种族和地点很重要：居住在保留地的美国印第安人产前护理中的不平等。

IF 6.3 1区医学 Q1 PSYCHOLOGY, SOCIAL Journal of Health and Social Behavior Pub Date : 2024-03-27 DOI:10.1177/00221465241236448

Maggie L Thorsen, Janelle F Palacios

{"title":"种族和地点很重要：居住在保留地的美国印第安人产前护理中的不平等。","authors":"Maggie L Thorsen, Janelle F Palacios","doi":"10.1177/00221465241236448","DOIUrl":null,"url":null,"abstract":"Early initiation and consistent use of prenatal care is linked with improved health outcomes. American Indian birthing people have higher rates of inadequate prenatal care (IPNC), but limited research has examined IPNC among people living on American Indian reservations. The current study uses birth certificate data from the state of Montana (n = 57,006) to examine predictors of IPNC. Data on the community context is integrated to examine the role of community health in mediating the associations between reservation status and IPNC. Results suggest that reservation-dwelling birthers are more likely to have IPNC, an association partially mediated by community health. Odds of IPNC are higher for reservation-dwelling American Indian people compared to reservation-dwelling White birthers, highlighting intersecting inequalities of race and place.","PeriodicalId":51349,"journal":{"name":"Journal of Health and Social Behavior","volume":" ","pages":"221465241236448"},"PeriodicalIF":6.3000,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Race and Place Matter: Inequity in Prenatal Care for Reservation-Dwelling American Indian People.\",\"authors\":\"Maggie L Thorsen, Janelle F Palacios\",\"doi\":\"10.1177/00221465241236448\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Early initiation and consistent use of prenatal care is linked with improved health outcomes. American Indian birthing people have higher rates of inadequate prenatal care (IPNC), but limited research has examined IPNC among people living on American Indian reservations. The current study uses birth certificate data from the state of Montana (n = 57,006) to examine predictors of IPNC. Data on the community context is integrated to examine the role of community health in mediating the associations between reservation status and IPNC. Results suggest that reservation-dwelling birthers are more likely to have IPNC, an association partially mediated by community health. Odds of IPNC are higher for reservation-dwelling American Indian people compared to reservation-dwelling White birthers, highlighting intersecting inequalities of race and place.\",\"PeriodicalId\":51349,\"journal\":{\"name\":\"Journal of Health and Social Behavior\",\"volume\":\" \",\"pages\":\"221465241236448\"},\"PeriodicalIF\":6.3000,\"publicationDate\":\"2024-03-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Health and Social Behavior\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00221465241236448\",\"RegionNum\":1,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, SOCIAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Health and Social Behavior","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00221465241236448","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, SOCIAL","Score":null,"Total":0}

引用次数: 0

摘要

尽早开始并坚持使用产前护理与改善健康状况有关。美国印第安人产前护理不足（IPNC）的比例较高，但对生活在美国印第安保留地的人进行的 IPNC 研究却很有限。本研究使用蒙大拿州的出生证明数据（n = 57,006）来研究 IPNC 的预测因素。通过整合社区背景数据，研究社区健康在保留地身份与 IPNC 之间的中介作用。结果表明，居住在保留地的生育者更有可能有 IPNC，而社区健康在一定程度上调节了这种关联。与居住在保留地的白人生育者相比，居住在保留地的美国印第安人患 IPNC 的几率更高，这凸显了种族和地域之间相互交叉的不平等。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

Race and Place Matter: Inequity in Prenatal Care for Reservation-Dwelling American Indian People.

Early initiation and consistent use of prenatal care is linked with improved health outcomes. American Indian birthing people have higher rates of inadequate prenatal care (IPNC), but limited research has examined IPNC among people living on American Indian reservations. The current study uses birth certificate data from the state of Montana (n = 57,006) to examine predictors of IPNC. Data on the community context is integrated to examine the role of community health in mediating the associations between reservation status and IPNC. Results suggest that reservation-dwelling birthers are more likely to have IPNC, an association partially mediated by community health. Odds of IPNC are higher for reservation-dwelling American Indian people compared to reservation-dwelling White birthers, highlighting intersecting inequalities of race and place.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Journal of Health and Social Behavior Multiple-

CiteScore

6.50

自引率

4.00%

发文量

期刊介绍： Journal of Health and Social Behavior is a medical sociology journal that publishes empirical and theoretical articles that apply sociological concepts and methods to the understanding of health and illness and the organization of medicine and health care. Its editorial policy favors manuscripts that are grounded in important theoretical issues in medical sociology or the sociology of mental health and that advance theoretical understanding of the processes by which social factors and human health are inter-related.