like timely folic acid intake, correlated with delayed antenatal care seeking.
- Proficiency in the Dutch language showed a limited role in explaining the observed differences.
Conclusions:
- First-generation migrant women face greater delays in initiating antenatal care.
- Delayed care can limit access to timely health education and screening opportunities.
- Future research should focus on assessing host language proficiency more thoroughly.
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