Latina prenatal care prams 2000
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Latina prenatal care PRAMS 2000. June 18, 2003. Suzanne Yusem, Research Analyst. Contents. Overview of PRAMS Prenatal, pregnancy, and postnatal access to care for the Hispanic women. PRAMS : P regnancy R isk A ssessment M onitoring S ystem. Survey women 2-6 months after birth

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Latina prenatal care PRAMS 2000

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Latina prenatal care prams 2000

Latina prenatal care PRAMS 2000

June 18, 2003

Suzanne Yusem, Research Analyst


Latina prenatal care prams 2000

Contents

  • Overview of PRAMS

  • Prenatal, pregnancy, and postnatal access to care for the Hispanic women


Latina prenatal care prams 2000

PRAMS: Pregnancy Risk Assessment Monitoring System

  • Survey women 2-6 months after birth

  • About 180 women/month

  • Started by Oregon in 1998 - 3 cohorts

  • Integrated with CDC: 2002


Latina prenatal care prams 2000

Methods

  • In English and Spanish

  • Stratified random sample of births every month

  • Oversampling for racial and ethnic minority (Hisp, Afr/Am, Am/In, Asian/PI)


Latina prenatal care prams 2000

Methods: Response Rate

By mother’s race/ethnicity

  • Hispanics 83%

  • Non-Hispanic African American 60%

  • Non-Hispanic American Indian 73%

  • Non-Hispanic Asian/PI 59%

  • Non-Hispanic White 80%


Latina prenatal care prams 2000

Vital Stats reports that in 2000…

  • 45,786 births to Oregon residents

  • Total births from Hispanic mothers: 7,397 (16.1%)

  • Proportion of births from Hispanic mothers has doubled in less than 10 years


Prams

PRAMS

  • 6,515 Hispanics mothers are represented

  • 80% of Hispanic mothers are foreign-born

  • Almost 93% of the foreign-born mothers were born in Mexico


Latina prenatal care prams 2000

Analysis is based on

Hispanic moms: 5,045 Mexican moms non-Hispanic moms: 36,755

whose baby is alive and with them


Latina prenatal care prams 2000

PRAMS: points of analysis

  • Before pregnancy

  • During pregnancy

  • After baby’s birth


Latina prenatal care prams 2000

Before pregnancy


Latina prenatal care prams 2000

PRAMS: Before pregnancy

Just before you got pregnant, did you have health insurance?


Latina prenatal care prams 2000

PRAMS: Before pregnancy

Just before you got pregnant, did you have health ins. through OHP?


Latina prenatal care prams 2000

PRAMS: Before pregnancy

Where were you/your partner getting BC? Check all that apply


Latina prenatal care prams 2000

PRAMS: Before pregnancy

Did you know there was free or low cost BC at HD and PP clinics?


Latina prenatal care prams 2000

PRAMS: Before pregnancy

Have you ever read or heard about emergency BC?


Latina prenatal care prams 2000

During pregnancy


Latina prenatal care prams 2000

PRAMS: During pregnancy

At the time of your first pregnancy test, were you insured for PNC?


Latina prenatal care prams 2000

PRAMS: During pregnancy

Did OHP pay for any portion of your prenatal care?


Latina prenatal care prams 2000

PRAMS: During pregnancy

About how many weeks pregnant were you when you had your first visit for prenatal care?


Latina prenatal care prams 2000

PRAMS: During pregnancy

Did you get prenatal care as early as you wanted?


Latina prenatal care prams 2000

PRAMS: During pregnancy

Did any of these things keep you from getting PNC as early in your pregnancy as you wanted? Check all that apply.

Hisp non-Hisp

  • I couldn’t get an appt earlier in my pregnancy 23.6% 13.3%

  • I didn’t have enough $ to pay for my PNC visits 8.4% 8.5%

  • I didn’t have ins. to pay for my PNC visits 5.5% 13.0%

  • I didn’t know I was pregnant 9.2% 10.4%

  • No, I got PNC as early as I wanted 48.9% 62.5%


Latina prenatal care prams 2000

PRAMS: During pregnancy

Where did you go most of the time for your PNC visits? Check one.


Latina prenatal care prams 2000

PRAMS: During pregnancy

Information received during prenatal care – check each item

70% or more of the Hispanic women recalled being told about…

  • nutrition

  • breastfeeding the baby

  • use of BC after delivery

  • how smoking during pregnancy could affect the baby

  • how secondhand smoke could affect your baby after birth


Latina prenatal care prams 2000

Information received during prenatal care – continued

  • how drinking alcohol could affect the baby

  • how using illegal drugs could affect your baby

  • doing genetic tests to screen for birth defects

  • getting tested for HIV and protecting themselves from contracting it

  • use of seat belt during pregnancy


Latina prenatal care prams 2000

Information received during prenatal care – continued

Only 30% recalled hearing about the importance of seeing a dentist during pregnancy

Only 44% recalled hearing about domestic violence


Latina prenatal care prams 2000

PRAMS: During pregnancy

If you were in WIC during this pregnancy, how many weeks/months pregnant were you when you had your first WIC visit?


Latina prenatal care prams 2000

PRAMS: During pregnancy

Things that happened to you before or during your last pregnancy

Hisp non-Hisp

  • You got separated/divorced from partner 9.4% 9.3%

  • You moved to a new address 42.2% 42.1%

  • You were homeless 7.9% 2.0%

  • Your partner lost a job 19.9% 15.1%

  • You lost your job even though you wanted 21.9% 10.2% to go on working


Latina prenatal care prams 2000

PRAMS: During pregnancy

Things that happened to you before or during your last pregnancy--continued

Hisp non-Hisp

  • Your partner said he did not want you to 6.1% 7.4% get pregnant

  • You had a lot of bills you couldn’t pay 31% 27.9%

  • You were involved in a physical fight 4.4% 2.3%

  • You or your partner went to jail 4.2% 3.1%


Latina prenatal care prams 2000

PRAMS: During pregnancy

Do you think you were treated differently by health care providers during prenatal care, labor or delivery because of your :

Hisp non-Hisp

  • race4.3%1.0%

  • culture4.8%1.3%

  • ability to speak/ 11.9% 1.4% understand English

  • insurance status 6.4% 6.8%


Latina prenatal care prams 2000

PRAMS: During labor and delivery

What type of insurance paid for your delivery? Check all that apply


Latina prenatal care prams 2000

After baby’s birth


Latina prenatal care prams 2000

PRAMS: After baby’s birth

Where do you take your baby for routine well baby care? Check all.


Latina prenatal care prams 2000

PRAMS: After baby’s birth

What is your insurance now?


Latina prenatal care prams 2000

PRAMS: After baby’s birth

Are you or your partner using any kind of BC now?


Latina prenatal care prams 2000

PRAMS: After baby’s birth

Where are you or your partner getting your BC method now? Check all


Latina prenatal care prams 2000

Summary

  • Hispanic women access health care services (birth control, prenatal care and baby routine care) at county Health Departments and Community Health Centers much more than non-Hispanic women

  • Hispanic women are covered for labor and delivery with OHP (via CAWEM) but do not have OHP for prenatal care


Latina prenatal care prams 2000

Summary -ctned

  • Hispanic women do not know about emergency contraception

  • Hispanic women access WIC services much more than non-Hispanic women, and they do so more often after 19 weeks


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