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

Paz Zulueta, María; Llorca Díaz, Francisco Javier; Santibáñez Margüello, Miguel

doi:10.1007/s10903-014-0086-8

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Identificadores

URI: https://hdl.handle.net/10902/34396

DOI: 10.1007/s10903-014-0086-8

ISSN: 1557-1912

ISSN: 1557-1920

Fecha

2015

Derechos

© Springer Science+Business Media New York 2014. This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature's AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: http://dx.doi.org/10.1007/s10903-014-0086-8.

Publicado en

Journal of Immigrant and Minority Health, 2015, 17(5), 1355-1363

Editorial

Springer

Enlace a la publicación

https://doi.org/10.1007/s10903-014-0086-8

Palabras clave

Prenatal care

Immigration

Pregnancy

Health Inequalities

Resumen/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