Thorsen Maggie L, Palacios Janelle F
Montana State University, Bozeman, MT, USA.
Kaiser Permanente Northern California, Oakland, CA, USA.
J Health Soc Behav. 2025 Mar;66(1):57-74. doi: 10.1177/00221465241236448. Epub 2024 Mar 27.
Early initiation and consistent use of prenatal care is linked with improved health outcomes. American Indian birthing people have higher rates of inadequate prenatal care (IPNC), but limited research has examined IPNC among people living on American Indian reservations. The current study uses birth certificate data from the state of Montana (n = 57,006) to examine predictors of IPNC. Data on the community context is integrated to examine the role of community health in mediating the associations between reservation status and IPNC. Results suggest that reservation-dwelling birthers are more likely to have IPNC, an association partially mediated by community health. Odds of IPNC are higher for reservation-dwelling American Indian people compared to reservation-dwelling White birthers, highlighting intersecting inequalities of race and place.
早期开始并持续使用产前护理与改善健康结果相关。美国印第安产妇接受产前护理不足（IPNC）的比例较高，但针对居住在美国印第安保留地的人群中IPNC情况的研究有限。当前的研究使用了蒙大拿州的出生证明数据（n = 57,006）来检验IPNC的预测因素。整合了社区背景数据，以检验社区健康在调节保留地状态与IPNC之间关联中的作用。结果表明，居住在保留地的产妇更有可能出现IPNC，这种关联部分由社区健康介导。与居住在保留地的白人产妇相比，居住在保留地的美国印第安人出现IPNC的几率更高，凸显了种族和地域交叉的不平等现象。
