Disparate Patterns of Prenatal Care Utilization Stratified by Medical and Psychosocial Risk

Krans, Elizabeth; Davis, Matthew; Palladino, Christie
May 2013
Maternal & Child Health Journal;May2013, Vol. 17 Issue 4, p639
Academic Journal
To evaluate patterns of prenatal care utilization stratified by medical and psychosocial risk. A retrospective cohort of 786 pregnant women who subsequently delivered live births from 1999 to 2003 at the University of Michigan were classified into high medical, high psychosocial, high medical and high psychosocial (dual high risk) and low-risk pregnancies. Chi-square and logistic regression analyses assessed the association between risk and prenatal care utilization using the Kotelchuck Index. Of 786 pregnancies, 202 (25.7 %) were high medical risk, 178 (22.7 %) were high psychosocial risk, 227 (28.9 %) were dual high risk and 179 (22.8 %) were low-risk. Over 31 % of dual high risk and 25 % of high medical risk pregnancies received 'adequate plus' prenatal care versus 10 % of high psychosocial risk pregnancies. In multivariate analyses, adjusted for risk, race and insurance, high psychosocial risk pregnancies (OR = 1.69; 95 % CI 1.06-2.72) were significantly more likely to receive inadequate prenatal care than care of greater intensity. Many high psychosocial risk pregnancies do not receive adequate prenatal care.


Related Articles

  • Religious Participation and DSM IV Major Depressive Disorder Among Black Caribbeans in the United States. Taylor, Robert; Chatters, Linda; Nguyen, Ann // Journal of Immigrant & Minority Health;Oct2013, Vol. 15 Issue 5, p903 

    This study examines the relationship between religious involvement and 12-month and lifetime DSM-IV major depressive disorder (MDD) within a nationally representative sample of Black Caribbean adults. MDD was assessed using the DSM-IV World Mental Health Composite International Diagnostic...

  • The pattern of physical comorbidity and the psychosocial determinants of depression: a prospective cohort study on a representative sample of family practice attendees in Slovenia. Selič, Polona; Švab, Igor; Rifel, Janez; Pavlič, Danica Rotar; King, Michael; Nazareth, Irwin; Černe, Anja // Mental Health in Family Medicine;2011, Vol. 8 Issue 3, p147 

    Objectives This study aims to present the patterns of physical comorbidity in depressed patients and factors strongly associated with depression in a representative sample of Slovenian family practice attendees. Methods Medical data was obtained for 911 general practice attendees. Of them, 221...

  • Effectiveness of antiretroviral treatment in Colombia. Machado-Alba, Jorge Enrique; Vidal, Xavier // Pan American Journal of Public Health;Nov2012, Vol. 32 Issue 5, p360 

    Objective. To evaluate the effectiveness of antiretroviral therapies and factors associated with HIV/AIDS control in a population of patients treated by the Colombian Social Security Health System (SGSSS). Methods. This was a descriptive study of 510 HIV/AIDS patients treated with antiretroviral...

  • Factors associated to the imposition of types of violence against women informed in sentry services. Jane Eyre de Souza Vieira, Luiza; Cameiro Ferreira, Renata; Alves Remigio Moreira, Gracyelle; Paula Soares Gondim, Ana; Alix Leite Araujo, Maria; Magalhães da Silva, Raimunda // Revista Latino-Americana de Enfermagem (RLAE);Jul/Aug2013, Vol. 21 Issue 4, p920 

    Objective: to identify the prevalence and the factors associated to the imposition of the different types of violence against women informed in sentry services. Method: transversal study accomplished through 939 notification forms of cases of violence against women, referring to the three years...

  • No association between dietary patterns and depressive symptoms among a community-dwelling population in Japan. Sugawara, Norio; Yasui-Furukori, Norio; Tsuchimine, Shoko; Kaneda, Ayako; Tsuruga, Koji; Iwane, Kaori; Okubo, Noriyuki; Takahashi, Ippei; Kaneko, Sunao // Annals of General Psychiatry;2012, Vol. 11 Issue 1, p24 

    Background: Studies of the associations between diet and depression have primarily focused on single nutrients or foods. Recently, dietary patterns representing a combination of foods have attracted more interest than individual nutrient. The objective of this study was to examine the...

  • Depression among Family Caregivers of Patients with Dementia Attending to Psychiatric Dispensary in Northern Japan. Eri Hashimoto; Masakazu Washio; Yumiko Arai; Ryuji Sasaki; Mitsuru Mori; Toshikazu Saito // International Medical Journal;Feb2013, Vol. 20 Issue 1, p9 

    Objective: To investigate factors related to depression among caregivers of patients with dementia. Design: Cross sectional study. Subjects and method: The data includes 55 pairs of family caregivers and outpatients with dementia, who attended the psychiatric dispensary of Sapporo Medical...

  • Relationships of leisure-time and non-leisure-time physical activity with depressive symptoms: a population-based study of Taiwanese older adults.  // International Journal of Behavioral Nutrition & Physical Activit;2012, Vol. 9, p28 

    The article presents the findings of a study conducted on examining the independent associations between leisure-time physical activity (LTPA), non-leisure-time physical activity (NLTPA), and specific parameters of physical activity (frequency, duration and intensity) with depressive symptoms in...

  • Maternal Depressive Symptoms and the Risk of Overweight in Their Children. Wang, Liang; Anderson, James; Dalton Iii, William; Wu, Tiejian; Liu, Xianchen; Zheng, Shimin; Liu, Xuefeng // Maternal & Child Health Journal;Jul2013, Vol. 17 Issue 5, p940 

    To examine the association between maternal depressive symptoms during early childhood of their offspring and later overweight in the children. Only children (n = 1,090) whose weights and heights were measured at least once for three time points (grades one, three and six) from the National...

  • Risk Factors Associated with Very Low Birth Weight in a Large Urban Area, Stratified by Adequacy of Prenatal Care. Xaverius, Pamela; Alman, Cameron; Yarber, Laura; Holtz, Lori // Maternal & Child Health Journal;Mar2016, Vol. 20 Issue 3, p623 

    Objectives This study examined risk and protective factors associated with very low birth weight (VLBW) for babies born to women receiving adequate or inadequate prenatal care. Methods Birth records from St. Louis City and County from 2000 to 2009 were used (n = 152,590). Data was categorized...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics