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