Noah Aggie J
Assistant Professor, School of Social Transformation, Arizona State University, Tempe, AZ;, Email:
Am J Health Behav. 2017 Sep 1;41(5):642-651. doi: 10.5993/AJHB.41.5.13.
This study is an investigation of the relationships between residing in different types of ethnic enclave neighborhoods and inadequate use of prenatal care among Mexican-origin mothers.
A unique dataset was created using National Center for Health Statistics 2008 restricted-use detailed natality files, the 2005-2009 American Community Survey, and the Department of Health and Human Services Area Resource file. Hierarchical modeling was used.
Mexican-origin mothers' residential contexts are associated with the inadequacy of their prenatal care utilization beyond their individual characteristics. Specifically, residing in Mexican immigrant enclaves is associated with increased odds of having inadequate use of prenatal care. In contrast, residing in other types of ethnic enclaves (Mexican/Hispanic ethnic enclaves) and non-Hispanic white neighborhoods is associated with decreased odds of having inadequate utilization of prenatal care even after the inclusion of contextual-level controls for individual characteristics, neighborhood socioeconomic status, and the availability of healthcare infrastructure resources.
Residing in immigrant enclaves is important for understanding the inadequacy of prenatal care utilization for Mexican-origin mothers. These findings have policy implications for designing place-based programs to target certain residential contexts where women are at greater risk of having inadequate use of prenatal care.
本研究旨在调查墨西哥裔母亲居住在不同类型的族裔聚居社区与产前护理利用不足之间的关系。
利用美国国家卫生统计中心2008年限制使用的详细出生档案、2005 - 2009年美国社区调查以及卫生与公众服务部地区资源档案创建了一个独特的数据集。采用分层建模方法。
墨西哥裔母亲的居住环境与其产前护理利用不足有关，且这种关联超出了她们的个人特征。具体而言，居住在墨西哥移民聚居区会增加产前护理利用不足的几率。相比之下，居住在其他类型的族裔聚居区（墨西哥/西班牙裔族裔聚居区）和非西班牙裔白人社区，即使在纳入了针对个人特征、社区社会经济地位和医疗基础设施资源可用性的背景层面控制因素之后，产前护理利用不足的几率也会降低。
居住在移民聚居区对于理解墨西哥裔母亲产前护理利用不足的情况很重要。这些发现对于设计基于地点的项目具有政策意义，这些项目旨在针对女性产前护理利用不足风险较高的特定居住环境。
