69 research outputs found
Explaining Ethnic Differences in Late Antenatal Care Entry by Predisposing, Enabling and Need Factors in the Netherlands. The Generation R Study
Despite compulsory health insurance in Europe, ethnic differences in access to health care exist. The objective of this study is to investigate how ethnic differences between Dutch and non-Dutch women with respect to late entry into antenatal care provided by community midwifes can be explained by need, predisposing and enabling factors. Data were obtained from the Generation R Study. The Generation R Study is a multi-ethnic population-based prospective cohort study conducted in the city of Rotterdam. In total, 2,093 pregnant women with a Dutch, Moroccan, Turkish, Cape Verdean, Antillean, Surinamese Creole and Surinamese Hindustani background were included in this study. We examined whether ethnic differences in late antenatal care entry could be explained by need, predisposing and enabling factors. Subsequently, logistic regression analysis was used to assess the independent role of explanatory variables in the timing of antenatal care entry. The main outcome measure was late entry into antenatal care (gestational age at first visit after 14Â weeks). With the exception of Surinamese-Hindustani women, the percentage of mothers entering antenatal care late was higher in all non-Dutch compared to Dutch mothers. We could explain differences between Turkish (ORÂ =Â 0.95, CI: 0.57â1.58), Cape Verdean (ORÂ =Â 1.65. CI: 0.96â2.82) and Dutch women. Other differences diminished but remained significant (Moroccan: ORÂ =Â 1,74, CI: 1.07â2.85; Dutch Antillean OR 1.80, CI: 1.04â3.13). We found that non-Dutch mothers were more likely to enter antenatal care later than Dutch mothers. Because we are unable to explain fully the differences regarding Moroccan, Surinamese-Creole and Antillean women, future research should focus on differences between 1st and 2nd generation migrants, as well as on language barriers that may hinder access to adequate information about the Dutch obstetric system
Barriers and facilitators related to use of prenatal care by inner-city women: perceptions of health care providers
Factors regulating functional diversity of soil microbial community in Mediterranean environment
CORRISPONDENZA TRA QUADRO SIEROLOGICO ED ALTERAZIONI MORFO-STRUTTURALI DELLE GHIANDOLE SALIVARI MINORI NELLA DIAGNOSI DELLA SINDROME DI SJOGREN: RUOLO DELLA BIOPSIA. NOSTRA ESPERIENZA
Effetto della gestione del territorio sullo stato di salute del suolo valutato attraverso indicatori microbici
Relationship between soil quality and land use evaluated by chemical and biological indicators
Changes in growth of fungal biomass and endomycorrhizal associations in Mediterranean areas of Southern Italy with different plant cover types
Biochemical and biological properties of an agricultural soil affected by soil management practices. 3rd International Conference of Enzymes in the Environment: Activity, Ecology & Applications â , 15-19 Luglio 2007, Viterbo, Italia.
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