ArticleMaternal and child health journal2011
Explaining ethnic differences in late antenatal care entry by predisposing, enabling and need factors in The Netherlands. The Generation R Study.
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 22 papers, 3 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Maternal and neonatal outcomes of second-generation mothers in Europe: a systematic review.Globalization and health · 2025Pooled it
- Maternal healthcare in migrants: a systematic review.Maternal and child health journal · 2013Pooled it
- Factors affecting the use of prenatal care by non-western women in industrialized western countries: a systematic review.BMC pregnancy and childbirth · 2013Pooled it
- Reducing Inequalities in Timing of Antenatal Care Initiation: A Hypothetical Intervention in the Generation R Study.Paediatric and perinatal epidemiology · 2025Article
- Article
- Exploring discrimination and racism in healthcare: a qualitative phenomenology study of Dutch persons with migration backgrounds.BMJ open · 2024Article
- Antenatal Care and Health Behavior of Pregnant Women-An Evaluation of the Survey of Neonates in Pomerania.Children (Basel, Switzerland) · 2023Article
- The magnitude and determinants of delayed initiation of antenatal care among pregnant women in Gambia; evidence from Gambia demographic and health survey data.BMC public health · 2023Article
- Psychosocial and behavioral health indicators among immigrant and non-immigrant recent mothers.BMC pregnancy and childbirth · 2022Article
- Utilisation of supplementary prenatal screening and diagnostics in Germany: cross-sectional study using data from the KUNO Kids Health Study.BMC pregnancy and childbirth · 2022Article
- Prenatal care adequacy of migrants born in conflict-affected countries and country-born parturients in Finland.Journal of migration and health · 2022Article
- Article
- Association between Migrant Women's Legal Status and Prenatal Care Utilization in the PreCARE Cohort.International journal of environmental research and public health · 2020Article
- Healthcare factors associated with the risk of antepartum and intrapartum stillbirth in migrants in Western Australia (2005-2013): A retrospective cohort study.PLoS medicine · 2020Article
- Factors associated with the timing of antenatal clinic attendance among first-time mothers in rural southern Ghana.BMC pregnancy and childbirth · 2020Article
- Antenatal care use in urban areas in two European countries: Predisposing, enabling and pregnancy-related determinants in Belgium and the Netherlands.BMC health services research · 2016Article
- Disparities in Access to Prenatal Care Services for African Immigrant Women in Spain.Journal of immigrant and minority health · 2015Article
- Explanatory factors for first and second-generation non-western women's inadequate prenatal care utilisation: a prospective cohort study.BMC pregnancy and childbirth · 2015Article
- Timing of first antenatal care attendance and associated factors among pregnant women in Arba Minch Town and Arba Minch District, Gamo Gofa Zone, south Ethiopia.Journal of environmental and public health · 2015Article
- Differences in timely antenatal care between first and second-generation migrants in the Netherlands.Journal of immigrant and minority health · 2014Article
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Authors and funding
11 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite compulsory health insurance in Europe, ethnic differences in access to health care exist. The objective of this study is to investigate how ethnic differences between Dutch and non-Dutch women with respect to late entry into antenatal care provided by community midwifes can be explained by need, predisposing and enabling factors. Data were obtained from the Generation R Study. The Generation R Study is a multi-ethnic population-based prospective cohort study conducted in the city of Rotterdam. In total, 2,093 pregnant women with a Dutch, Moroccan, Turkish, Cape Verdean, Antillean, Surinamese Creole and Surinamese Hindustani background were included in this study. We examined whether ethnic differences in late antenatal care entry could be explained by need, predisposing and enabling factors. Subsequently, logistic regression analysis was used to assess the independent role of explanatory variables in the timing of antenatal care entry. The main outcome measure was late entry into antenatal care (gestational age at first visit after 14 weeks). With the exception of Surinamese-Hindustani women, the percentage of mothers entering antenatal care late was higher in all non-Dutch compared to Dutch mothers. We could explain differences between Turkish (OR = 0.95, CI: 0.57-1.58), Cape Verdean (OR = 1.65. CI: 0.96-2.82) and Dutch women. Other differences diminished but remained significant (Moroccan: OR = 1,74, CI: 1.07-2.85; Dutch Antillean OR 1.80, CI: 1.04-3.13). We found that non-Dutch mothers were more likely to enter antenatal care later than Dutch mothers. Because we are unable to explain fully the differences regarding Moroccan, Surinamese-Creole and Antillean women, future research should focus on differences between 1st and 2nd generation migrants, as well as on language barriers that may hinder access to adequate information about the Dutch obstetric system.
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