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Predictors of prenatal care utilization.

T P McDonald¹, A F Coburn

¹Human Services Development Institute, University of Southern Maine, Portland 04102.

Social Science & Medicine (1982)

|January 1, 1988

Summary

Many women, especially adolescents, low-income, and rural residents, receive inadequate prenatal care. Factors beyond insurance, like location and education, significantly impact care access and adherence to visit schedules.

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Area of Science:

Public Health
Maternal and Child Health
Healthcare Disparities

Background:

Improved pregnancy outcomes are linked to prenatal care, yet disparities persist.
Subpopulations continue to receive inadequate or less than adequate prenatal care.

Purpose of the Study:

To examine predictors of prenatal care utilization and adequacy.
To identify specific subpopulations at risk for inadequate prenatal care.

Main Methods:

Stratified random sampling of mothers from state birth certificate files.
Mailed questionnaire survey to assess prenatal care utilization.
Analysis of financial coverage, maternal/paternal/family attributes, and healthcare system characteristics.

Main Results:

Deficiencies in prenatal care utilization were concentrated in specific areas and subpopulations.
Most women did not maintain the recommended schedule of prenatal care visits.
Younger, less educated, low-income, rural residents, and Medicaid recipients were less likely to receive adequate care, even after controlling for need.

Conclusions:

Economic and non-economic barriers to prenatal care utilization must be distinguished for policy development.
Medicaid receipt does not guarantee adequate prenatal care use.
Geographic location is a significant predictor of prenatal care adequacy.

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