The Association Between the Intersection of Immigrant Status and Insurance with Adverse Birth Outcomes Among Mexican Women Residing in the San Joaquin Valley: A Mediation Analysis of Late Initiation or No Prenatal Care
| Autor: | Brittany D. Chambers, John A. Capitman |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Mediation (statistics) medicine.medical_specialty Epidemiology Total fertility rate Population Ethnic group Emigrants and Immigrants Gestational Age Prenatal care California Insurance Coverage 03 medical and health sciences 0302 clinical medicine Pregnancy Mexican Americans Humans Medicine 030212 general & internal medicine education education.field_of_study Insurance Health Medical Assistance 030505 public health business.industry Public health Pregnancy Outcome Public Health Environmental and Occupational Health Prenatal Care medicine.disease Acculturation Cross-Sectional Studies Premature birth Premature Birth Female 0305 other medical science business Demography |
| Zdroj: | Journal of Immigrant and Minority Health. 20:1438-1446 |
| ISSN: | 1557-1920 1557-1912 |
| DOI: | 10.1007/s10903-018-0689-6 |
| Popis: | Latinos are the largest growing population and have the highest fertility rates in the US. In response, this study assessed if late initiation of or no prenatal care (PNC) mediated the relationship among adverse birth outcomes and interactions between immigrant and insurance status. This study used cross-sectional data (2002-2004) limited to 109,399 women of Mexican ethnicity who had singleton births in the San Joaquin Valley, California. We conducted hierarchical mediation analyses. US-born Mexican women who used private or public insurance for PNC were more likely to have infants born at low-birth weight and premature compared to Mexican first generation immigrant women. Nonetheless, initiation of late or no PNC positively mediated the relationship between infants born premature to Mexican first generation immigrant women who used public insurance (ab/se(ab) = 2.123, p = .034). Findings from this study support acculturation theory and the need for multilevel approaches to address PNC among women of Mexican ethnicity. |
| Databáze: | OpenAIRE |
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