Access to Maternity Care and Low Birth Weight among Women in Rural and Urban U.S. Counties with Higher Rates of Underweight Births.

This article explores county-level low birth weight (LBW) and maternity care access in U.S. counties with at least 20 LBW births from 2013 to 2019 (the study period), examining differences by race and geographic classification. Data were accessed through March of Dimes, who collected from the Nation...

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Publicado en:Health & Social Work Vol. 51; no. 3; pp. 215 - 223
Autores principales: Beldon, Marissa A, Clay, Shondra L, Hughes, M Courtney, Mazurek, Kathryn
Formato: Artículo
Publicado: Oxford University Press / USA Aug2026
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Access to Maternity Care and Low Birth Weight among Women in Rural and Urban U.S. Counties with Higher Rates of Underweight Births.
      aug:
        au:
          Beldon, Marissa A
          Clay, Shondra L
          Hughes, M Courtney
          Mazurek, Kathryn
        affil:
          Marissa A. Beldon, PhD, is research faculty, Center for Leadership, University of Colorado Boulder, 101 UCB, Boulder, CO 80309, USA
          Shondra L. Clay,  PhD, is chair, are professors, College of Health and Human Sciences, Northern Illinois University, DeKalb, IL, USA
          M. Courtney Hughes,  PhD, are professors, College of Health and Human Sciences, Northern Illinois University, DeKalb, IL, USA
          Kathryn Mazurek,  PhD, are professors, College of Health and Human Sciences, Northern Illinois University, DeKalb, IL, USA
      su:
        United States
        Community health services
        Health services accessibility
        Women
        African Americans
        Hispanic Americans
        Rural health services
        Race
        Infant care
        Health equity
        Urban health
        Maternal health services
        T-test (Statistics)
        Data analysis
        Disease prevalence
        Pregnancy outcomes
        Analysis of covariance
        Low birth weight
        Statistics
        Data analysis software
      sug:
        subj:
          Community health services
          Health services accessibility
          Women
          African Americans
          Hispanic Americans
          Rural health services
          Race
          Infant care
          Health equity
          Urban health
          United States
          Other local, municipal and regional public administration
          Other Individual and Family Services
          Residential Mental Health and Substance Abuse Facilities
          Community health centres
          All Other Outpatient Care Centers
          Maternal health services
          T-test (Statistics)
          Data analysis
          Disease prevalence
          Pregnancy outcomes
          Analysis of covariance
          Low birth weight
          Statistics
          Data analysis software
      keyword:
        access to healthcare
        birth
        copyrightHolder:National Association of Social Workers
        copyrightYear:2026
        https://dx.doi.org/10.1093/hsw/hlag024
        inLanguage:en
        low birth weight
        low birth weight infant
        maternal and infant health
        obstetrics
        pregnancy outcome
        pregnancy outcomes
        prenatal care
        publisher:Oxford University Press
        rural health
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42308023/
        underweight
        access to healthcare
        birth
        copyrightHolder:National Association of Social Workers
        copyrightYear:2026
        https://dx.doi.org/10.1093/hsw/hlag024
        inLanguage:en
        low birth weight
        low birth weight infant
        maternal and infant health
        obstetrics
        pregnancy outcome
        pregnancy outcomes
        prenatal care
        publisher:Oxford University Press
        rural health
        sameAs:https://pubmed.ncbi.nlm.nih.gov/42308023/
        underweight
      ab: This article explores county-level low birth weight (LBW) and maternity care access in U.S. counties with at least 20 LBW births from 2013 to 2019 (the study period), examining differences by race and geographic classification. Data were accessed through March of Dimes, who collected from the National Center for Health Statistics birth files and Human Resources and Services Administration Area Health Resources Files. Out of 3,036 U.S. counties, lack of maternity care access was more common in rural versus urban counties. LBW prevalence differed significantly between levels of maternity care access, such that counties with no access to maternity care differed significantly in LBW from counties with full or moderate access. Black women in rural counties with no maternity care access had significantly higher LBW rates compared with White women. Black women and those in rural counties experience inequities in maternity care access, underscoring the need to expand maternity care provider availability in rural communities and those with larger Black populations as a strategy to reduce LBW.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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