Kogan M D, Kotelchuck M, Johnson S
National Center for Health Statistics, Hyattsville, MD 20782.
J Perinatol. 1993 Jan-Feb;13(1):14-21.
The purpose of this study was to examine potential racial disparities in the use of prenatal care beyond what could be measured by the Kessner Index. The data were obtained from the 1986 Massachusetts Prenatal Care Survey, a follow-back study of 2587 postpartum women, which had as its primary objective the identification of barriers to adequate use of prenatal care. This investigation examined the number of prenatal visits reported for each month of pregnancy and found that white women reported significantly more visits than black women only in the eighth and ninth months of pregnancy. This racial difference remained after we controlled for gestational age, sociodemographic factors, reported barriers to care, payor status, and access to care. This study suggests that racial differences in use of late prenatal visits need direct attention if the gaps in use of prenatal care and adverse birth outcomes are to be lessened.
本研究的目的是检验产前护理使用方面潜在的种族差异，这些差异超出了凯斯纳指数所能衡量的范围。数据来自1986年马萨诸塞州产前护理调查，这是一项对2587名产后妇女的随访研究，其主要目标是确定充分利用产前护理的障碍。这项调查研究了孕期每个月报告的产前检查次数，发现只有在怀孕的第八和第九个月，白人妇女报告的检查次数明显多于黑人妇女。在我们控制了孕周、社会人口学因素、报告的护理障碍、支付者状况和获得护理的机会后，这种种族差异仍然存在。这项研究表明，如果要缩小产前护理使用方面的差距和不良出生结局，晚期产前检查使用方面的种族差异需要得到直接关注。
