Disparities in access to prenatal care services for African immigrant women in Spain

This retrospective cohort study compares the utilization of prenatal care between African immigrant and native Spanish women. For 2007-2010, we identified 231 pregnant African immigrant women. The native-born population sample was obtained by simple random sampling in a 1:3 ratio. The Kessner Index...

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Detalles Bibliográficos
Autores: Paz Zulueta, María|||0000-0003-3201-5488, Llorca Díaz, Francisco Javier|||0000-0001-8569-861X, Santibáñez Margüello, Miguel|||0000-0003-2634-615X
Tipo de recurso: artículo
Fecha de publicación:2015
País:España
Institución:Universidad de Cantabria (UC)
Repositorio:UCrea Repositorio Abierto de la Universidad de Cantabria
Idioma:inglés
OAI Identifier:oai:repositorio.unican.es:10902/34396
Acceso en línea:https://hdl.handle.net/10902/34396
Access Level:acceso abierto
Palabra clave:Prenatal care
Immigration
Pregnancy
Health Inequalities
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spelling Disparities in access to prenatal care services for African immigrant women in SpainPaz Zulueta, María|||0000-0003-3201-5488Llorca Díaz, Francisco Javier|||0000-0001-8569-861XSantibáñez Margüello, Miguel|||0000-0003-2634-615XPrenatal careImmigrationPregnancyHealth InequalitiesThis retrospective cohort study compares the utilization of prenatal care between African immigrant and native Spanish women. For 2007-2010, we identified 231 pregnant African immigrant women. The native-born population sample was obtained by simple random sampling in a 1:3 ratio. The Kessner Index (KI) and our Own Index (OI) were applied to rate prenatal care adequacy in three categories (adequate, intermediate, and inadequate). Odds ratios (ORs) were estimated using non-conditional logistic regression. Prenatal care was adequate according to the indexes (KI or OI) in 21.3 and 25.8% of North Africans and in 22.5 and 30.4% of sub-Saharan Africans. The ORs of inadequacy when adjusted for maternal age, social risk factors, and previous reproductive outcomes were 30.32 and 35.47 (KI or OI) in North and 64.43 and 67.93 in sub- Saharan Africans. These results suggest significant differences in obtaining adequate prenatal care between immigrant and native Spanish womenFunding: This work was partially supported by the accesit for the best investigation protocol presented to the 12th edition of the National nursing research awards. In addition, Maria Paz Zulueta was the recipient of a grant from IFIMAV for the best investigation protocol elaborated during the 5th course of methodology of investigation. Acknowledgements: To all staff of the Primary Care Management departments of the Cantabrian Health Service for the support and the facilities given to the study. To Rosa María Plata Quintanilla for their assistance in developing the database. To Irene Castro and Maria Ruiz for their contribution to acquisition of data.SpringerUniversidad de Cantabria20152015-01-01journal articlehttp://purl.org/coar/resource_type/c_6501NAhttp://purl.org/coar/version/c_be7fb7dd8ff6fe43info:eu-repo/semantics/articlehttps://hdl.handle.net/10902/34396Journal of Immigrant and Minority Health, 2015, 17(5), 1355-1363reponame:UCrea Repositorio Abierto de la Universidad de Cantabriainstname:Universidad de Cantabria (UC)Inglésengopen accesshttp://purl.org/coar/access_right/c_abf2info:eu-repo/semantics/openAccessoai:repositorio.unican.es:10902/343962026-06-02T12:39:31Z
dc.title.none.fl_str_mv Disparities in access to prenatal care services for African immigrant women in Spain
title Disparities in access to prenatal care services for African immigrant women in Spain
spellingShingle Disparities in access to prenatal care services for African immigrant women in Spain
Paz Zulueta, María|||0000-0003-3201-5488
Prenatal care
Immigration
Pregnancy
Health Inequalities
title_short Disparities in access to prenatal care services for African immigrant women in Spain
title_full Disparities in access to prenatal care services for African immigrant women in Spain
title_fullStr Disparities in access to prenatal care services for African immigrant women in Spain
title_full_unstemmed Disparities in access to prenatal care services for African immigrant women in Spain
title_sort Disparities in access to prenatal care services for African immigrant women in Spain
dc.creator.none.fl_str_mv Paz Zulueta, María|||0000-0003-3201-5488
Llorca Díaz, Francisco Javier|||0000-0001-8569-861X
Santibáñez Margüello, Miguel|||0000-0003-2634-615X
author Paz Zulueta, María|||0000-0003-3201-5488
author_facet Paz Zulueta, María|||0000-0003-3201-5488
Llorca Díaz, Francisco Javier|||0000-0001-8569-861X
Santibáñez Margüello, Miguel|||0000-0003-2634-615X
author_role author
author2 Llorca Díaz, Francisco Javier|||0000-0001-8569-861X
Santibáñez Margüello, Miguel|||0000-0003-2634-615X
author2_role author
author
dc.contributor.none.fl_str_mv Universidad de Cantabria
dc.subject.none.fl_str_mv Prenatal care
Immigration
Pregnancy
Health Inequalities
topic Prenatal care
Immigration
Pregnancy
Health Inequalities
description This retrospective cohort study compares the utilization of prenatal care between African immigrant and native Spanish women. For 2007-2010, we identified 231 pregnant African immigrant women. The native-born population sample was obtained by simple random sampling in a 1:3 ratio. The Kessner Index (KI) and our Own Index (OI) were applied to rate prenatal care adequacy in three categories (adequate, intermediate, and inadequate). Odds ratios (ORs) were estimated using non-conditional logistic regression. Prenatal care was adequate according to the indexes (KI or OI) in 21.3 and 25.8% of North Africans and in 22.5 and 30.4% of sub-Saharan Africans. The ORs of inadequacy when adjusted for maternal age, social risk factors, and previous reproductive outcomes were 30.32 and 35.47 (KI or OI) in North and 64.43 and 67.93 in sub- Saharan Africans. These results suggest significant differences in obtaining adequate prenatal care between immigrant and native Spanish women
publishDate 2015
dc.date.none.fl_str_mv 2015
2015-01-01
dc.type.none.fl_str_mv journal article
http://purl.org/coar/resource_type/c_6501
NA
http://purl.org/coar/version/c_be7fb7dd8ff6fe43
dc.type.openaire.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10902/34396
url https://hdl.handle.net/10902/34396
dc.language.none.fl_str_mv Inglés
eng
language_invalid_str_mv Inglés
language eng
dc.rights.none.fl_str_mv open access
http://purl.org/coar/access_right/c_abf2
dc.rights.openaire.fl_str_mv info:eu-repo/semantics/openAccess
rights_invalid_str_mv open access
http://purl.org/coar/access_right/c_abf2
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Springer
publisher.none.fl_str_mv Springer
dc.source.none.fl_str_mv Journal of Immigrant and Minority Health, 2015, 17(5), 1355-1363
reponame:UCrea Repositorio Abierto de la Universidad de Cantabria
instname:Universidad de Cantabria (UC)
instname_str Universidad de Cantabria (UC)
reponame_str UCrea Repositorio Abierto de la Universidad de Cantabria
collection UCrea Repositorio Abierto de la Universidad de Cantabria
repository.name.fl_str_mv
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