Determinants of late and/or inadequate use of prenatal healthcare in high-income countries: a systematic review
Prenatal healthcare is likely to prevent adverse outcomes, but an adequate review of utilization and its determinants is lacking. To review systematically the evidence for the determinants of prenatal healthcare utilization in high-income countries. Search of publications in EMBASE, CINAHL and PubMe...
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Veröffentlicht in: | European journal of public health 2012-12, Vol.22 (6), p.904-913 |
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creator | Feijen-de Jong, Esther I Jansen, Danielle Emc Baarveld, Frank van der Schans, Cees P Schellevis, François G Reijneveld, Sijmen A |
description | Prenatal healthcare is likely to prevent adverse outcomes, but an adequate review of utilization and its determinants is lacking.
To review systematically the evidence for the determinants of prenatal healthcare utilization in high-income countries.
Search of publications in EMBASE, CINAHL and PubMed (1992-2010). Studies that attempted to study determinants of prenatal healthcare utilization in high-income countries were included. Two reviewers independently assessed the eligibility and methodological quality of the studies. Only high-quality studies were included. Data on inadequate use (i.e. late initiation, low-use, inadequate use or non-use) were categorized as individual, contextual and health behaviour-related determinants. Due to the heterogeneity of the studies, a quantitative meta-analysis was not possible.
Ultimately eight high-quality studies were included. Low maternal age, low educational level, non-marital status, ethnic minority, planned pattern of prenatal care, hospital type, unplanned place of delivery, uninsured status, high parity, no previous premature birth and late recognition of pregnancy were identified as individual determinants of inadequate use. Contextual determinants included living in distressed neighbourhoods. Living in neighbourhoods with higher rates of unemployment, single parent families, medium-average family incomes, low-educated residents, and women reporting Canadian Aboriginal status were associated with inadequate use or entering care after 6 months. Regarding health behaviour, inadequate use was more likely among women who smoked during pregnancy.
Evidence for determinants of prenatal care utilization is limited. More studies are needed to ensure adequate prenatal care for pregnant women at risk. |
doi_str_mv | 10.1093/eurpub/ckr164 |
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To review systematically the evidence for the determinants of prenatal healthcare utilization in high-income countries.
Search of publications in EMBASE, CINAHL and PubMed (1992-2010). Studies that attempted to study determinants of prenatal healthcare utilization in high-income countries were included. Two reviewers independently assessed the eligibility and methodological quality of the studies. Only high-quality studies were included. Data on inadequate use (i.e. late initiation, low-use, inadequate use or non-use) were categorized as individual, contextual and health behaviour-related determinants. Due to the heterogeneity of the studies, a quantitative meta-analysis was not possible.
Ultimately eight high-quality studies were included. Low maternal age, low educational level, non-marital status, ethnic minority, planned pattern of prenatal care, hospital type, unplanned place of delivery, uninsured status, high parity, no previous premature birth and late recognition of pregnancy were identified as individual determinants of inadequate use. Contextual determinants included living in distressed neighbourhoods. Living in neighbourhoods with higher rates of unemployment, single parent families, medium-average family incomes, low-educated residents, and women reporting Canadian Aboriginal status were associated with inadequate use or entering care after 6 months. Regarding health behaviour, inadequate use was more likely among women who smoked during pregnancy.
Evidence for determinants of prenatal care utilization is limited. More studies are needed to ensure adequate prenatal care for pregnant women at risk.</description><identifier>ISSN: 1101-1262</identifier><identifier>EISSN: 1464-360X</identifier><identifier>DOI: 10.1093/eurpub/ckr164</identifier><identifier>PMID: 22109988</identifier><identifier>CODEN: EJPHF6</identifier><language>eng</language><publisher>England: Oxford Publishing Limited (England)</publisher><subject>Births ; Canadians ; Developed Countries ; Family ; Female ; Health Behavior ; Health policy ; Health services utilization ; High income ; Hospitals ; Humans ; Income ; Industrialized nations ; Maternal Age ; Meta-analysis ; Minorities ; Parity ; Patient Acceptance of Health Care ; Pregnancy ; Prenatal care ; Prenatal Care - utilization ; Reproductive health ; Residence Characteristics ; Risk ; Single parent family ; Socioeconomic Factors ; Status ; Systematic review ; Time Factors ; Unemployment ; Uninsured persons ; Women ; Womens health</subject><ispartof>European journal of public health, 2012-12, Vol.22 (6), p.904-913</ispartof><rights>Copyright Oxford Publishing Limited(England) Dec 2012</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c459t-8654bf9a7d5e5af5bd337f485d0600191139bd5b1498c47a06131f91b7d7e5593</citedby><cites>FETCH-LOGICAL-c459t-8654bf9a7d5e5af5bd337f485d0600191139bd5b1498c47a06131f91b7d7e5593</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27842,27843,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22109988$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Feijen-de Jong, Esther I</creatorcontrib><creatorcontrib>Jansen, Danielle Emc</creatorcontrib><creatorcontrib>Baarveld, Frank</creatorcontrib><creatorcontrib>van der Schans, Cees P</creatorcontrib><creatorcontrib>Schellevis, François G</creatorcontrib><creatorcontrib>Reijneveld, Sijmen A</creatorcontrib><title>Determinants of late and/or inadequate use of prenatal healthcare in high-income countries: a systematic review</title><title>European journal of public health</title><addtitle>Eur J Public Health</addtitle><description>Prenatal healthcare is likely to prevent adverse outcomes, but an adequate review of utilization and its determinants is lacking.
To review systematically the evidence for the determinants of prenatal healthcare utilization in high-income countries.
Search of publications in EMBASE, CINAHL and PubMed (1992-2010). Studies that attempted to study determinants of prenatal healthcare utilization in high-income countries were included. Two reviewers independently assessed the eligibility and methodological quality of the studies. Only high-quality studies were included. Data on inadequate use (i.e. late initiation, low-use, inadequate use or non-use) were categorized as individual, contextual and health behaviour-related determinants. Due to the heterogeneity of the studies, a quantitative meta-analysis was not possible.
Ultimately eight high-quality studies were included. Low maternal age, low educational level, non-marital status, ethnic minority, planned pattern of prenatal care, hospital type, unplanned place of delivery, uninsured status, high parity, no previous premature birth and late recognition of pregnancy were identified as individual determinants of inadequate use. Contextual determinants included living in distressed neighbourhoods. Living in neighbourhoods with higher rates of unemployment, single parent families, medium-average family incomes, low-educated residents, and women reporting Canadian Aboriginal status were associated with inadequate use or entering care after 6 months. Regarding health behaviour, inadequate use was more likely among women who smoked during pregnancy.
Evidence for determinants of prenatal care utilization is limited. More studies are needed to ensure adequate prenatal care for pregnant women at risk.</description><subject>Births</subject><subject>Canadians</subject><subject>Developed Countries</subject><subject>Family</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Health policy</subject><subject>Health services utilization</subject><subject>High income</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Income</subject><subject>Industrialized nations</subject><subject>Maternal Age</subject><subject>Meta-analysis</subject><subject>Minorities</subject><subject>Parity</subject><subject>Patient Acceptance of Health Care</subject><subject>Pregnancy</subject><subject>Prenatal care</subject><subject>Prenatal Care - utilization</subject><subject>Reproductive health</subject><subject>Residence Characteristics</subject><subject>Risk</subject><subject>Single parent family</subject><subject>Socioeconomic Factors</subject><subject>Status</subject><subject>Systematic review</subject><subject>Time Factors</subject><subject>Unemployment</subject><subject>Uninsured persons</subject><subject>Women</subject><subject>Womens health</subject><issn>1101-1262</issn><issn>1464-360X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7TQ</sourceid><recordid>eNqF0ctP3DAQB2CrKury6JErstRLL2E98SMxN0R5SUi9gMQtcpwJm20SL34U8d_X26UceuFka_x5xtaPkGNgp8A0X2Lym9Qu7S8PSnwi-yCUKLhij5_zHhgUUKpyQQ5CWDPGZFWXX8iiLPNdXdf7xP3AiH4aZjPHQF1PRxORmrlbOk9ztcPntK2kgNvTjcfZRDPSFZoxrqzxmBVdDU-rYpitm5Bal-boBwxn1NDwGiJOJg6Wevw94MsR2evNGPDr23pIHq4u7y9uiruf17cX53eFFVLHolZStL02VSdRml62HedVL2rZMcUYaACu2062IHRtRWWYAg69hrbqKpRS80Pyfdd3491zwhCbaQgWx9HM6FJoQIi6qkTNy49pWTKp8kjI9Nt_dO2Sn_NH_iolID8oq2KnrHcheOybjR8m418bYM02tGYXWrMLLfuTt66pnbB71_9S4n8AaL-UUA</recordid><startdate>20121201</startdate><enddate>20121201</enddate><creator>Feijen-de Jong, Esther I</creator><creator>Jansen, Danielle Emc</creator><creator>Baarveld, Frank</creator><creator>van der Schans, Cees P</creator><creator>Schellevis, François G</creator><creator>Reijneveld, Sijmen A</creator><general>Oxford Publishing Limited (England)</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T2</scope><scope>7TQ</scope><scope>C1K</scope><scope>DHY</scope><scope>DON</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20121201</creationdate><title>Determinants of late and/or inadequate use of prenatal healthcare in high-income countries: a systematic review</title><author>Feijen-de Jong, Esther I ; Jansen, Danielle Emc ; Baarveld, Frank ; van der Schans, Cees P ; Schellevis, François G ; Reijneveld, Sijmen A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c459t-8654bf9a7d5e5af5bd337f485d0600191139bd5b1498c47a06131f91b7d7e5593</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Births</topic><topic>Canadians</topic><topic>Developed Countries</topic><topic>Family</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Health policy</topic><topic>Health services utilization</topic><topic>High income</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Income</topic><topic>Industrialized nations</topic><topic>Maternal Age</topic><topic>Meta-analysis</topic><topic>Minorities</topic><topic>Parity</topic><topic>Patient Acceptance of Health Care</topic><topic>Pregnancy</topic><topic>Prenatal care</topic><topic>Prenatal Care - utilization</topic><topic>Reproductive health</topic><topic>Residence Characteristics</topic><topic>Risk</topic><topic>Single parent family</topic><topic>Socioeconomic Factors</topic><topic>Status</topic><topic>Systematic review</topic><topic>Time Factors</topic><topic>Unemployment</topic><topic>Uninsured persons</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Feijen-de Jong, Esther I</creatorcontrib><creatorcontrib>Jansen, Danielle Emc</creatorcontrib><creatorcontrib>Baarveld, Frank</creatorcontrib><creatorcontrib>van der Schans, Cees P</creatorcontrib><creatorcontrib>Schellevis, François G</creatorcontrib><creatorcontrib>Reijneveld, Sijmen A</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>PAIS Index</collection><collection>Environmental Sciences and Pollution Management</collection><collection>PAIS International</collection><collection>PAIS International (Ovid)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of public health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Feijen-de Jong, Esther I</au><au>Jansen, Danielle Emc</au><au>Baarveld, Frank</au><au>van der Schans, Cees P</au><au>Schellevis, François G</au><au>Reijneveld, Sijmen A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Determinants of late and/or inadequate use of prenatal healthcare in high-income countries: a systematic review</atitle><jtitle>European journal of public health</jtitle><addtitle>Eur J Public Health</addtitle><date>2012-12-01</date><risdate>2012</risdate><volume>22</volume><issue>6</issue><spage>904</spage><epage>913</epage><pages>904-913</pages><issn>1101-1262</issn><eissn>1464-360X</eissn><coden>EJPHF6</coden><abstract>Prenatal healthcare is likely to prevent adverse outcomes, but an adequate review of utilization and its determinants is lacking.
To review systematically the evidence for the determinants of prenatal healthcare utilization in high-income countries.
Search of publications in EMBASE, CINAHL and PubMed (1992-2010). Studies that attempted to study determinants of prenatal healthcare utilization in high-income countries were included. Two reviewers independently assessed the eligibility and methodological quality of the studies. Only high-quality studies were included. Data on inadequate use (i.e. late initiation, low-use, inadequate use or non-use) were categorized as individual, contextual and health behaviour-related determinants. Due to the heterogeneity of the studies, a quantitative meta-analysis was not possible.
Ultimately eight high-quality studies were included. Low maternal age, low educational level, non-marital status, ethnic minority, planned pattern of prenatal care, hospital type, unplanned place of delivery, uninsured status, high parity, no previous premature birth and late recognition of pregnancy were identified as individual determinants of inadequate use. Contextual determinants included living in distressed neighbourhoods. Living in neighbourhoods with higher rates of unemployment, single parent families, medium-average family incomes, low-educated residents, and women reporting Canadian Aboriginal status were associated with inadequate use or entering care after 6 months. Regarding health behaviour, inadequate use was more likely among women who smoked during pregnancy.
Evidence for determinants of prenatal care utilization is limited. More studies are needed to ensure adequate prenatal care for pregnant women at risk.</abstract><cop>England</cop><pub>Oxford Publishing Limited (England)</pub><pmid>22109988</pmid><doi>10.1093/eurpub/ckr164</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Births Canadians Developed Countries Family Female Health Behavior Health policy Health services utilization High income Hospitals Humans Income Industrialized nations Maternal Age Meta-analysis Minorities Parity Patient Acceptance of Health Care Pregnancy Prenatal care Prenatal Care - utilization Reproductive health Residence Characteristics Risk Single parent family Socioeconomic Factors Status Systematic review Time Factors Unemployment Uninsured persons Women Womens health |
title | Determinants of late and/or inadequate use of prenatal healthcare in high-income countries: a systematic review |
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