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    Antenatal care initiation in an ethnically dense socially disadvantaged maternal cohort

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    Authors
    Puthussery, Shuby
    Tseng, Pei-Ching
    Li, L.
    Puthusserry, Thomas
    Issue Date
    2019-11-20
    Subjects
    health
    maternal health
    maternity care
    ante-natal care
    L510 Health & Welfare
    
    Metadata
    Show full item record
    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
    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
    ae974a485f413a2113503eed53cd6c53
    10.1093/eurpub/ckz186.143
    Scopus Count
    Collections
    Health

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