Alexander Greg R, Kogan Michael D, Nabukera Sara
School of Public Health, Department of Maternal and Child Health, the University of Alabama at Birmingham, 35294, USA.
Am J Public Health. 2002 Dec;92(12):1970-5. doi: 10.2105/ajph.92.12.1970.
We examined trends and racial disparities (White, African American) in trimester of prenatal care initiation and adequacy of prenatal care utilization for US women and specific high-risk subgroups, e.g., unmarried, young, or less-educated mothers.
Data from 1981-1998 US natality files on singleton live births to US resident mothers were examined.
Overall, early and adequate use of care improved for both racial groups, and racial disparities in prenatal care use have been markedly reduced, except for some young mothers.
While improvements are evident, it is doubtful that the Healthy People 2000 objective for prenatal care will soon be attained for African Americans or Whites. Further efforts are needed to understand influences on and to address barriers to prenatal care.
我们研究了美国女性以及特定高危亚组（如未婚、年轻或受教育程度较低的母亲）产前护理开始孕周的趋势和种族差异（白人、非裔美国人）以及产前护理利用的充分性。
研究了1981 - 1998年美国出生记录文件中美国常住母亲单胎活产的数据。
总体而言，两个种族群体对护理的早期和充分利用均有所改善，产前护理利用方面的种族差异已显著缩小，但部分年轻母亲除外。
虽然改善明显，但非裔美国人和白人短期内能否实现《健康人民2000》中关于产前护理的目标仍值得怀疑。需要进一步努力了解影响产前护理的因素并消除产前护理的障碍。
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