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Racial differences in prenatal care use in the United States: Are disparities decreasing?

Author

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  • Alexander, G.R.
  • Kogan, M.D.
  • Nabukera, S.

Abstract

Objectives. We examined trends and racial disparities (White, African American) in trimester of prenatal care initiation and adequacy of prenatal care utilization for US women and specific high-risk subgroups, e.g., unmarried, young, or less-educated mothers. Methods. Data from 1981-1998 US natality files on singleton live births to US resident mothers were examined. Results. Overall, early and adequate use of care improved for both racial groups, and racial disparities in prenatal care use have been markedly reduced, except for some young mothers. Conclusions. While improvements are evident, it is doubtful that the Healthy People 2000 objective for prenatal care will soon be attained for African Americans or Whites. Further efforts are needed to understand influences on and to address barriers to prenatal care.

Suggested Citation

  • Alexander, G.R. & Kogan, M.D. & Nabukera, S., 2002. "Racial differences in prenatal care use in the United States: Are disparities decreasing?," American Journal of Public Health, American Public Health Association, vol. 92(12), pages 1970-1975.
    • Handle: RePEc:aph:ajpbhl:2002:92:12:1970-1975_7
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    Cited by:

    1. Ruth Atuhaire & Robert Wamala & Leonard. K Atuhaire & Elizabeth Nansubuga, 2021. "Regional differentials in early antenatal care, health facility delivery and early postnatal care among women in Uganda," Journal of Economics and Behavioral Studies, AMH International, vol. 13(4), pages 17-30.
    2. Paris Ekeke & Dara D. Mendez & Toby D. Yanowitz & Janet M. Catov, 2020. "Racial Differences in the Biochemical Effects of Stress in Pregnancy," IJERPH, MDPI, vol. 17(19), pages 1-15, September.
    3. Helen Lee & Sarah Shea Crowne & Melanie Estarziau & Keith Kranker & Charles Michalopoulos & Anne Warren & Tod Mijanovich & Jill H. Filene & Anne Duggan & Virginia Knox, "undated". "The Effects of Home Visiting on Prenatal Health, Birth Outcomes, and Health Care Use in the First Year of Life: Final Implementation and Impact Findings from the Mother and Infant Home Visiting Progra," Mathematica Policy Research Reports a9626a8d90bf4f01811d0c9d7, Mathematica Policy Research.
    4. Anson, Ofra, 2004. "Utilization of maternal care in rural HeBei Province, the People's Republic of China: individual and structural characteristics," Health Policy, Elsevier, vol. 70(2), pages 197-206, November.

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