Racial/Ethnic Differences in Prenatal and Postnatal Counseling About Maternal and Infant Health-Promoting Practices Among Teen Mothers
| Autor: | Suhong Tong, Priya V. Shah, Sunah S. Hwang, Stephanie L. Bourque |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Postpartum depression
Adult Counseling Postnatal Care Adolescent Influenza vaccine education Psychological intervention Ethnic group Breastfeeding Mothers White People 03 medical and health sciences 0302 clinical medicine Pregnancy Medicine Humans 030212 general & internal medicine Healthcare Disparities Retrospective Studies 030219 obstetrics & reproductive medicine business.industry Obstetrics and Gynecology Infant Prenatal Care General Medicine Odds ratio Hispanic or Latino medicine.disease Confidence interval United States Black or African American Cross-Sectional Studies Pediatrics Perinatology and Child Health Female Racial/ethnic difference business human activities Demography |
| Zdroj: | Journal of pediatric and adolescent gynecology. 34(1) |
| ISSN: | 1873-4332 |
| Popis: | Study Objective Disparities in perinatal counseling among all pregnant women exist, yet teen data are lacking. We evaluated racial/ethnic differences in (1) prenatal and (2) postnatal counseling of teen mothers. Design, Setting, and Participants This retrospective cross-sectional study included Pregnancy Risk Assessment Monitoring System data from 2012-2016 and included mothers 19 years of age and younger. Interventions and Main Outcome Measures Counseling measures included tobacco, alcohol and illicit drugs, weight gain, HIV testing, influenza vaccination, breastfeeding, infant safe sleep, postpartum depression, and contraception. Bivariate associations of maternal/infant characteristics and counseling were estimated using χ 2 tests. Multivariable logistic regression was used to assess the independent relationship between race/ethnicity and counseling. Results A weighted sample of 544,930 teen mothers was analyzed. Compared with non-Hispanic white (NHW) teens, non-Hispanic black teens were more likely to receive counseling on tobacco (adjusted odds ratio [aOR], 1.4; 95% confidence interval [CI], 1.10-1.77), alcohol (aOR, 1.77; 95% CI, 1.28-2.46), illicit drugs (aOR, 1.79; 95% CI, 1.33-2.41), and HIV testing (aOR, 1.62; 95% CI, 1.26-2.09). Compared with NHW teens, Hispanic teens were less likely to receive tobacco counseling (aOR, 0.78; 95% CI, 0.64-0.97) and more likely to receive influenza vaccine counseling (aOR, 1.44; 95% CI, 1.18-1.76). No difference was found in receipt of postnatal counseling. Conclusion Racial/ethnic differences in receipt of perinatal counseling exist, with non-Hispanic black teens being more likely to receive counseling on substance use and HIV testing and Hispanic teens being more likely to receive influenza vaccine recommendations compared with NHW teens. Ongoing investigation is needed to understand drivers of these differences. |
| Databáze: | OpenAIRE |
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