A retrospective analysis of variations in antenatal care initiation in an ethnically diverse maternal population in the UK with high levels of area deprivation

2.50
Hdl Handle:
http://hdl.handle.net/10547/622731
Title:
A retrospective analysis of variations in antenatal care initiation in an ethnically diverse maternal population in the UK with high levels of area deprivation
Authors:
Puthussery, Shuby ( 0000-0002-1865-9546 ) ; Tseng, Pei-Ching; Li, Leah; Puthusserry, Thomas
Abstract:
Background: Research has indicated differential utilisation of antenatal care among ethnic minority mothers in the UK.  However, links between ethnicity, area deprivation and the timing of antenatal care initiation remain poorly understood.   This study investigates variations in antenatal care initiation among mothers residing in an ethnically diverse area in the UK with high levels of area deprivation.  Methods:  Data were derived from an on-going  retrospective cohort study using routinely collected anonymous data of live singleton  births over a 9 year period from 2007-2016 in a maternity unit catering to an ethnically diverse population. Logistic regression and Geographical Information Systems (GIS) were used to examine the associations between antenatal care initiation and ethnicity with and without adjustment for area deprivation. Preliminary results:  Among 45695 births recorded on the Ciconia Maternity information System, great  majority (80%) of mothers lived in neighbourhoods that are in the three most deprived area quintiles and 34.4% belonged to one of the ethnic minority groups. One fifth (20.8%)  of mothers initiated antenatal care late after 12 weeks of gestation. Late initiation was the highest among Black African (34.2%) and Black Caribbean (29.0%) groups who were more than twice as likely than the White British group to initiate antenatal care late (Odds ratio [OR]= 2.65 and 2.08 respectively). The risk appeared to remain after adjustment for area deprivation. Conclusions:  Ethnic minority mothers from some groups are at substantially higher risk of initiating antenatal care late compared to White British mothers regardless of the level of area deprivation. Main messages: Mothers from some ethnic minority groups are at  substantially higher risk of initiating antenatal care after 12 weeks of gestation compared to White British mothers.  Area level deprivation has very little effect on ethnic variations in antenatal care initiation.
Affiliation:
University of Bedfordshire; University College London
Citation:
Puthussery S, Tseng P, Li L, Puthusserry T (2018) 'A retrospective analysis of variations in antenatal care initiation in an ethnically diverse maternal population in the UK with high levels of area deprivation', European Journal of Public Health, 28 (suppl_1), pp.-.
Publisher:
Oxford University Press
Journal:
European Journal of Public Health
Issue Date:
17-Apr-2018
URI:
http://hdl.handle.net/10547/622731
DOI:
10.1093/eurpub/cky047.141
Additional Links:
https://academic.oup.com/eurpub/article-abstract/28/suppl_1/cky047.141/4973186
Type:
Article
Language:
en
ISSN:
1101-1262
Sponsors:
None
Appears in Collections:
Health

Full metadata record

DC FieldValue Language
dc.contributor.authorPuthussery, Shubyen
dc.contributor.authorTseng, Pei-Chingen
dc.contributor.authorLi, Leahen
dc.contributor.authorPuthusserry, Thomasen
dc.date.accessioned2018-06-07T13:34:06Z-
dc.date.available2018-06-07T13:34:06Z-
dc.date.issued2018-04-17-
dc.identifier.citationPuthussery S, Tseng P, Li L, Puthusserry T (2018) 'A retrospective analysis of variations in antenatal care initiation in an ethnically diverse maternal population in the UK with high levels of area deprivation', European Journal of Public Health, 28 (suppl_1), pp.-.en
dc.identifier.issn1101-1262-
dc.identifier.doi10.1093/eurpub/cky047.141-
dc.identifier.urihttp://hdl.handle.net/10547/622731-
dc.description.abstractBackground: Research has indicated differential utilisation of antenatal care among ethnic minority mothers in the UK.  However, links between ethnicity, area deprivation and the timing of antenatal care initiation remain poorly understood.   This study investigates variations in antenatal care initiation among mothers residing in an ethnically diverse area in the UK with high levels of area deprivation.  Methods:  Data were derived from an on-going  retrospective cohort study using routinely collected anonymous data of live singleton  births over a 9 year period from 2007-2016 in a maternity unit catering to an ethnically diverse population. Logistic regression and Geographical Information Systems (GIS) were used to examine the associations between antenatal care initiation and ethnicity with and without adjustment for area deprivation. Preliminary results:  Among 45695 births recorded on the Ciconia Maternity information System, great  majority (80%) of mothers lived in neighbourhoods that are in the three most deprived area quintiles and 34.4% belonged to one of the ethnic minority groups. One fifth (20.8%)  of mothers initiated antenatal care late after 12 weeks of gestation. Late initiation was the highest among Black African (34.2%) and Black Caribbean (29.0%) groups who were more than twice as likely than the White British group to initiate antenatal care late (Odds ratio [OR]= 2.65 and 2.08 respectively). The risk appeared to remain after adjustment for area deprivation. Conclusions:  Ethnic minority mothers from some groups are at substantially higher risk of initiating antenatal care late compared to White British mothers regardless of the level of area deprivation. Main messages: Mothers from some ethnic minority groups are at  substantially higher risk of initiating antenatal care after 12 weeks of gestation compared to White British mothers.  Area level deprivation has very little effect on ethnic variations in antenatal care initiation.en
dc.description.sponsorshipNoneen
dc.language.isoenen
dc.publisherOxford University Pressen
dc.relation.urlhttps://academic.oup.com/eurpub/article-abstract/28/suppl_1/cky047.141/4973186en
dc.rightsYellow - can archive pre-print (ie pre-refereeing)-
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectmaternal healthen
dc.titleA retrospective analysis of variations in antenatal care initiation in an ethnically diverse maternal population in the UK with high levels of area deprivationen
dc.typeArticleen
dc.contributor.departmentUniversity of Bedfordshireen
dc.contributor.departmentUniversity College Londonen
dc.identifier.journalEuropean Journal of Public Healthen
dc.date.updated2018-06-06T10:37:19Z-
dc.description.noteOnly abstract attached, needs a full text file of post-print (ie final draft post-refereeing) to be Ref-eligible. RSS: only the abstract was published in the journal.-
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