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Related Experiment Videos

Racial differences in late prenatal care visits

M D Kogan1, M Kotelchuck, S Johnson

  • 1National Center for Health Statistics, Hyattsville, MD 20782.

Journal of Perinatology : Official Journal of the California Perinatal Association
|January 1, 1993
PubMed
Summary
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Racial disparities exist in late-term prenatal care utilization. Black women had fewer prenatal visits than white women in the eighth and ninth months, even after controlling for various factors.

Area of Science:

  • Public Health
  • Maternal Health
  • Health Disparities

Background:

  • Prenatal care is crucial for positive birth outcomes.
  • Existing measures like the Kessner Index may not fully capture disparities.
  • Racial differences in healthcare access and utilization persist.

Purpose of the Study:

  • To investigate racial disparities in prenatal care use beyond the Kessner Index.
  • To specifically examine differences in the number of prenatal visits by race.
  • To identify if racial gaps in prenatal care persist after accounting for confounding factors.

Main Methods:

  • Utilized data from the 1986 Massachusetts Prenatal Care Survey.
  • Analyzed a cohort of 2587 postpartum women.
  • Examined monthly prenatal visit frequency, controlling for gestational age, sociodemographics, barriers, payor status, and access.

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Main Results:

  • White women reported significantly more prenatal visits than black women only in the eighth and ninth months of pregnancy.
  • This disparity remained statistically significant after controlling for multiple confounding variables.
  • No significant racial differences were observed in earlier months of pregnancy.

Conclusions:

  • Racial disparities in late prenatal care utilization require targeted interventions.
  • Addressing these late-visit gaps is essential to reduce overall prenatal care use gaps.
  • Closing these gaps may contribute to lessening adverse birth outcomes.