Journal of Immigrant and Minority Health
Volume 16, Issue 4, 2014, Pages 631-637

Differences in timely antenatal care between first and second-generation migrants in the Netherlands (Article)

Choté A.A.* , Koopmans G.T. , De Groot C.J.M. , Hoefman R.J. , Jaddoe V.W.V. , Hofman A. , Steegers E.A.P. , Mackenbach J.P. , Trappenburg M. , Foets M.
  • a Department of Health Policy and Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, Netherlands, Generation R Study Group, Erasmus MC, Rotterdam, Netherlands
  • b Department of Health Policy and Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, Netherlands
  • c Department of Obstetrics and Gynaecology, VU University Medical Centre Amsterdam, Amsterdam, Netherlands
  • d Department of Health Policy and Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, Netherlands
  • e Generation R Study Group, Erasmus MC, Rotterdam, Netherlands, Department of Epidemiology, Erasmus MC, Rotterdam, Netherlands, Department of Pediatrics, Erasmus MC, Rotterdam, Netherlands
  • f Department of Epidemiology, Erasmus MC, Rotterdam, Netherlands
  • g Department of Obstetrics and Gynaecology, Erasmus MC, Rotterdam, Netherlands
  • h Department of Public Health, Erasmus MC, Rotterdam, Netherlands
  • i Department of Health Policy and Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, Netherlands, Utrecht University, Utrecht, Netherlands, University of Amsterdam, Amsterdam, Netherlands
  • j Department of Health Policy and Management, Erasmus University Rotterdam, PO Box 1738, 3000 DR Rotterdam, Netherlands, Netherlands Institute for Advanced Study in the Humanities and Social Sciences, Wassenaar, Netherlands

Abstract

To assess whether there are differences in the timing of first antenatal care visit between 1st and 2nd-generation migrants, and if so, how such differences could be explained. The study has been conducted in the framework of Generation R Study, a multi-ethnic population-based study conducted in Rotterdam, the Netherlands. The study population consists of 845 women of the six largest ethnic groups. Data were derived from the electronic antenatal charts of the participating midwives and from written questionnaires. Logistic regression analyses have been carried out to investigate whether difference could be explained by need, predisposing and enabling factors. More first than second generation women enter antenatal care after 14 weeks of pregnancy (28.1 vs. 18.7 %). Women who were not likely to adopt healthy behaviour regarding pregnancy - such as timely taking folic acid - equally were not inclined to enter antenatal care early in pregnancy. The role of Dutch language mastery was limited. Given our results, first generation women are less likely to receive timely health educational advice or to benefit from screening opportunities than second generation women. Future studies should pay more attention to adequate assessment of proficiency of the host language. © 2013 Springer Science+Business Media New York.

Author Keywords

Late entry Language mastery Ethnicity Antenatal care Generational status

Index Keywords

Netherlands utilization female prospective study Humans Health Services Accessibility pregnancy Transients and Migrants questionnaire prenatal care Surveys and Questionnaires Prospective Studies human adult migration health care delivery
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84904393706&doi=10.1007%2fs10903-013-9841-5&partnerID=40&md5=d7f93fd16feae21e0526c0fb689ac8af
DOI: 10.1007/s10903-013-9841-5
ISSN: 15571912
Cited by: 3
Original Language: English