This study examined the income distribution of childbearing women in California and sought to identify income groups at increased risk of untimely prenatal care.
A 1994/95 cross-sectional statewide survey of 10132 postpartum women was used.
Sixty-five percent of all childbearing women had low income (0% - 200% of the federal poverty level), and 46% were poor (0% - 100% of the federal poverty level).
Thirty-five percent of women with private prenatal coverage had low income.
Most low-income women with Medi-Cal (California's Medicaid) or private coverage received their prenatal care at private-sector sites.
Compared with women with incomes over 400% of the poverty level, both poor and near-poor women were at significantly elevated risk of untimely care after adjustment for insurance, education, age, parity, marital status, and ethnicity (adjusted odds ratios=5.32 and 3.09, respectively).
This study's results indicate that low-income women are the mainstream maternity population. not a « special needs » subgroup ; even among privately insured childbearing women, a substantial proportion have low income.
Efforts to increase timely prenatal care initiation cannot focus solely on women with Medicaid, the uninsured women in absolute poverty, or those who receive care at public-sector sites.
Mots-clés Pascal : Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Prévalence, Homme, Femelle, Postpartum, Santé, Utilisation, Soin, Statut socioéconomique, Pauvreté, Assurance maladie, Etude transversale, Surveillance sanitaire, Secteur public, Secteur privé
Mots-clés Pascal anglais : United States, North America, America, Epidemiology, Prevalence, Human, Female, Puerperium, Health, Use, Care, Socioeconomic status, Poverty, Health insurance, Cross sectional study, Sanitary surveillance, Public sector, Private sector
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0311288
Code Inist : 002B30A03C. Création : 16/11/1999.