Maternal Age and Inadequate Prenatal Care in West Virginia: A Project WATCH Study.

Journal of Appalachian health Pub Date : 2024-09-01 eCollection Date: 2024-01-01 DOI:10.13023/jah.0601.03
Madelin Gardner, Amna Umer, Brian Hendricks, Toni Marie Rudisill, Candice Lefeber, Collin John, Christa Lilly
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Abstract

Introduction: Adequate prenatal care (PNC) is essential to the overall health of mother and infant. Teen age and advanced maternal age (AMA) are known risk factors for poor birth outcomes. However, less is known about whether these age groups are associated with inadequate PNC.

Purpose: This study sought to determine the potential association between maternal age (in groups, aged 20-24, 25-29, 30-34, 35-39, and >40) and inadequate PNC (visits).

Methods: West Virginia (WV) Project WATCH population-level data (May 2018-March 2022) were used for this study. Multiple logistic regressions were performed on inadequate PNC (less than 10 visits) with maternal age categories, adjusting for covariates including maternal race, smoking status, substance use status, parity, education, geographic location, and insurance status.

Results: Results demonstrate that both young and AMA pregnant people are more likely to receive inadequate PNC. PNC is particularly important for these groups, as they are at increased risk of poor birth outcomes. Just over 11% of pregnant people who gave birth in WV received inadequate PNC. Participants aged 19 years and younger (aOR:1.3, CI:(1.2,1.4)), 35-39 years (aOR:1.1, CI:(1.0,1.2)), and 40 years (aOR:1.3, CI:(1.1,1.5)) were at increased odds of inadequate PNC relative to 25-29-year-olds.

Implications: Results indicate that easily obtained demographics, such as a pregnant person's age, can be utilized by policymakers and clinical interventionists to improve birth outcomes by increasing PNC outreach for these groups.

西弗吉尼亚州产妇年龄和产前护理不足:一项观察项目研究。
适当的产前护理(PNC)对母亲和婴儿的整体健康至关重要。青少年年龄和高龄产妇(AMA)是已知的不良分娩结果的危险因素。然而,对于这些年龄组是否与PNC不足有关,人们知之甚少。目的:本研究旨在确定产妇年龄(20-24岁、25-29岁、30-34岁、35-39岁和40岁)与PNC不足(就诊)之间的潜在关联。方法:本研究使用西弗吉尼亚州(WV)项目WATCH人口水平数据(2018年5月- 2022年3月)。对产妇年龄类别的PNC不足(少于10次就诊)进行多元logistic回归,调整协变量包括产妇种族、吸烟状况、药物使用状况、平价、教育程度、地理位置和保险状况。结果:结果表明,年轻和AMA孕妇更容易接受不足的PNC。PNC对这些群体尤其重要,因为他们的不良出生结果风险增加。在WV分娩的孕妇中,只有11%以上的人接受了不足的PNC。年龄在19岁及以下(aOR:1.3, CI:(1.2,1.4))、35-39岁(aOR:1.1, CI:(1.0,1.2))和40岁(aOR:1.3, CI:(1.1,1.5))的参与者与25-29岁的参与者相比,PNC不足的几率更高。结果表明,决策者和临床干预者可以利用容易获得的人口统计数据,如孕妇的年龄,通过增加对这些群体的PNC外展来改善分娩结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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