Department of Global Community Health and Behavioral Sciences, School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA 70112, USA.
J Immigr Minor Health. 2013 Apr;15(2):273-80. doi: 10.1007/s10903-012-9589-3.
Ethnic minorities living in the US have lower utilization and access to prenatal care, resulting in an increased risk of adverse pregnancy outcomes. The present study examines utilization of prenatal care, perceived pregnancy related health, and perceived risk of adverse pregnancy outcomes among Arab women living in the USA cross-sectional study was conducted, consisting of a convenience sample of 170 Arab women. A structured questionnaire was administered by a face-to-face or telephone interview. Multivariable logistic regression was used to calculate adjusted Odds Ratios and 95% Confidence Intervals, controlling for potential confounders. All study participants had received prenatal care during their most recent pregnancy, and 90% had their first prenatal care visit before the 12th gestational week. The Arab women who were older (P = 0.02), those with 12 years of education or less (P = 0.002), and those who had lived in the US more than five years (P = 0.0002) were more likely to report four or more pregnancies. In addition, more than one-third of the women reported having experienced a miscarriage (35.4%), which was significantly associated with gravida status (P < 0.001). An association between perceived susceptibility for spontaneous abortion and stillbirth was also demonstrated (P < 0.0001). Although Arab women reported good coverage of prenatal care, they perceived themselves as susceptible for several pregnancy complications and adverse pregnancy outcomes. Clinical guidelines for prenatal care to Arab women should therefore focus on their high parity and likelihood of miscarriages, in an attempt to reduce their risk of adverse pregnancy outcomes.
居住在美国的少数民族利用和获得产前护理的机会较少，导致不良妊娠结局的风险增加。本研究检查了居住在美国的阿拉伯妇女的产前护理利用情况、感知与妊娠相关的健康状况以及感知不良妊娠结局的风险。这是一项横断面研究，包括 170 名阿拉伯妇女的便利样本。通过面对面或电话访谈进行了结构化问卷。多变量逻辑回归用于计算调整后的优势比和 95%置信区间，控制了潜在的混杂因素。所有研究参与者在最近一次妊娠期间都接受了产前护理，90%的人在妊娠第 12 周之前进行了第一次产前护理。年龄较大的阿拉伯妇女（P=0.02）、受教育程度为 12 年或以下的妇女（P=0.002）以及在美国居住超过五年的妇女（P=0.0002）更有可能报告有四次或更多次妊娠。此外，超过三分之一的妇女报告经历过流产（35.4%），这与孕次显著相关（P<0.001）。还表明感知自然流产和死产的易感性之间存在关联（P<0.0001）。尽管阿拉伯妇女报告了良好的产前护理覆盖率，但她们认为自己容易出现几种妊娠并发症和不良妊娠结局。因此，针对阿拉伯妇女的产前护理临床指南应侧重于她们的高胎次和流产的可能性，以降低其不良妊娠结局的风险。
