Year-end Sale % OFF 
Abstract
BackgroundLittle research into non-western women’s prenatal care utilisation in industrialised western countries has taken generational differences into account. In this study we examined non-western women’s prenatal care utilisation and its explanatory factors according to generational status.MethodsData from 3300 women participating in a prospective cohort of primary midwifery care clients (i.e. women with no complications or no increased risk for complications during pregnancy, childbirth and the puerperium who receive maternity care by autonomous midwives) in the Netherlands (the DELIVER study) was used. Gestational age at entry and the total number of prenatal visits were aggregated into an index. The extent to which potential factors explained non-western women’s prenatal care utilisation was assessed by means of blockwise logistic regression analyses and percentage changes in odds ratios.ResultsThe unadjusted odds of first and second-generation non-western women making inadequate use of prenatal care were 3.26 and 1.96 times greater than for native Dutch women. For the first generation, sociocultural factors explained 43% of inadequate prenatal care utilisation, socioeconomic factors explained 33% and demographic and pregnancy factors explained 29%. For the second generation, sociocultural factors explained 66% of inadequate prenatal care utilisation.ConclusionIrrespective of generation, strategies to improve utilisation should focus on those with the following sociocultural characteristics (not speaking Dutch at home, no partner or a first-generation non-Dutch partner). For the first generation, strategies should also focus on those with the following demographic, pregnancy and socioeconomic characteristics (aged ≤19 or ≥36, unplanned pregnancies, poor obstetric histories (extra-uterine pregnancy, molar pregnancy or abortion), a low educational level, below average net household income and no supplementary insurance.Electronic supplementary materialThe online version of this article (doi:10.1186/s12884-015-0528-x) contains supplementary material, which is available to authorized users.
Highlights
Little research into non-western women’s prenatal care utilisation in industrialised western countries has taken generational differences into account
Fifteen of the 21 potential explanatory variables were significantly associated with prenatal care utilisation and retained in the corresponding category for use in the blockwise multivariable logistic regression analyses
The unadjusted odds of first and secondgeneration non-western women making inadequate use of prenatal care are 3.26 and 1.96 times greater than for native Dutch women
Summary
Little research into non-western women’s prenatal care utilisation in industrialised western countries has taken generational differences into account. In this study we examined non-western women’s prenatal care utilisation and its explanatory factors according to generational status. Boerleider et al BMC Pregnancy and Childbirth (2015) 15:98 populations in industrialised western countries)) are more likely to make inadequate use of prenatal care, i.e. late entry and /or an insufficient number of visits. In Australia, migrants from developing countries were more likely to enter prenatal care late than non-Aboriginal Australian-born women (OR 2.18; 95% CI 2.1 - 2.26) [11]. Non-western ethnicity does not of itself explain these women’s inadequate utilisation of prenatal care; instead, via a number of underlying factors, it influences the need, propensity and ability to make use of care [12,13]
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
