ArticleHealth services research2024
Perinatal care among Hispanic birthing people: Differences by primary language and state policy environment.
Article in Health services research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed.
- Racial and Ethnic Disparities in Early Pregnancy Loss (EPL) Among U.S. Emergency Department Visits: The Compounding Role of Advanced Maternal Age.Journal of racial and ethnic health disparities · 2026Article
- Patient Activation in the Postpartum Period by Race, Ethnicity, and Spoken Language.Journal of obstetric, gynecologic, and neonatal nursing : JOGNN · 2026Article
- Disparities in Prenatal Care Utilization in the United States.Maternal and child health journal · 2025Article
- Association of COVID-19 Continuous Enrollment With Self-Reported Postpartum Medicaid Continuity and Coverage Inequities.Health services research · 2025Article
- Self-Reported Versus County-Based Rurality of People Who Gave Birth in 6 US States, 2020.American journal of public health · 2025Article
- A Spanish-Language Patient-Reported Outcome Measure for Trust in Pregnancy Care Clinician.JAMA network open · 2025Article
- Perinatal care among Hispanic birthing people: Differences by primary language and state policy environment.Health services research · 2024Article
- Evaluating the Impact of Telehealth Prenatal Care at a Federally Qualified Health Center.Journal of midwifery & women's healthArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectiveThe study aims to examine maternal care among Hispanic birthing people by primary language and state policy environment. DATA SOURCES AND STUDY
settingPooled data from 2016 to 2020 Pregnancy Risk Assessment Monitoring System surveys from 44 states and two jurisdictions. STUDY
designUsing multivariable logistic regression, we calculated adjusted predicted probabilities of maternal care utilization (visit attendance, timeliness, adequacy) and quality (receipt of guideline-recommended care components). We examined outcomes by primary language (Spanish, English) and two binary measures of state policy environment: (1) expanded Medicaid eligibility to those <133% Federal Poverty Level, (2) waived five-year waiting period for pregnant immigrants to access Medicaid. DATA COLLECTION/EXTRACTION
methodsSurvey responses from 35,779 postpartum individuals with self-reported Hispanic ethnicity who gave birth during 2016-2020. PRINCIPAL
findingsCompared to English-speaking Hispanic people, Spanish-speaking individuals reported lower preconception care attendance and worse timeliness and adequacy of prenatal care. In states without Medicaid expansion and immigrant Medicaid coverage, Hispanic birthing people had, respectively, 2.3 (95% CI:0.6, 3.9) and 3.1 (95% CI:1.6, 4.6) percentage-point lower postpartum care attendance and 4.2 (95% CI:2.1, 6.3) and 9.2 (95% CI:7.2, 11.2) percentage-point lower prenatal care quality than people in states with these policies. In states with these policies, Spanish-speaking Hispanic people had 3.3 (95% CI:1.3, 5.4) and 3.0 (95% CI:0.9, 5.1) percentage-point lower prenatal care adequacy, but 1.3 (95% CI:-1.1, 3.6) and 2.7 (95% CI:0.2, 5.1) percentage-point higher postpartum care quality than English-speaking Hispanic people. In states without these policies, those same comparisons were 7.3 (95% CI:3.8, 10.8) and 7.9 (95% CI:4.6, 11.1) percentage-points lower and 9.6 (95% CI:5.5, 13.7) and 5.3 (95% CI:1.8, 8.9) percentage-points higher.
conclusionsPerinatal care utilization and quality vary among Hispanic birthing people by primary language and state policy environment. States with Medicaid expansion and immigrant Medicaid coverage had greater equity between Spanish-speaking and English-speaking Hispanic people in adequate prenatal care and postpartum care quality among those who gave birth.
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