Explaining Ethnic Differences in Late Antenatal Care Entry by Predisposing, Enabling and Need Factors in the Netherlands. The Generation R Study.
Despite compulsory health insurance in Europe, ethnic differences in access to health care exist. The objective of this study is to investigate how ethnic differences between Dutch and non-Dutch women with respect to late entry into antenatal care provided by community midwifes can be explained by n...
| Publicado en: | Maternal & Child Health Journal Vol. 15; no. 6; pp. 689 - 700 |
|---|---|
| Autores principales: | , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Aug2011
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104654609&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104654609 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Aug2011 vid: 15 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 104654609 62296578 10.1007/s10995-010-0619-2 NLM20533083 PMC3131512 104654609 ppf: 689 ppct: 11 formats: fmt: @attributes: type: P tig: atl: Explaining Ethnic Differences in Late Antenatal Care Entry by Predisposing, Enabling and Need Factors in the Netherlands. The Generation R Study. aug: au: Choté, A. Koopmans, G. Redekop, W. Groot, C. Hoefman, R. Jaddoe, V. Hofman, A. Steegers, E. Mackenbach, J. Trappenburg, M. Foets, M. affil: Department of Health Policy and Management, Erasmus University Rotterdam, 3000 DR Rotterdam The Netherlands sug: subj: Prenatal Care Utilization Health Resource Utilization In Pregnancy Race Factors Human Funding Source Netherlands Pregnancy Female Prospective Studies Morocco Turkiye Suriname Cape Verde Netherlands Antilles Logistic Regression Time Factors Gestational Age Health Behavior Questionnaires Midwifery Nonprobability Sample Record Review Descriptive Statistics Chi Square Test Electronic Health Records Data Analysis Software Analysis of Variance Odds Ratio Confidence Intervals Scales Summated Rating Scaling Demography Coefficient alpha Factor Analysis Health Status Alcohol Drinking Smoking Folic Acid Health Services Needs and Demand Health Services Accessibility Female ab: Despite compulsory health insurance in Europe, ethnic differences in access to health care exist. The objective of this study is to investigate how ethnic differences between Dutch and non-Dutch women with respect to late entry into antenatal care provided by community midwifes can be explained by need, predisposing and enabling factors. Data were obtained from the Generation R Study. The Generation R Study is a multi-ethnic population-based prospective cohort study conducted in the city of Rotterdam. In total, 2,093 pregnant women with a Dutch, Moroccan, Turkish, Cape Verdean, Antillean, Surinamese Creole and Surinamese Hindustani background were included in this study. We examined whether ethnic differences in late antenatal care entry could be explained by need, predisposing and enabling factors. Subsequently, logistic regression analysis was used to assess the independent role of explanatory variables in the timing of antenatal care entry. The main outcome measure was late entry into antenatal care (gestational age at first visit after 14 weeks). With the exception of Surinamese-Hindustani women, the percentage of mothers entering antenatal care late was higher in all non-Dutch compared to Dutch mothers. We could explain differences between Turkish (OR = 0.95, CI: 0.57-1.58), Cape Verdean (OR = 1.65. CI: 0.96-2.82) and Dutch women. Other differences diminished but remained significant (Moroccan: OR = 1,74, CI: 1.07-2.85; Dutch Antillean OR 1.80, CI: 1.04-3.13). We found that non-Dutch mothers were more likely to enter antenatal care later than Dutch mothers. Because we are unable to explain fully the differences regarding Moroccan, Surinamese-Creole and Antillean women, future research should focus on differences between 1st and 2nd generation migrants, as well as on language barriers that may hinder access to adequate information about the Dutch obstetric system. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|