TY - JOUR
T1 - Immigrant enclaves and inadequate prenatal care among Mexican-origin mothers
AU - Noah, Aggie
N1 - Funding Information:
This work was supported by the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) under Grant R24 HD041025-11 and Grant T-32HD007514.
PY - 2017/9
Y1 - 2017/9
N2 - Objectives: This study is an investigation of the relationships between residing in different types of ethnic enclave neighborhoods and inadequate use of prenatal care among Mexican-origin mothers. Methods: A unique dataset was created using National Center for Health Statistics 2008 restricted-use detailed natality files, the 2005-2009 American Community Survey, and the Department of Health and Human Services Area Resource file. Hierarchical modeling was used. Results: Mexican-origin mothers' residential contexts are associated with the inadequacy of their prenatal care utilization beyond their individual characteristics. Specifically, residing in Mexican immigrant enclaves is associated with increased odds of having inadequate use of prenatal care. In contrast, residing in other types of ethnic enclaves (Mexican/Hispanic ethnic enclaves) and non-Hispanic white neighborhoods is associated with decreased odds of having inadequate utilization of prenatal care even after the inclusion of contextuallevel controls for individual characteristics, neighborhood socioeconomic status, and the availability of healthcare infrastructure resources. Conclusions: Residing in immigrant enclaves is important for understanding the inadequacy of prenatal care utilization for Mexican-origin mothers. These findings have policy implications for designing place-based programs to target certain residential contexts where women are at greater risk of having inadequate use of prenatal care.
AB - Objectives: This study is an investigation of the relationships between residing in different types of ethnic enclave neighborhoods and inadequate use of prenatal care among Mexican-origin mothers. Methods: A unique dataset was created using National Center for Health Statistics 2008 restricted-use detailed natality files, the 2005-2009 American Community Survey, and the Department of Health and Human Services Area Resource file. Hierarchical modeling was used. Results: Mexican-origin mothers' residential contexts are associated with the inadequacy of their prenatal care utilization beyond their individual characteristics. Specifically, residing in Mexican immigrant enclaves is associated with increased odds of having inadequate use of prenatal care. In contrast, residing in other types of ethnic enclaves (Mexican/Hispanic ethnic enclaves) and non-Hispanic white neighborhoods is associated with decreased odds of having inadequate utilization of prenatal care even after the inclusion of contextuallevel controls for individual characteristics, neighborhood socioeconomic status, and the availability of healthcare infrastructure resources. Conclusions: Residing in immigrant enclaves is important for understanding the inadequacy of prenatal care utilization for Mexican-origin mothers. These findings have policy implications for designing place-based programs to target certain residential contexts where women are at greater risk of having inadequate use of prenatal care.
KW - Immigrant enclaves
KW - Immigrant health
KW - Mexican-origin population
KW - Prenatal care
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U2 - 10.5993/AJHB.41.5.13
DO - 10.5993/AJHB.41.5.13
M3 - Article
C2 - 28760186
AN - SCOPUS:85026653945
SN - 1087-3244
VL - 41
SP - 642
EP - 651
JO - American journal of health behavior
JF - American journal of health behavior
IS - 5
ER -