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A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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Maternal acculturation and the prenatal care experience.
Elena Fuentes-Afflick1, Roxana Odouli, Gabriel J Escobar
11 Department of Pediatrics and Epidemiology and Biostatistics, University of California , San Francisco, San Francisco, California.
Journal of Women'S Health (2002)
|July 1, 2014
Summary
Less acculturated pregnant women reported better prenatal care experiences, contributing to the "epidemiologic paradox." However, these experiences varied based on infant outcomes.
Area of Science:
- Sociology
- Public Health
- Reproductive Health
Background:
- Acculturation influences healthcare perceptions and may explain the epidemiologic paradox in foreign-born women.
- This study examines maternal acculturation's impact on prenatal interpersonal processes of care (IPC) in diverse women.
Purpose of the Study:
- To evaluate the relationship between maternal acculturation and specific dimensions of prenatal interpersonal processes of care (IPC).
- To explore how acculturation and insurance type affect prenatal care experiences.
Main Methods:
- Cross-sectional analysis of 1243 multiethnic, postpartum women.
- Maternal acculturation measured by birthplace, English proficiency, US residency duration, and age at immigration.
- Generalized linear models adjusted for insurance, demographic, and reproductive factors.
Main Results:
- Less acculturated women and those with public insurance reported higher IPC scores for term/normal birth weight infants.
- Approximately 60% of the sample was foreign-born, with significant portions having low English proficiency or <10 years US residency.
Conclusions:
- Less acculturated pregnant women reported better prenatal care experiences, aligning with the "epidemiologic paradox."
- The association between acculturation and IPC differs based on infant outcomes.
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