Table 2:
Likelihood of receiving medical visits in the 12 months prior to pregnancy, during pregnancy, and postpartum
Category | Likelihood of receiving any prepregnancy doctor visit in the 12 months prior to pregnancy | Likelihood of receiving any prenatal visit during pregnancy | Likelihood of receiving a postpartum check-up visit |
---|---|---|---|
aOR (95% CI) |
aOR (95% CI) |
aOR (95% CI) |
|
Rurality | |||
Urban | Ref | Ref | Ref |
Rural | 0.867 (0.814–0.924)*** |
1.437 (1.026–2.014)* |
0.969 (0.883–1.064) |
Age, y | |||
< 20 | Ref | Ref | Ref |
20–24 | 0.780 (0.691–0.881)*** |
1.932 (1.254–2.979)** |
1.028 (0.877–1.205) |
25–29 | 0.974 (0.860–1.102) |
2.016 (1.279–3.179)** |
1.305 (1.105–1.542)** |
30–34 | 1.244 (1.092–1.417)** |
2.309 (1.362–3.915)** |
1.542 (1.288–1.846)*** |
≥ 35 | 1.460 (1.272–1.677)*** |
1.630 (0.940–2.825) |
1.357 (1.121–1.643)** |
Education | |||
Less than high school | Ref | Ref | Ref |
High school | 1.087 (1.003–1.178)* |
1.712 (1.283–2.284)*** |
1.398 (1.263–1.547)*** |
More than high school | 1.739 (1.602–1.889)*** |
2.982 (2.116–4.202)*** |
1.959 (1.756–2.186)*** |
Marital status | |||
Not married | Ref | Ref | Ref |
Married | 1.192 (1.124–1.264)*** |
1.443 (1.102–1.890)** |
1.234 (1.132–1.346)*** |
Income, % of the FPL | |||
< 100 | Ref | Ref | Ref |
100–138 | 1.113 (1.021–1.213)* |
1.330 (0.867–2.039) |
1.378 (1.204–1.576)*** |
139–199 | 1.166 (1.051–1.295)** |
1.513 (0.861–2.659) |
1.264 (1.079–1.481)** |
≥ 200 | 1.862 (1.728–2.006)*** |
2.211 (1.486–3.288)*** |
1.885 (1.680–2.116)*** |
Missing | 0.840 (0.773–0.914)*** |
1.515 (1.058–2.170)* |
1.046 (0.930–1.177) |
Race/ethnicity | |||
White, non-Hispanic | Ref | Ref | Ref |
Black, non-Hispanic | 0.837 (0.779–0.899)*** |
0.694 (0.494–0.976)* |
0.869 (0.782–0.966)** |
Hispanic | 0.724 (0.664–0.790)*** |
1.107 (0.688–1.780) |
0.933 (0.820–1.062) |
Asian, Pacific-Islander | 0.393 (0.358–0.432)*** |
0.162 (0.118–0.223)*** |
0.706 (0.611–0.816)*** |
American Indian/Alaskan Native | 0.795 (0.700–0.903)*** |
0.937 (0.648–1.355) |
0.704 (0.612–0.810)*** |
Other/mixed race | 0.703 (0.644–0.767)*** |
1.250 (0.747–2.092) |
0.753 (0.660–0.858)*** |
Language | |||
English | Ref | Ref | Ref |
Non-English | 0.773 (0.695–0.858)*** |
1.522 (0.889–2.604) |
1.127 (0.974–1.306) |
Insurance | 0.773*** | 1.522 | 1.127 |
Private | Ref | Ref | Ref |
Medicaid | 0.599 (0.562–0.638)*** |
0.882 (0.650–1.196) |
0.734 (0.663–0.813)*** |
Uninsured | 0.463 (0.401–0.534)*** |
0.243 (0.148–0.399)*** |
0.435 (0.362–0.522)*** |
Other | 0.700 (0.576–0.850)*** |
0.811 (0.374–1.759) |
0.784 (0.592–1.040) |
Parity | |||
Nulliparous | Ref | Ref | Ref |
1 previous live birth | 0.883 (0.833–0.935)*** |
1.299 (0.950–1.776) |
0.758 (0.690–0.832)*** |
Multiparous | 0.765 (0.717–0.817)*** |
1.038 (0.757–1.425) |
0.534 (0.482–0.591)*** |
Chronic Conditions | |||
Gestational diabetes | 0.977 (0.891–1.070) |
1.143 (0.717–1.823) |
1.099 (0.955–1.265) |
Hypertension | 1.120 (1.034–1.212)** |
0.979 (0.660–1.453) |
1.082 (0.959–1.222) |
Depression | 1.832 (1.706–1.968)*** |
0.818 (0.591–1.130) |
0.786 (0.716–0.863)*** |
Year | |||
2016 | Ref | Ref | Ref |
2017 | 1.096 (1.037–1.158)** |
1.073 (0.811–1.419) |
1.124 (1.034–1.222)** |
2018 | 1.114 (1.052–1.180)*** |
1.052 (0.797–1.390) |
1.051 (0.964–1.146) |
N | 98,341 | 97,194 | 97,645 |
Note: Data are presented as exponentiated coefficients, 95% confidence intervals in parentheses.
*p < 0.05, ** p < 0.01, *** p < 0.001 based on survey-weighed multivariable logistic regression results.
Authors’ analysis of data for 2016–2018 from the Pregnancy Risk Assessment Monitoring System (PRAMS) data set. The sample size for each model is unweighted; all other data are weighted to represent the US birthing population in participating PRAMS states. aORs controlled for maternal age, education, marital status, income, maternal race, spoken language, insurance, parity, chronic conditions, and birth year.
aOR, adjusted odds ratio; CI, confidence interval; FPL, Federal Poverty Level; Ref, reference.