Exploring Preconception Care: Insurance Status, Race/Ethnicity, and Health in the Pre-pregnancy Period

被引：0
作者：
Rebecca Mahn Hawks
Aileen P. McGinn
Peter S. Bernstein
Jonathan N. Tobin
机构：
[1] NYU Langone Medical Center,Department of Obstetrics & Gynecology
[2] Albert Einstein College of Medicine/Montefiore Medical Center,Department of Epidemiology & Population Health
[3] Albert Einstein College of Medicine/Montefiore Medical Center,Department of Obstetrics & Gynecology and Women’s Health
[4] The Rockefeller University,Center for Clinical and Translational Science
来源：
Maternal and Child Health Journal | 2018年 / 22卷
关键词：
Preconception care; Health insurance; Health disparities; Race;
D O I：
暂无
中图分类号：
学科分类号：
摘要：
Objective To measure the association of preconception health insurance status with preconception health among women in New York City, and examine whether this association is modified by race/ethnicity. Methods Using data from the New York City Pregnancy Risk Assessment Monitoring System 2009–2011 (n = 3929), we created a “Preconception Health Score” (PHS) capturing modifiable behaviors, healthcare services utilization, pregnancy intention, and timely entry into prenatal care. We then built multivariable logistic regression models to measure the association of PHS with health insurance status and race/ethnicity. Results We found PHS to be higher among women with private insurance (7.3 ± 0.07) or public insurance (6.3 ± 0.08) before pregnancy than no insurance (5.9 ± 0.09) (p < .001). However, when stratified by race/ethnicity, the positive association of PHS with insurance was absent in the non-white population. Conclusions for Practice Having health insurance during the pre-pregnancy period is associated with greater health among white women, but not among black or Hispanic women in NYC.
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页码：1103 / 1110
页数：7
相关论文
共 106 条
[11]  
Borrero S(2014)Preconception care: closing the gap in the continuum of care to accelerate improvements in maternal, newborn and child health Reproductive Health 11 S1-250
[12]  
Nikolajski C(2012)The “Latina epidemiologic paradox”: contrasting patterns of adverse birth outcomes in U.S.-born and foreign-born Latinas Women’s Health Issues: Official Publication of the Jacobs Institute of Women’s Health 22 e501507-64
[13]  
Steinberg JR(1991)Preconception health care: a critical task for family physicians The Journal of the American Board of Family Practice/American Board of Family Practice 4 237-365
[14]  
Calman NS(2015)Births: Final Data for 2014 National vital statistics reports: From the Centers for Disease Control and Prevention, National Center for Health Statistics. National Vital Statistics System 64 1-23
[15]  
Golub M(2016)Cluster randomized controlled trial of group prenatal Care: Perinatal outcomes among adolescents in New York City Health Centers American Journal of Public Health 106 359-112
[16]  
Ruddock C(2017)Racial and ethnic differences in contraception use and obstetric outcomes: A review Seminars in Perinatology 55 1-329
[17]  
Le L(2006)Recommendations to improve preconception health and health care–United States. A report of the CDC/ATSDR Preconception Care Work Group and the Select Panel on Preconception Care MMWR Recommendations and Reports 128 104-754
[18]  
Hauser D(2016)Obstetric and neonatal risks among obese women without chronic disease Obstetrics and Gynecology 93 327-538
[19]  
Chen HY(1994)Interconception care: a new role for the pediatrician Pediatrics 23 e273-280-324
[20]  
Chauhan SP(2013)Medicaid covered births, 2008 through 2010, in the context of the implementation of health reform Women’s Health Issues: Official Publication of the Jacobs Institute of Women’s Health 106 748-793
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