We have located links that may give you full text access.
Racial/Ethnic Differences in Prenatal and Postnatal Counseling About Maternal and Infant Health Promoting Practices Among Teen Mothers.
Journal of Pediatric and Adolescent Gynecology 2020 October 16
OBJECTIVE: Disparities in perinatal counseling among all pregnant women exist, yet teen data is lacking. We evaluated racial/ethnic differences in 1) prenatal and 2) postnatal counseling of teen mothers.
DESIGN: Participants: This retrospective cross-sectional study included Pregnancy Risk Assessment Monitoring System data from 2012-2016 and included mothers <19 years.
MAIN OUTCOME MEASURES: Counseling measures included tobacco, alcohol and illicit drugs, weight gain, HIV testing, influenza vaccination, breastfeeding, infant safe sleep, postpartum depression, and contraception. Bivariate associations of maternal/infant characteristics and counseling were estimated using chi-square tests. Multivariable logistic regression was used to assess the independent relationship between race/ethnicity and counseling.
RESULTS: A weighted sample of 544,930 teen mothers was analyzed. Compared to non-Hispanic White (NHW) teens, non-Hispanic Black (NHB) teens were more likely to receive counseling on tobacco [AOR 1.4, 95% CI (1.10, 1.77)], alcohol [AOR 1.77, 95% CI (1.28, 2.46)], illicit drugs [AOR 1.79, 95% CI (1.33, 2.41)] and HIV testing [AOR 1.62, 95% CI (1.26, 2.09)]. Compared to NHW teens, Hispanic teens were less likely to receive tobacco counseling [AOR 0.78, 95% CI (0.64, 0.97)] and more likely to receive influenza vaccine counseling [AOR 1.44, 95% CI (1.18, 1.76)]. No difference was found in receipt of postnatal counseling.
CONCLUSION: Racial/ethnic differences in receipt of perinatal counseling exist, with NHB teens being more likely to receive counseling on substance use and HIV testing and Hispanic teens being more likely to receive influenza vaccine recommendations compared to NHW teens. Ongoing investigation is needed to understand drivers of these differences.
DESIGN: Participants: This retrospective cross-sectional study included Pregnancy Risk Assessment Monitoring System data from 2012-2016 and included mothers <19 years.
MAIN OUTCOME MEASURES: Counseling measures included tobacco, alcohol and illicit drugs, weight gain, HIV testing, influenza vaccination, breastfeeding, infant safe sleep, postpartum depression, and contraception. Bivariate associations of maternal/infant characteristics and counseling were estimated using chi-square tests. Multivariable logistic regression was used to assess the independent relationship between race/ethnicity and counseling.
RESULTS: A weighted sample of 544,930 teen mothers was analyzed. Compared to non-Hispanic White (NHW) teens, non-Hispanic Black (NHB) teens were more likely to receive counseling on tobacco [AOR 1.4, 95% CI (1.10, 1.77)], alcohol [AOR 1.77, 95% CI (1.28, 2.46)], illicit drugs [AOR 1.79, 95% CI (1.33, 2.41)] and HIV testing [AOR 1.62, 95% CI (1.26, 2.09)]. Compared to NHW teens, Hispanic teens were less likely to receive tobacco counseling [AOR 0.78, 95% CI (0.64, 0.97)] and more likely to receive influenza vaccine counseling [AOR 1.44, 95% CI (1.18, 1.76)]. No difference was found in receipt of postnatal counseling.
CONCLUSION: Racial/ethnic differences in receipt of perinatal counseling exist, with NHB teens being more likely to receive counseling on substance use and HIV testing and Hispanic teens being more likely to receive influenza vaccine recommendations compared to NHW teens. Ongoing investigation is needed to understand drivers of these differences.
Full text links
Related Resources
Trending Papers
Haemodynamic monitoring during noncardiac surgery: past, present, and future.Journal of Clinical Monitoring and Computing 2024 April 31
Obesity pharmacotherapy in older adults: a narrative review of evidence.International Journal of Obesity 2024 May 7
2024 AHA/ACC/AMSSM/HRS/PACES/SCMR Guideline for the Management of Hypertrophic Cardiomyopathy: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines.Circulation 2024 May 9
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app