Journal of Immigrant and Minority Health
Volume 17, Issue 5, 2015, Pages 1355-1363

Disparities in Access to Prenatal Care Services for African Immigrant Women in Spain (Article)

Paz-Zulueta M. , Llorca J. , Santibáñez M.*
  • a Department of Nursing, University of Cantabria, Avda de Valdecilla s/n, Santander, 39008, Spain
  • b Department of Public Health Sciences, University of Cantabria, Avda. Cardenal Herrera Oria, s/n, Santander, 39011, Spain, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain, CIBER of Epidemiology and Public Health (CIBERESP), Santander, Spain
  • c Department of Nursing, University of Cantabria, Avda de Valdecilla s/n, Santander, 39008, Spain, Instituto de Investigación Marqués de Valdecilla (IDIVAL), Santander, Spain, Departamento de Enfermería, Escuela de Enfermería, Universidad de Cantabria, Avda de Valdecilla s/n, Santander, 39008, Spain

Abstract

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. © 2014, Springer Science+Business Media New York.

Author Keywords

Immigration health inequalities Prenatal care Pregnancy

Index Keywords

Africa south of the Sahara prenatal care human Health Behavior Odds Ratio statistics and numerical data Logistic Models Young Adult Humans migrant Black person Adolescent African Continental Ancestry Group Emigrants and Immigrants Spain female Socioeconomic Factors risk factor Risk Factors socioeconomics pregnancy Retrospective Studies adult age Age Factors statistical model retrospective study Healthcare Disparities health care disparity
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84941420120&doi=10.1007%2fs10903-014-0086-8&partnerID=40&md5=a66d7fb5a0877974a3d58e01eb3ee1b7
DOI: 10.1007/s10903-014-0086-8
ISSN: 15571912
Cited by: 2
Original Language: English