Risk factors for late or no prenatal care following Medicaid expansions in California.

摘要: Objectives: To describe the characteristics and risk factors of women with only third-trimester (late) or no prenatal care. Methods: A statewide postpartum survey was conducted that included 6364 low-income delivering in California hospitals 1994 1995. Results: The following appeared most important, considering both prevalence association late care: poverty, being uninsured, multiparity, unmarried, unplanned pregnancy. Forty-two percent care were uninsured at dramatically increased Over 40% had applied for Medi-Cal prenatally but did not receive it. Risks vary by ethnicity except African American lower than European background. Child problems significantly associated either care, transportation (not asked care) related to Conclusions: Lack insurance be a significant barrier who unsuccessfully prenatally, indicating need address barriers enrollment. However, lack financial access is unlikely completely explain dramatic risks uninsured. In addition eliminating coverage, policies reduce late/no should focus on pre-pregnancy (e.g., planned pregnancy poverty reduction) rather logistical during