Racial and ethnic disparities in the use of pregnancy-related health care among Medicaid pregnant women.
Objective: To assess the extent to which racial and ethnic disparities exist in the use of prenatal services among Medicaid pregnant women. Methods: Medicaid claims data for Florida, Georgia, New Jersey, and Texas, with linked birth certificate data for Georgia and Texas, were used to investigate th...
| Publicado en: | Maternal & Child Health Journal Vol. 8; no. 3; pp. 113 - 127 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Sep2004
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| 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=106561253&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106561253 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Sep2004 vid: 8 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 106561253 106561253 2005016523 10.1023/b:maci.0000037645.63379.62 NLM15499869 106561253 ppf: 113 ppct: 14 formats: fmt: @attributes: type: P tig: atl: Racial and ethnic disparities in the use of pregnancy-related health care among Medicaid pregnant women. aug: au: Gavin NI Adams EK Hartmann KE Benedict MB Chireau M affil: RTI International, 3040 Cornwallis Road, PO Box 12194, Research Triangle Park, NC 27709-2194; gavin@rti.org sug: subj: Health Services Accessibility Evaluation Medicaid Minority Groups Psychosocial Factors Prenatal Care Utilization Race Factors Adolescence Adult Asians Billing and Claims Birth Certificates Black Persons Clinical Assessment Tools Comparative Studies Confidence Intervals Descriptive Statistics Dietary Supplementation Utilization Drugs, Prescription Female Florida Funding Source Georgia Health Screening Utilization Hematologic Tests Utilization Hispanic Americans Logistic Regression New Jersey Odds Ratio Office Visits Utilization Pregnancy Relative Risk Risk Factors Specialties, Medical Utilization Texas Time Factors Ultrasonography, Prenatal Utilization White Persons Human Adolescent: 13-18 years Adult: 19-44 years Female ab: Objective: To assess the extent to which racial and ethnic disparities exist in the use of prenatal services among Medicaid pregnant women. Methods: Medicaid claims data for Florida, Georgia, New Jersey, and Texas, with linked birth certificate data for Georgia and Texas, were used to investigate the use of selected prenatal services, including the initiation and adequacy of prenatal care visits; prescriptions for multiple vitamins and iron supplements; and claims for complete blood cell counts, blood type and RH status, hepatitis B surface antigen, ultrasound, maternal serum alphafetoprotein, drug screening, and HIV tests. We computed raw and adjusted odds ratios of having the health service of interest during pregnancy for women in three minority groups: black non-Hispanics, Hispanics, and Asian/Pacific Islanders. Results: We found racial and ethnic disparities in the use of every health service investigated. Compared with white non-Hispanics, minority women were less likely to receive services that the woman initiates, discretionary services, and services potentially requiring specialized follow-up care, whereas they were more likely to receive screening tests for diseases related to high-risk behaviors. Disparities were generally larger, more consistent across states, and less likely to be explained by other factors among black non-Hispanics than among either Hispanics or Asian/Pacific Islanders. Conclusions: Even among women who are provided equal financial access to health care services, unexplained racial and ethnic disparities persist in the initiation and use of both routine and specialized prenatal care services. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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