Ethnic disparity in the performance of prenatal nutrition risk assessment among medicaid-eligible women.
IN THIS STUDY, the authors compare perinatal health outcomes and nutrition risk assessments in Latina, African American, and white women receiving Medic-aid enhanced perinatal services.
The objective is to analyze how proper assessment of obesity and underweight depend upon ethnic group, provider practice setting and credentials, and the implications for perinatal outcomes.
The medical records of women who received enhanced perinatal services from specially certified Medicaid providers in California were abstracted for information on nutrition risk assessment and outcomes.
Logistic regression analysis was used to test the associations first of obesity and underweight with adverse outcomes in Latina, African American and white women, then the associations of ethnicity with the failure of these women to be classified as overweight or underweight during assessment.
Finally, the associations between misclassification of body mass with provider practice setting type and credentials are also tested.
Obese Latinas are twice as likely not to be properly classified as overweight, despite evidence of substantial risk of unfavorable outcomes.
For all three ethnic groups, underweight women are uniformly underreported as being at risk.
The appropriate classifications of obesity and underweight are not associated with private or public types of obstetric practice settings or whether nutrition risk assessors are registered dietitians, health workers, or nurses of any par...
Mots-clés Pascal : Soin, Prénatal, Nutrition, Poids corporel, Pronostic, Femme, Gestation, Ethnie, Pauvreté, Facteur risque, Education nutritionnelle, Californie, Medicaid, Homme, Etats Unis, Amérique du Nord, Amérique
Mots-clés Pascal anglais : Care, Prenatal, Nutrition, Body weight, Prognosis, Woman, Pregnancy, Ethnic group, Poverty, Risk factor, Nutrition education, California, Human, United States, North America, America
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0097937
Code Inist : 002B30A03B. Création : 199608.