Evidence map›Paper›PMID 41997831›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

County-Level Pregnancy Criminalization Rates and Prenatal Care Initiation and Utilization in Alabama, 2014-2022.

Taylor Riley, Jaquelyn L Jahn, Maeve E Wallace

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Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Taylor RileyCarolina Population Center, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. Electronic address: taylor_riley@unc.edu.
Jaquelyn L JahnThe Ubuntu Center on Racism, Global Movements, and Population Health Equity, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania; Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, Pennsylvania.
Maeve E WallaceDepartment of Health Promotion Sciences, Mel & Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona.

Funding

Research Services CoreP2CHD050924 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI KAREN B GUZZO · 2015 to 2026
$9.6M
From Biological to Social Processes: Interdisciplinary Training in Life Course ResearchT32HD091058 · NICHD · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ROBERT A HUMMER, Amanda L Thompson · 2017 to 2026
$4.3M
State-level Variation in Maternal MortalityR01HD096070 · NICHD · UNIVERSITY OF ARIZONA · PI WALLACE, MAEVE E · 2018 to 2025
$2.2M
NICHD NIH HHS P2C HD050924NICHD NIH HHS R01 HD096070NICHD NIH HHS T32 HD091058
6 · The paper itself

Abstract

objectiveWe investigated whether higher rates of county-level pregnancy-related arrests were associated with delayed and inadequate prenatal care among births in Alabama (2014-2022).

methodsWe used restricted-use natality data from the National Center for Health Statistics and data on annual pregnancy-related arrests by county from Pregnancy Justice. We fit log Poisson generalized estimating equation models with cluster robust standard errors to estimate the relative risk and 95% confidence intervals (CIs), stratified by race and ethnicity, and adjusted for individual- and county-level confounders.

resultsFully adjusted models suggest individuals living in counties with higher pregnancy criminalization rates were moderately more likely to delay prenatal care initiation (1.11, 95% CI [1.08, 1.14]) and receive inadequate prenatal care (1.05, 95% CI [1.03, 1.06]) compared with those living in a county with no arrests. We found positive associations among non-Hispanic white and Latina/Hispanic women, and null or slightly protective associations among non-Hispanic Black women.

conclusionsThese findings suggest pregnancy criminalization has an indirect chilling impact on prenatal health care access. The rise in the criminalization and surveillance of pregnancy, particularly in a post-Dobbs context, requires evidence-based policy responses that support maternal health and reproductive autonomy.

Indexed as

Health Services AccessibilityPatient Acceptance of Health CarePrenatal CareAdolescentAdultAlabamaBlack or African AmericanEthnicityFemaleHispanic or LatinoHumansPregnancySocioeconomic FactorsWhiteYoung Adult

Identifiers

PMID41997831
PMCPMC13248919

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.