Determinants of prenatal care use in Hawaii: Implications for health promotion

摘要: This study examines the association between maternal sociodemographic characteristics and receipt of different levels prenatal care use (no care, inadequate, intermediate, adequate) in order to determine patterns relationships these distinct categories use. Using 1979–1992 Hawaii live birth vital record file, single births resident mothers white, Hawaiian/part-Hawaiian, Filipino, or Japanese ethnicity, who did not indicate on certificate that either parent was active duty military, were selected. Over one quarter this population initiate first trimester. Given high level insurance coverage found Hawaii, finding is disconcerting, particularly relation U.S. Year 2000 Objective 90% initiation Overall, factors predicted any more adequate as well. Noteworthy exceptions age ethnicity. Identifying important for development a detailed understanding risk related better target program responses aimed at improving In addition, data suggest removing financial barriers access does guarantee universal disease prevention health promotion services.