Sociodemographic factors associated with prenatal care utilization in Arkansas, United States
Objectives: This study examines prenatal care utilization differences in Arkansas. Methods: Birth records data from the National Center for Health Statistics were used. The study population consisted of singleton live births in Arkansas from 2014 to 2022. Primary outcomes included number of prenatal...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-03-01
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| Series: | Preventive Medicine Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2211335525000221 |
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| author | Pearl A. McElfish Aaron Caldwell Donya Watson Jonathan Langner Jennifer Callaghan-Koru Austin Porter Don E. Willis Jennifer A. Andersen Nicola L. Hawley James P. Selig Amir Forati Maria R. Alcala Lanita White Enrique Gomez-Pomar Clare C. Brown |
| author_facet | Pearl A. McElfish Aaron Caldwell Donya Watson Jonathan Langner Jennifer Callaghan-Koru Austin Porter Don E. Willis Jennifer A. Andersen Nicola L. Hawley James P. Selig Amir Forati Maria R. Alcala Lanita White Enrique Gomez-Pomar Clare C. Brown |
| author_sort | Pearl A. McElfish |
| collection | DOAJ |
| description | Objectives: This study examines prenatal care utilization differences in Arkansas. Methods: Birth records data from the National Center for Health Statistics were used. The study population consisted of singleton live births in Arkansas from 2014 to 2022. Primary outcomes included number of prenatal visits, fewer than the recommended number of prenatal visits, late prenatal care, and no prenatal care. Summary statistics were computed, and adjusted rates ratios were calculated adjusting for maternal age, maternal education, and parity for payer, race/ethnicity, and rural/urban residence. Results: Mothers with a Medicaid-covered birth had 0.90 times fewer prenatal care visits and were 1.26 times more likely to have fewer than the recommended number of visits, 1.60 times more likely to initiate prenatal care late, and 1.46 times more likely to have reported no prenatal visits at all. Number of prenatal care visits was lower for all racial/ethnic groups relative to white mothers and for mothers living in rural areas. The largest differences were for Native Hawaiian and Pacific Islander (NHPI) mothers, who reported almost half the number of visits (ARR = 0.67, 95 % CI [0.64, 0.70]). Having no prenatal care was more prevalent among NHPI (ARR = 3.68, 95 % CI [2.66, 5.10]) and Black (ARR = 1.47, 95 % CI [1.34, 1.61]) mothers. Racially/ethnically minoritized groups were more likely to have late prenatal care and fewer than the recommended number of prenatal visits, with the greatest difference for NHPI. Conclusions: Findings document disparities in prenatal care utilization related to payer, race/ethnicity, and rural/urban residence. |
| format | Article |
| id | doaj-art-0125c3ecce314c80a9afbef3fdda6c9a |
| institution | Kabale University |
| issn | 2211-3355 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Preventive Medicine Reports |
| spelling | doaj-art-0125c3ecce314c80a9afbef3fdda6c9a2025-02-06T05:11:33ZengElsevierPreventive Medicine Reports2211-33552025-03-0151102983Sociodemographic factors associated with prenatal care utilization in Arkansas, United StatesPearl A. McElfish0Aaron Caldwell1Donya Watson2Jonathan Langner3Jennifer Callaghan-Koru4Austin Porter5Don E. Willis6Jennifer A. Andersen7Nicola L. Hawley8James P. Selig9Amir Forati10Maria R. Alcala11Lanita White12Enrique Gomez-Pomar13Clare C. Brown14College of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA; Corresponding author at: University of Arkansas for Medical Sciences Northwest, 2708 S. 48th St., Springdale, AR 72762, USA;Fay W. Boozman, College of Public Health, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USACollege of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA; South Arkansas Regional Hospital, El Dorado, AR, USAInstitute for Community Health Innovation, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USACollege of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USAArkansas Department of Health, Little Rock, AR, USACollege of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USACollege of Medicine, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USADepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USAFay W. Boozman, College of Public Health, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USAHeartland Forward, Bentonville, AR, USAHeartland Forward, Bentonville, AR, USACommunity Health Centers of Arkansas, Little Rock, AR, USACollege of Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA; Neonatology, St Bernards Regional Medical Center, Jonesboro, AR, USAFay W Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USAObjectives: This study examines prenatal care utilization differences in Arkansas. Methods: Birth records data from the National Center for Health Statistics were used. The study population consisted of singleton live births in Arkansas from 2014 to 2022. Primary outcomes included number of prenatal visits, fewer than the recommended number of prenatal visits, late prenatal care, and no prenatal care. Summary statistics were computed, and adjusted rates ratios were calculated adjusting for maternal age, maternal education, and parity for payer, race/ethnicity, and rural/urban residence. Results: Mothers with a Medicaid-covered birth had 0.90 times fewer prenatal care visits and were 1.26 times more likely to have fewer than the recommended number of visits, 1.60 times more likely to initiate prenatal care late, and 1.46 times more likely to have reported no prenatal visits at all. Number of prenatal care visits was lower for all racial/ethnic groups relative to white mothers and for mothers living in rural areas. The largest differences were for Native Hawaiian and Pacific Islander (NHPI) mothers, who reported almost half the number of visits (ARR = 0.67, 95 % CI [0.64, 0.70]). Having no prenatal care was more prevalent among NHPI (ARR = 3.68, 95 % CI [2.66, 5.10]) and Black (ARR = 1.47, 95 % CI [1.34, 1.61]) mothers. Racially/ethnically minoritized groups were more likely to have late prenatal care and fewer than the recommended number of prenatal visits, with the greatest difference for NHPI. Conclusions: Findings document disparities in prenatal care utilization related to payer, race/ethnicity, and rural/urban residence.http://www.sciencedirect.com/science/article/pii/S2211335525000221Prenatal careMaternal child healthInsurance payerRace/ethnicityRural/urban residence |
| spellingShingle | Pearl A. McElfish Aaron Caldwell Donya Watson Jonathan Langner Jennifer Callaghan-Koru Austin Porter Don E. Willis Jennifer A. Andersen Nicola L. Hawley James P. Selig Amir Forati Maria R. Alcala Lanita White Enrique Gomez-Pomar Clare C. Brown Sociodemographic factors associated with prenatal care utilization in Arkansas, United States Preventive Medicine Reports Prenatal care Maternal child health Insurance payer Race/ethnicity Rural/urban residence |
| title | Sociodemographic factors associated with prenatal care utilization in Arkansas, United States |
| title_full | Sociodemographic factors associated with prenatal care utilization in Arkansas, United States |
| title_fullStr | Sociodemographic factors associated with prenatal care utilization in Arkansas, United States |
| title_full_unstemmed | Sociodemographic factors associated with prenatal care utilization in Arkansas, United States |
| title_short | Sociodemographic factors associated with prenatal care utilization in Arkansas, United States |
| title_sort | sociodemographic factors associated with prenatal care utilization in arkansas united states |
| topic | Prenatal care Maternal child health Insurance payer Race/ethnicity Rural/urban residence |
| url | http://www.sciencedirect.com/science/article/pii/S2211335525000221 |
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