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Timeliness of antenatal care for mothers of Aboriginal and non-Aboriginal infants in an urban setting.
- Source :
- Australian Journal of Primary Health; Mar2012, Vol. 18 Issue 1, p56-61, 6p
- Publication Year :
- 2012
-
Abstract
- To compare the timing of first hospital antenatal care visit by mothers of Aboriginal and non-Aboriginal infants, and to identify the risk and protective factors associated with timeliness of accessing care, mothers who delivered at Campbelltown hospital between October 2005 and November 2006 were surveyed on the maternity ward. This survey was linked to hospital administrative data. Gestational age at first visit to a hospital-based antenatal clinic was compared for mothers of Aboriginal and non-Aboriginal infants. Risks and protective factors associated with timing of antenatal care were also examined using Cox regression and Kaplan-Meier survival curves. Data on 1520 deliveries were included in this study. Mothers of Aboriginal infants presented slightly later to hospital-based antenatal clinics than mothers of non-Aboriginal infants (median 15.6 weeks versus 14.0 weeks). This difference did not remain after adjustment for all risk and protective factors. The three significant factors remaining were: maternal smoking; not in paid employment; and residence in a disadvantaged suburb. The results may reflect the complex associations that exist between the clustering of disadvantage among families of Aboriginal infants. A multifaceted approach is required to improve the timeliness of hospital-based antenatal care for the mothers of Aboriginal infants. [ABSTRACT FROM AUTHOR]
- Subjects :
- OBSTETRICS statistics
PREGNANCY complication risk factors
COMPARATIVE studies
CONFIDENCE intervals
STATISTICAL correlation
EPIDEMIOLOGY
GESTATIONAL age
HEALTH services accessibility
INDIGENOUS peoples
MEDICAL record linkage
PATIENTS
PREGNANT women
PRENATAL care
QUESTIONNAIRES
RESEARCH funding
SMOKING
SURVEYS
TIME
UNEMPLOYMENT
CITY dwellers
DATA analysis
RESIDENTIAL patterns
PROPORTIONAL hazards models
DESCRIPTIVE statistics
KAPLAN-Meier estimator
Subjects
Details
- Language :
- English
- ISSN :
- 14487527
- Volume :
- 18
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Australian Journal of Primary Health
- Publication Type :
- Academic Journal
- Accession number :
- 74608075
- Full Text :
- https://doi.org/10.1071/PY10073