Prenatal care in the Paso del Norte border region.
OBJECTIVES: The impact of a Medicaid-managed care system on access to prenatal care was investigated. STUDY DESIGN: Postpartum interviews and medical chart abstractions were conducted among 493 Hispanic women who reside on the El Paso Texas/Juarez Mexico border (the Paso del Norte region). Descripti...
| Publicado en: | Journal of Perinatology Vol. 24; no. 2; pp. 62 - 72 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Feb2004
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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=106672986&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106672986 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07438346 DZF jtl: Journal of Perinatology issn: 07438346 maglogo: Y pubinfo: dt: Feb2004 vid: 24 iid: 2 pid: 2579 pub: Springer Nature place: Dordrecht, <Blank> artinfo: ui: 106672986 106672986 2004203512 10.1038/sj.jp.7211028 NLM14762448 106672986 ppf: 62 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Prenatal care in the Paso del Norte border region. aug: au: Fullerton JT Nelson C Shannon R Bader J affil: School or Nursing, University of Texas at El Paso, TX sug: subj: Medicaid Prenatal Care Health Services Accessibility Economics Insurance, Health Emigration and Immigration Texas Record Review Hispanic Americans Texas Hispanic Americans Mexico Mexico Pregnancy Managed Care Programs Surveys Descriptive Research Correlational Studies Power Analysis Effect Size Questionnaires Semi-Structured Interview Chi Square Test Logistic Regression Adolescence Adult Female Funding Source Human Adolescent: 13-18 years Adult: 19-44 years Female ab: OBJECTIVES: The impact of a Medicaid-managed care system on access to prenatal care was investigated. STUDY DESIGN: Postpartum interviews and medical chart abstractions were conducted among 493 Hispanic women who reside on the El Paso Texas/Juarez Mexico border (the Paso del Norte region). Descriptive analysis identified barriers and facilitators to prenatal care. Logistic regression identified the impact of social and demographic characteristics on selected maternal and infant outcomes. RESULTS: The factors reported by these women as barriers to timely entry and sustaining enrollment in prenatal care were related to the availability of social support networks and affiliation with the Mexican/Hispanic culture (acculturation). Having Medicaid-managed care or other insurance was associated with receiving more adequate levels of prenatal care. Women who crossed the border to seek perinatal services were more likely to have infants who received higher levels of neonatal care (odds ratio 0.500; 95% CI [0.264, 0.946]). CONCLUSIONS: The promotion of preconceptional, prenatal, and family planning services is strongly recommended as a strategic, regional, public health intervention. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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