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Maternal and child health journal · 2026

Associations Between Virtual Prenatal Care Utilization, Social Determinants of Health, and Stressful Life Events: A Multistate Analysis of U.S. Women, 2020-2021.

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Willis Don E, McElfish Pearl A, Brown Clare C, Andersen Jennifer A, Pro George C, Selig James P, Bogulski Cari A

Аннотация

OBJECTIVES: To examine associations between virtual prenatal care utilization, social determinants of health, and stressful life events.

METHODS: We analyzed cross-sectional pooled survey data (N = 11,966) from phase 8 of the Pregnancy Risk Assessment Monitoring System for women who gave birth in 2020 or 2021 and received prenatal care.

RESULTS: A third (35%) of women utilized virtual rather than in-person-only prenatal care. Adjusted odds of receiving any virtual prenatal care were greater for women who identified as Asian (aOR = 1.23; 95% CI[1.01, 1.51]) or Hispanic (aOR = 1.61; 95% CI[1.37, 1.88]), and for those who experienced homelessness (aOR = 1.90; 95% CI[1.27, 2.84]) or job loss (aOR = 1.25; 95% CI[1.04, 1.51]). Adjusted odds were lower for women who did not have a bachelor's degree, had previously given birth, had no insurance pre-pregnancy (aOR = 0.69; 95% CI[0.56, 0.85]), were rural residents (aOR = 0.51; 95% CI[0.41, 0.63]), had been exposed to incarceration (aOR = 0.49; 95% CI[0.30, 0.79]), and had given birth in 2021 (aOR = 0.77; 95% CI[0.69, 0.86]).

CONCLUSIONS: Social determinants of health and stressful life events are not uniformly associated with greater or lesser odds of utilizing virtual prenatal care.

Предметные рубрики MeSH

ИП Урсолов Владлен Сергеевич

ИНН 500118482352 · ОГРНИП 314500117700049

Реквизиты и контакты