ArticleObstetrics and gynecology2019
Cohort Analysis of Immigrant Rhetoric on Timely and Regular Access of Prenatal Care.
Article in Obstetrics and gynecology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- The roles of COVID-19 pandemic exposure and telehealth in prenatal care access for rural and racial minority communities in the United States: A retrospective cohort study.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2025Article
- Evaluation of the Risk of Adverse Maternal and Neonatal Outcomes Among Immigrant and Native-Born Women: A Retrospective Observational Analysis.Health science reports · 2025Article
- Elevated Micro- and Nanoplastics Detected in Preterm Human Placentae.Research square · 2025Article
- Reproductive and Social Policies, Sociopolitical Stress, and Implications for Maternal and Child Health Equity.Current environmental health reports · 2024Review
- Article
- Exploring the Effect of Anti-immigration Rhetoric on Emergency Department Use by Undocumented Adults.Journal of immigrant and minority health · 2024Article
- Challenges of nursing research with immigrant and refugee populations: methodological and pragmatic considerations.Revista da Escola de Enfermagem da U S P · 2024Article
- Consequences of the 2019 Public Charge Rule Announcement and Publication on Prenatal WIC Participation Among Immigrant Families: Evidence of Spillover Effects.Journal of immigrant and minority health · 2023Article
- Immigration Policy and the Health of Latina Mothers and Their Infants.Journal of immigrant and minority health · 2023Article
- Birth and prenatal care outcomes of Latina mothers in the Trump era: Analysis by nativity and country/region of origin.PloS one · 2023Article
- Analysis of State Medicaid Expansion and Access to Timely Prenatal Care Among Women Who Were Immigrant vs US Born.JAMA network open · 2022Article
- The impact of response to iron therapy on maternal and neonatal outcomes among pregnant women with anemia.American journal of obstetrics & gynecology MFM · 2022Article
- Measuring structural xenophobia: US State immigration policy climates over ten years.SSM - population health · 2021Article
- How do pregnant women's perceptions of obstetric forceps change according to their demographic background: a cross sectional study.BMC pregnancy and childbirth · 2021Article
- Analysis of State-Level Immigrant Policies and Preterm Births by Race/Ethnicity Among Women Born in the US and Women Born Outside the US.JAMA network open · 2021Article
- Changes in Health Care Use Among Undocumented Patients, 2014-2018.JAMA network open · 2021Article
- Article
- The 2016 presidential election and periviable births among Latina women.Early human development · 2020Article
- The Muslim Ban and preterm birth: Analysis of U.S. vital statistics data from 2009 to 2018.Social science & medicine (1982) · 2020Article
- Observational
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
objectiveTo assess whether recent anti-immigration rhetoric is significantly associated with inadequate prenatal care.
methodsThis was a population-based cohort study (2011-2017). In their native language, patients were consented and queried regarding country of origin and time in the United States. Additional variables were collected or abstracted from the medical record, including documentation and timing of prenatal visits. Based on relevance and prevalence during the study period, publicly available Google search trends were mined for the terms "Make America Great Again," "Mexico Wall," and "Deportation" by geographic region. The time of first deviation from the mode Google search popularity value for each term was ascertained (mode inflection date). Perinatal data was averaged over 15 days moving windows, and the Adequacy of Prenatal Care Utilization Index was used to categorically define inadequate prenatal care by validated standards.
resultsTwenty-four thousand nine hundred thirty-three deliveries occurred during the study period. A mode inflection date was extrapolated from Google trend analytics and used to define the period before change in trends use pre (before rhetoric) and post (after rhetoric). Coincident to the rhetoric change, there was a significant increase in days until the first prenatal visit, fewer prenatal visits, and a decreased trend of mean hemoglobin nadir among U.S. non-native Hispanic women (P<.001). Immigrant status was an independent predictor of inadequate prenatal care as defined by the Adequacy of Prenatal Care Utilization Index standard, with increased adjusted odds among Hispanic women (adjusted odds ratio 1.581, 95% CI 1.407-1.777 [1.4-1.8]) coincident with anti-immigration rhetoric.
conclusionOur findings are of likely significant public health importance and suggest that recent anti-immigrant rhetoric is associated with adequate, timely, and regular access to prenatal care among nearly 25,000 deliveries in Houston, Texas.
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