Table III. Risk factors for nonuse of postpartum care: findings from multivariate analysis* (n = 8992).
| Maternal characteristics | Adjusted odds ratio (95% CI) |
|---|---|
| Maternal age (cf, 35+ y) | |
| <20 y | 1.05 (0.69-1.60) |
| 20-24 y | 1.06 (0.73-1.53) |
| 25-29 y | 1.15 (0.81-1.63) |
| 30-34 y | 0.95 (0.66-1.38) |
| Multiparous (cf, primiparous) | 1.00 (0.84-1.20) |
| Unmarried (cf, married) | 0.93 (0.73-1.18) |
| Race/ethnicity (cf, non-Hispanic white) | |
| African American | 0.84 (0.69-1.02) |
| Hispanic | 1.11 (0.84-1.47) |
| Other† | 1.20 (0.76-1.89) |
| Education (cf, college graduate) | |
| Less than high school | 1.57 (1.10-2.24) |
| High school graduate | 1.32 (0.97-1.80) |
| Some college education | 1.28 (0.95-1.74) |
| Household income (cf, ≥$40,000) | |
| <$20,000 | 1.51 (1.13-2.01) |
| $20,000-$39,999 | 1.01 (0.77-1.32) |
| Region (cf, Northeast) | |
| South | 1.09 (0.85-1.39) |
| North central | 1.20 (0.93-1.56) |
| West | 1.01 (0.76-1.34) |
| Unwanted pregnancy (cf, wanted pregnancy) | 1.10 (0.92-1.31) |
| Prenatal care initiation (cf, during first trimester) | |
| No prenatal care | 3.39 (1.98-5.81) |
| After first trimester | 1.07 (0.86-1.34) |
| No preterm labor interventions (cf, received preterm labor interventions)‡ | 1.31 (1.08-1.59) |
| No childbirth class (cf, attended childbirth class) | 1.12 (0.92-1.36) |
| Cigarette smoking during pregnancy (cf, did not smoke) | 1.13 (0.91-1.39) |
| Alcohol use during pregnancy (cf, did not use alcohol) | 0.95 (0.76-1.20) |
| Drug use during pregnancy (cf, did not use drugs) | 0.86 (0.51-1.44) |
| No private insurance coverage for prenatal care (cf, used private insurance) | 1.22 (0.92-1.62) |
| Used government program/insurance for prenatal care (cf, did not use government insurance) | 0.76 (0.54-1.06) |
| Did not self-pay (own income or other relatives income) for prenatal care (cf, self-paid) | 1.13 (0.90-1.42) |
| Did not use other (eg, military, Indian) source to pay for prenatal care (cf, used other source) | 1.38 (0.88-2.17) |
| Low birth weight (cf, normal birth weight) | 0.83 (0.65-1.05) |
| Preterm delivery (cf, delivery at term) | 1.25 (0.95-1.65) |
*
Logistic regression model includes all variables listed in the table. All covariates were entered as a single block. n = 8992 after exclusion of missing data for all covariates.
†
Asian or Pacific Islander, Eskimo, Aleut, or American Indian.
‡
Preterm labor interventions included tocolytic therapy, cerclage, bed rest, hospitalization, or restricted sexual or physical activities.