ArticleJournal of urban health : bulletin of the New York Academy of Medicine2021
Utilization of Maternal Health Care Among Immigrant Mothers in New York City, 2016-2018.
Article in Journal of urban health : bulletin of the New York Academy of Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Birth Equity and Maternal Health Among Immigrant Communities in the United States: A Narrative Review.International journal of environmental research and public health · 2026Review
- Social determinants of health and recommended A1C monitoring among women with postpartum-onset diabetes: results from a retrospective cohort.BMJ open diabetes research & care · 2026Article
- Mapping the evidence on factors influencing postpartum contraception among sub-Saharan African immigrant and refugee women in the United States: a scoping review.Reproductive health · 2026Article
- Maternal and early childhood health and social outcomes of migrants in high-income countries and the impact of policies that restrict access to healthcare; a systematic review and meta-analysis.Journal of migration and health · 2026Review
- Reciprocal Innovation in Action: Adapting a Community-Based Care Model for Pregnant and Parenting Women in Kenya to Indiana.Annals of global health · 2026Article
- "To me, it was overwhelming": a mixed methods study of maternal healthcare in a marginalised community in New York City, guided by the person-centered care framework for reproductive health equity.Sexual and reproductive health matters · 2025Article
- Pre-pregnancy, Pregnancy, and Postpartum Health and Social Concerns of Haitian Immigrants.Journal of immigrant and minority health · 2025Article
- Immigrant Inequities in Uninsurance and Postpartum Medicaid Extension: A Quasi-Experimental Study in New York City, 2016-2021.American journal of public health · 2025Article
- Building HOPE: Integrating community-based doula care in public hospitals in New York City.Health affairs scholar · 2025Article
- Restricting Immigrant Access to Pregnancy-Related Insurance Has Public Health Consequences.American journal of public health · 2024Article
- Assessing Racial and Ethnic Disparities in Timing of Pregnancy Related Deaths.Maternal and child health journal · 2024Article
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- Uptake of antepartum care services in a matrilineal-matrilocal society: a study of Garo indigenous women in Bangladesh.BMC pregnancy and childbirth · 2023Article
- Exploring Prenatal Care Quality and Access During the COVID-19 Pandemic Among Pregnant Immigrants in Philadelphia Through the Lens of Community-Based Organizations.Women's health reports (New Rochelle, N.Y.) · 2023Article
- Analysis of State Medicaid Expansion and Access to Timely Prenatal Care Among Women Who Were Immigrant vs US Born.JAMA network open · 2022Article
- Health Data for New York City Overview: Advancing Health Equity through Policy-Relevant Collaborative Research.Journal of urban health : bulletin of the New York Academy of Medicine · 2021Article
- "Ekip Manman": Group Prenatal Care Adapted for Pregnant Haitian Immigrants in Boston, Massachusetts.Health equityArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Immigrant women represent half of New York City (NYC) births, and some immigrant groups have elevated risk for poor maternal health outcomes. Disparities in health care utilization across the maternity care spectrum may contribute to differential maternal health outcomes. Data on immigrant maternal health utilization are under-explored in the literature. We conducted a cross-sectional analysis of the population-based NYC Pregnancy Risk Assessment Monitoring System survey, using 2016-2018 data linked to birth certificate variables, to explore self-reported utilization of preconception, prenatal, and postpartum health care and potential explanatory pathways. We stratified results by maternal nativity and, for immigrants, by years living in the US; geographic region of origin; and country of origin income grouping. Among immigrant women, 43% did not visit a health care provider in the year before pregnancy, compared to 27% of US-born women (risk difference [RD] = 0.16, 95% CI [0.13, 0.20]), 64% had no dental cleaning during pregnancy compared to 49% of US-born women (RD = 0.15, 95% CI [0.11, 0.18]), and 11% lost health insurance postpartum compared to 1% of US-born women (RD = 0.10, 95% CI [0.08, 0.11]). The largest disparities were among recent arrivals to the US and immigrants from countries in Central America, South America, South Asia, and sub-Saharan Africa. Utilization differences were partially explained by insurance type, paternal nativity, maternal education, and race and ethnicity. Disparities may be reduced by collaborating with community-based organizations in immigrant communities on strategies to improve utilization and by expanding health care access and eligibility for public health insurance coverage before and after pregnancy.
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