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是什么决定了产前护理的开始?产前护理、保险和教育。

What determines the start of prenatal care? Prenatal care, insurance, and education.

作者信息

Cooney J P

出版信息

Med Care. 1985 Aug;23(8):986-97. doi: 10.1097/00005650-198508000-00006.

DOI:10.1097/00005650-198508000-00006
PMID:3894822
Abstract

The effects of financial coverage, education, race, age, and marital status on the start of prenatal care was studied in this analysis of 85,000 live births that occurred in New York City in 1981. Log-linear models were selected for the three variables prenatal care, coverage, and education after the data had been partitioned by race, age, and marital status. An overall model for the six variables was also selected to determine the relationship between race, age, and marital status and the three principal variables named above. Late or no prenatal care was found to be associated with Medicaid and an education of less than 12 years. For the most part, the association of race and age with late or no prenatal care was mediated by coverage and education. Hispanics, blacks, and teenagers who experienced greater odds of incomplete education and Medicaid insurance experienced greater odds of late or no prenatal care.

摘要

在这项对1981年发生在纽约市的85000例活产进行的分析中,研究了经济覆盖范围、教育程度、种族、年龄和婚姻状况对产前护理开始时间的影响。在按种族、年龄和婚姻状况对数据进行划分后,为产前护理、经济覆盖范围和教育程度这三个变量选择了对数线性模型。还选择了一个包含六个变量的总体模型,以确定种族、年龄和婚姻状况与上述三个主要变量之间的关系。发现产前护理延迟或未进行与医疗补助以及教育年限少于12年有关。在很大程度上,种族和年龄与产前护理延迟或未进行之间的关联是由经济覆盖范围和教育程度介导的。受教育程度不完全和参加医疗补助保险几率更高的西班牙裔、黑人及青少年,产前护理延迟或未进行的几率也更高。

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引用本文的文献

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Predictors of inadequate prenatal care in methamphetamine-using mothers in New Zealand and the United States.新西兰和美国的美沙酮使用母亲中产前保健不足的预测因素。
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Clustering of U.S. women receiving no prenatal care: differences in pregnancy outcomes and implications for targeting interventions.
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Matern Child Health J. 2005 Jun;9(2):125-33. doi: 10.1007/s10995-005-4869-3.
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Risk factors for late or no prenatal care following Medicaid expansions in California.加利福尼亚州医疗补助扩大后晚期或未接受产前护理的风险因素。
Matern Child Health J. 2000 Dec;4(4):251-9. doi: 10.1023/a:1026647722295.
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Reduced risk of low weight births among indigent women receiving care from nurse-midwives.在接受助产士护理的贫困妇女中,低体重儿出生风险降低。
J Epidemiol Community Health. 2000 Mar;54(3):233-8. doi: 10.1136/jech.54.3.233.
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A comparison of Medicaid and non-Medicaid obstetrical care in California.加利福尼亚州医疗补助计划与非医疗补助计划下产科护理的比较。
Health Care Financ Rev. 1991 Summer;12(4):1-15.
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