McKinlay J B, McKinlay S M
Epidemiol Community Health. 1979 Mar;33(1):84-90. doi: 10.1136/jech.33.1.84.
This paper is a companion to an earlier report on prenatal visiting patterns in Aberdeen, Scotland (McKinlay, 1970). It examines the following three main questions: (1) Is the emerging trend towards later maternity care among young nulliparae largely due to those who delay because of premarital conception? (2) If premarital conception is primarily responsible for this trend, is this pattern of visiting behaviour continued in subsequent pregnancies, and what variation is there in such behaviour--between, for example, different socioeconomic groups and age groups? (3) Does the presence of one or more obstetric complications associated with a first pregnancy or birth have an effect on subsequent prenatal health behaviour, and does this effect, if present, interact with, say, socioeconomic status, or the legal status of the first pregnancy? The paper concludes with a discussion of some policy implications of the findings.
本文是之前一份关于苏格兰阿伯丁产前就诊模式报告(麦金利,1970年)的姊妹篇。它探讨了以下三个主要问题:(1)年轻未生育女性中出现的晚育护理趋势在很大程度上是否归因于那些因婚前怀孕而推迟生育的人?(2)如果婚前怀孕是这一趋势的主要原因,那么这种就诊行为模式在后续妊娠中是否会持续,以及这种行为在不同社会经济群体和年龄组之间有哪些差异?(3)首次怀孕或分娩时出现的一种或多种产科并发症是否会对后续产前健康行为产生影响,如果有这种影响,它是否会与社会经济地位或首次怀孕的法律地位等因素相互作用?本文最后讨论了研究结果的一些政策含义。