Antenatal care initiation in an ethnically dense socially disadvantaged maternal cohort

2.50
Hdl Handle:
http://hdl.handle.net/10547/623610
Title:
Antenatal care initiation in an ethnically dense socially disadvantaged maternal cohort
Authors:
Puthussery, Shuby ( 0000-0002-1865-9546 ) ; Tseng, Pei-Ching; Li, L.; Puthusserry, Thomas
Abstract:
Background: Differential utilisation of antenatal care among ethnic minority mothers is a contributor to their increased risk of poor birth outcomes in developed countries. Links between ethnicity, area deprivation and the timing of antenatal care initiation remain poorly understood. This study investigated patterns of antenatal care initiation among an ethnically dense, socially disadvantaged maternal cohort. Methods: We conducted a retrospective analysis of routinely collected anonymous data of live singleton births in a maternity unit serving an ethnically diverse population. We applied univariate regression models to examine the association between late antenatal care initiation and various predictor variables in particular ethnicity and area deprivation. Results: Gestational week at antenatal initiation was available for 46,089 births. One fifth (20.9%) of mothers initiated antenatal care after 12 weeks of gestation including 11.9% who had their first antenatal appointment at 13 -20 weeks (moderately late) and 8.9% who had it later than 20 weeks (extremely late). Among all the factors considered, late initiation was most strongly associated with non-White British ethnicity. Black African (34.2%) and Black Caribbean (29.0%) mothers were more than twice as likely to initiate antenatal care after 12 weeks of gestation compared to White British mothers [Odds ratio (OR) = 2.69 and 2.15 respectively). The odds did not increase with increasing area deprivation except for moderately late initiation in the most deprived and second most deprived areas [unadjusted OR = 1.54 and 1.24 respectively]. Conclusions: Non-White British ethnicity was the key predictor of late antenatal care initiation in our ethnically dense socially disadvantaged maternal cohort. Impact: Programs and policies should take in to account ethnic variations in antenatal careinitiation while designing programs and policies to improve birth outcomes in ethnically dense socially disadvantaged areas. Key messages: Non-White British ethnicity was the key predictor of late antenatal care initiation. Area deprivation per se appeared to have limited association with late antenatal care initiation.
Citation:
Puthussery S, Tseng P, Li L, Puthusserry T (2019) 'Antenatal care initiation in an ethnically dense socially disadvantaged maternal cohort', 12th European Public Health (EPH) Conference - Marseilles, Oxford University Press.
Publisher:
Oxford University Press
Journal:
European Journal of Public Health
Issue Date:
20-Nov-2019
URI:
http://hdl.handle.net/10547/623610
DOI:
10.1093/eurpub/ckz186.143
Additional Links:
https://academic.oup.com/eurpub/article/29/Supplement_4/ckz186.143/5623283
Type:
Image
Language:
en
ISSN:
1101-1262
Appears in Collections:
Health

Full metadata record

DC FieldValue Language
dc.contributor.authorPuthussery, Shubyen
dc.contributor.authorTseng, Pei-Chingen
dc.contributor.authorLi, L.en
dc.contributor.authorPuthusserry, Thomasen
dc.date.accessioned2019-12-02T11:14:17Z-
dc.date.available2019-12-02T11:14:17Z-
dc.date.issued2019-11-20-
dc.identifier.citationPuthussery S, Tseng P, Li L, Puthusserry T (2019) 'Antenatal care initiation in an ethnically dense socially disadvantaged maternal cohort', 12th European Public Health (EPH) Conference - Marseilles, Oxford University Press.en
dc.identifier.issn1101-1262-
dc.identifier.doi10.1093/eurpub/ckz186.143-
dc.identifier.urihttp://hdl.handle.net/10547/623610-
dc.description.abstractBackground: Differential utilisation of antenatal care among ethnic minority mothers is a contributor to their increased risk of poor birth outcomes in developed countries. Links between ethnicity, area deprivation and the timing of antenatal care initiation remain poorly understood. This study investigated patterns of antenatal care initiation among an ethnically dense, socially disadvantaged maternal cohort. Methods: We conducted a retrospective analysis of routinely collected anonymous data of live singleton births in a maternity unit serving an ethnically diverse population. We applied univariate regression models to examine the association between late antenatal care initiation and various predictor variables in particular ethnicity and area deprivation. Results: Gestational week at antenatal initiation was available for 46,089 births. One fifth (20.9%) of mothers initiated antenatal care after 12 weeks of gestation including 11.9% who had their first antenatal appointment at 13 -20 weeks (moderately late) and 8.9% who had it later than 20 weeks (extremely late). Among all the factors considered, late initiation was most strongly associated with non-White British ethnicity. Black African (34.2%) and Black Caribbean (29.0%) mothers were more than twice as likely to initiate antenatal care after 12 weeks of gestation compared to White British mothers [Odds ratio (OR) = 2.69 and 2.15 respectively). The odds did not increase with increasing area deprivation except for moderately late initiation in the most deprived and second most deprived areas [unadjusted OR = 1.54 and 1.24 respectively]. Conclusions: Non-White British ethnicity was the key predictor of late antenatal care initiation in our ethnically dense socially disadvantaged maternal cohort. Impact: Programs and policies should take in to account ethnic variations in antenatal careinitiation while designing programs and policies to improve birth outcomes in ethnically dense socially disadvantaged areas. Key messages: Non-White British ethnicity was the key predictor of late antenatal care initiation. Area deprivation per se appeared to have limited association with late antenatal care initiation.en
dc.language.isoenen
dc.publisherOxford University Pressen
dc.relation.urlhttps://academic.oup.com/eurpub/article/29/Supplement_4/ckz186.143/5623283en
dc.rightsYellow - can archive pre-print (ie pre-refereeing)-
dc.subjecthealthen
dc.subjectmaternal healthen
dc.subjectmaternity careen
dc.subjectante-natal careen
dc.subjectL510 Health & Welfareen
dc.titleAntenatal care initiation in an ethnically dense socially disadvantaged maternal cohorten
dc.typeImageen
dc.identifier.journalEuropean Journal of Public Healthen
dc.date.updated2019-12-02T11:10:53Z-
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