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Timing of insurance coverage and use of prenatal care among low-income women.

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Titre :	Timing of insurance coverage and use of prenatal care among low-income women. (2002)
Auteurs :	Susan EGERTER ; Paula Braveman ; Kristen MARCHI ; Department of Family and Community Medicine. School of Medicine. University of California. San Francisco. USA
Type de document :	Article
Dans :	American journal of public health (vol. 92, n° 3, 2002)
Pagination :	423-427
Langues:	Anglais
Mots-clés :	Assurance maladie ; Protection sociale ; Utilisation ; Utilisation service ; Pauvreté ; Homme ; Femme ; Grossesse ; Etats Unis ; Amérique ; Amérique du Nord ; Medicaid
Résumé :	[BDSP. Notice produite par INIST-CNRS IKIa3R0x. Diffusion soumise à autorisation]. Objectives. This study examined the relationship between timing of insurance coverage and prenatal care among low-income women. Methods. Timeliness of prenatal care initiation and adequacy of number of visits were studied among 5455 low-income participants in a larger cross-sectional statewide survey of postpartum women in California during 1994-1995. Results. Although only 2% of women remained uninsured throughout pregnancy, one fifth lacked coverage during the first trimester. Rates of untimely care were highest (>=64%) among women who were uninsured throughout their pregnancy or whose coverage began after the first trimester ; rates were lowest (about 10%) among women who obtained coverage during the first trimester. Women who first obtained Medi-Cal coverage during pregnancy were at low risk of having too few visits. Conclusions. Timing of prenatal coverage should be considered in research on the relationship between coverage and care use among low-income women. Earlier studies that relied solely on principal payer information, without data on when coverage began, may have led to inaccurate inferences about lack of coverage as a barrier to prenatal care.