ArticleMaternal and child health journal2011
Prenatal care utilization in Mississippi: racial disparities and implications for unfavorable birth outcomes.
Article in Maternal and child health journal, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 1 of them a synthesis that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
57 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Incentives for increasing prenatal care use by women in order to improve maternal and neonatal outcomes.The Cochrane database of systematic reviews · 2015Pooled it
- Trial
- Does Quality of Prenatal Care for Black Birthing Women Impact Social Media Use?Maternal and child health journal · 2026Article
- Listening to Unheard Voices: Addressing Systemic Racism to Improve Maternity Care for Black Women After Perinatal Loss.International journal of environmental research and public health · 2026Article
- Transportation Barriers to Prenatal Care Among Black/African Americans: A Scoping Review.Public health challenges · 2025Review
- The effectiveness of an integrated continuous team midwifery care model on the quality of antenatal care in Iran's health system: A randomized controlled trial.European journal of obstetrics & gynecology and reproductive biology: X · 2025Article
- Building HOPE: Integrating community-based doula care in public hospitals in New York City.Health affairs scholar · 2025Article
- Providing Prenatal Care in a Student Run Free Clinic: From Problem Recognition to One Year of Clinical Operations.Journal of student-run clinics · 2024Article
- Sexual Orientation-Specific Policies Are Associated With Prenatal Care Use in the First Trimester Among Sexual Minority Women: Results From a Prospective Cohort Study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2024Article
- Lifetime Upward Economic Mobility and US-Born Latina Women's Preterm Birth Rates.Maternal and child health journal · 2024Article
- Neighborhood Predictors of Poor Prenatal Care and Well-Child Visit Attendance.Maternal and child health journal · 2024Article
- Reproductive Interconception Care Among Women Recently Pregnant and Homeless: A Qualitative Analysis.Health education & behavior : the official publication of the Society for Public Health Education · 2024Article
- Article
- Factors Contributing to the Health of 0- to 5-Year-Old Low-Birth-Weight Children in the United States: Application of the Multiple Disadvantage Model.European journal of investigation in health, psychology and education · 2024Article
- Perinatal health effects of herbicides exposures in the United States: the Heartland Study, a Midwestern birth cohort study.BMC public health · 2023Article
- Single-Centre Retrospective Cohort Study of Demographic Characteristics and Perinatal Outcomes in Pregnant Refugee Patients in Toronto, Canada.Journal of immigrant and minority health · 2023Article
- The Black-White Disparity in Preterm Birth: Race or Racism?The Milbank quarterly · 2023Article
- The Relation of Neighborhood Racial and Income Polarity to Preterm Birth Rates in Chicago.Maternal and child health journal · 2023Article
- Racial disparities in pregnancy options counseling and referral in the US South.Health services research · 2023Article
- Racial disparities in treatment engagement and outcomes in digital cognitive behavioral therapy for insomnia among pregnant women.Sleep health · 2023Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The objective of the study is to identify racial disparities in prenatal care (PNC) utilization and to examine the relationship between PNC and preterm birth (PTB), low birth weight (LBW) and infant mortality in Mississippi. Retrospective cohort from 1996 to 2003 linked Mississippi birth and infant death files was used. Analysis was limited to live-born singleton infants born to non-Hispanic white and black women (n = 292,776). PNC was classified by Kotelchuck's Adequacy of Prenatal Care Utilization Index. Factors associated with PTB, LBW and infant death were identified using multiple logistic regression after controlling for maternal age, education, marital status, place of residence, tobacco use and medical risk. About one in five Mississippi women had less than adequate PNC, and racial disparities in PNC utilization were observed. Black women delayed PNC, received too few visits, and were more likely to have either "inadequate PNC" (P < 0.0001) or "no care" (P < 0.0001) compared to white women. Furthermore, among women with medical conditions, black women were twice as likely to receive inadequate PNC compared to white women. Regardless of race, "no care" and "inadequate PNC" were strong risk factors for PTB, LBW and infant death. We provide empirical evidence to support the existence of racial disparities in PNC utilization and infant birth outcomes in Mississippi. Further study is needed to explain racial differences in PNC utilization. However, this study suggests that public health interventions designed to improve PNC utilization among women might reduce unfavorable birth outcomes especially infant mortality.
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Registered trials
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