ArticleBMC pregnancy and childbirth2015
Explanatory factors for first and second-generation non-western women's inadequate prenatal care utilisation: a prospective cohort study.
Article in BMC pregnancy and childbirth, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Maternal and neonatal outcomes of second-generation mothers in Europe: a systematic review.Globalization and health · 2025Pooled it
- Migrant-friendly maternity care in Montreal, Canada: A cross-sectional study on migrant women's care perspectives.PloS one · 2025Article
- Differences in maternal and perinatal outcomes between Dutch and non-Western women in a midwife-led care setting: a retrospective cohort study.BMC pregnancy and childbirth · 2024Article
- Socioeconomic inequalities in the uptake of postpartum care at home across Dutch neighbourhoods.European journal of public health · 2024Observational
- The DELIVER study; the impact of research capacity building on research, education, and practice in Dutch midwifery.PloS one · 2023Article
- Social determinants of inadequate prenatal care utilization in sheltered homeless mothers in the Greater Paris area in France.Frontiers in public health · 2023Article
- Perinatal outcomes of frequent attendance in midwifery care in the Netherlands: a retrospective cohort study.BMC pregnancy and childbirth · 2020Article
- Maternal Health Beliefs, Perceptions, and Experiences in a U.S. Marshallese Community.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2020Article
- Satisfaction with obstetric care in a population of low-educated native Dutch and non-western minority women. Focus group research.PloS one · 2019Article
- Knowledge of hypertensive disorders in pregnancy of Moroccan women in Morocco and in the Netherlands: a qualitative interview study.BMC pregnancy and childbirth · 2018Article
- Structural and Socio-cultural Barriers to Prenatal Care in a US Marshallese Community.Maternal and child health journal · 2018Article
- Inadequate prenatal care use among Canadian mothers: findings from the Maternity Experiences Survey.Journal of perinatology : official journal of the California Perinatal Association · 2016Article
Corrections and comments
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLittle research into non-western women's prenatal care utilisation in industrialised western countries has taken generational differences into account. In this study we examined non-western women's prenatal care utilisation and its explanatory factors according to generational status.
methodsData from 3300 women participating in a prospective cohort of primary midwifery care clients (i.e. women with no complications or no increased risk for complications during pregnancy, childbirth and the puerperium who receive maternity care by autonomous midwives) in the Netherlands (the DELIVER study) was used. Gestational age at entry and the total number of prenatal visits were aggregated into an index. The extent to which potential factors explained non-western women's prenatal care utilisation was assessed by means of blockwise logistic regression analyses and percentage changes in odds ratios.
resultsThe unadjusted odds of first and second-generation non-western women making inadequate use of prenatal care were 3.26 and 1.96 times greater than for native Dutch women. For the first generation, sociocultural factors explained 43% of inadequate prenatal care utilisation, socioeconomic factors explained 33% and demographic and pregnancy factors explained 29%. For the second generation, sociocultural factors explained 66% of inadequate prenatal care utilisation.
conclusionIrrespective of generation, strategies to improve utilisation should focus on those with the following sociocultural characteristics (not speaking Dutch at home, no partner or a first-generation non-Dutch partner). For the first generation, strategies should also focus on those with the following demographic, pregnancy and socioeconomic characteristics (aged ≤ 19 or ≥ 36, unplanned pregnancies, poor obstetric histories (extra-uterine pregnancy, molar pregnancy or abortion), a low educational level, below average net household income and no supplementary insurance.
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