First Trimester Initiation of Prenatal Care in the US-Mexico Border Region

Datos Bibliográficos

ID9099088
AutoresJ A Mcdonald (0000-0003-1034-0677, National Center for Chronic Disease Prevention and Health Promotion, autor de correspondencia), Brittany Argotsinger (Emory University), Octavio Mojarro, Roger Rochat (0000-0001-6641-9291, Emory University), Anup Amatya (0000-0002-8130-5951, New Mexico State University, autor de correspondencia)
Año2015
Volumen53
Número8
Páginas700-707
Fecha de publicación2015-08-01
Peer ReviewedSí
Open AccessNo
TipoARTICLE
RevistaMedical Care (JOURNAL)
Identificadores de la revistaISSN: 0025-7079 • E-ISSN: 1537-1948
EditorialOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0000000000000385
PMID26125417
OpenAlexW2259474103
IdiomaEN
Citas recibidas4
Referencias citadas18

OBJECTIVES: To systematically examine prevalence of first trimester prenatal care (FTPNC) in the 44 US counties and 80 Mexican municipios of the binational border region; and to describe disparities between border and nonborder areas within states, border states, and countries. METHODS: We combined 2009 records of singleton live births from the 10 US-Mexico border states (N=1,370,206) into a single file. We included FTPNC; county/municipio, state, and country of maternal residence; and demographic variables common to all records. We computed prevalence of FTPNC for border and nonborder residents by state and country. Using multivariable regression, we computed adjusted prevalence ratios (aPR) for FTPNC in border relative to nonborder residents, states relative to one another, and the US relative to Mexico. RESULTS: In 2009, 68.8% of US-Mexico border mothers and 72.9% of nonborder mothers received FTPNC. After adjustment, nonborder residents had higher prevalence of FTPNC than border residents in Sonora, New Mexico, Arizona, Coahuila, and Chihuahua (aPR=1.09-124). In US states, prevalence was 13%-36% higher in New Mexico, Arizona, and California than Texas. In Mexico, when compared with Coahuila, adjusted prevalence was 12%-20% higher in neighboring states. Between countries, FTPNC prevalence in border counties/municipios was higher in Mexico among women with low parity/low education and in the United States among women with high parity/high education. CONCLUSIONS: In the US and Mexico, women in border counties/municipios receive less timely prenatal care than their nonborder counterparts, but the magnitude of the disparity varies by state. Lack of a consistent, binational approach to birth data collection requires cautious interpretation of findings

Biology · Environmental health · Obstetrics · Pregnancy · Prenatal care · Genetics · Global Maternal and Child Health · Maternal and Neonatal Healthcare · Maternal Mental Health During Pregnancy and Postpartum · Medicine