2023-09-28 14:46:10 +00:00
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abstract: 'Background: Women with pre-existing diabetes are at high maternal risk
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for comorbidities and death, particularly when early prenatal care is
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not received. Low income is a known barrier to early prenatal care. It
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is unknown whether recent policies to expand access to prenatal care
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have reduced income disparities. We hypothesized that income disparities
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would be minimized and that the odds of receipt of first trimester
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prenatal care among women with pre-existing diabetes would become
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similar across income strata over time. Material and Methods: Using the
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Colorado birth certificate registry from 2007 to 2014, receipt of
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prenatal care was assessed retrospectively in 2,497 women with
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pre-existing diabetes. Logistic regression was used to examine the
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association between high (>\$50,000), medium (\$25,000-50,000), and low
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(<\$25,000) income strata and receipt of first trimester prenatal care
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by birth year, adjusted for demographics. Results: High, medium, and low
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income represented 29.5\%, 19.0\%, and 51.5\% of the cohort,
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respectively. Women with high income were more likely to receive first
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trimester care than women with low income from 2007 {[}adjusted odds
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ratio, 95\% confidence interval: 2.16 (1.18, 3.96)] through 2013 {[}1.66
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(1.01, 2.73)], but significant differences were no longer observed in
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2014 {[}1.59 (0.89, 2.84)]. The likelihood of receiving first trimester
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prenatal care was not significantly different between medium- and
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low-income strata from 2007 {[}1.07 (0.66, 1.74)] through 2014 {[}0.77
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(0.48, 1.23)]. Conclusions: From 2007 to 2013, women in Colorado with
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diabetes were more likely to receive early prenatal care if they were in
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the highest income stratum than in the lowest stratum. In 2014, receipt
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of first trimester care became equitable across all income strata.
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Future work should examine national patterns of income with receipt of
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prenatal care and outcomes among women with pre-existing diabetes.'
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affiliation: 'Breathett, K (Corresponding Author), Univ Arizona, Div Cardiol, Sarver
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Heart Ctr, 1501 North Campbell Ave,POB 245046, Tucson, AZ 85724 USA.
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Breathett, Khadijah; Peterson, Pamela N., Univ Colorado, Div Cardiol, Anschutz Med
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Campus, Aurora, CO USA.
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Breathett, Khadijah, Univ Arizona, Sarver Heart Ctr, Div Cardiol, Tucson, AZ USA.
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Filley, Jessica; Pandey, Madhaba; Rai, Nayanjot, Univ Colorado, Dept Publ Hlth,
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Anschutz Med Campus, Aurora, CO USA.
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Peterson, Pamela N., Denver Hlth Med Ctr, Denver, CO USA.'
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author: Breathett, Khadijah and Filley, Jessica and Pandey, Madhaba and Rai, Nayanjot
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and Peterson, Pamela N.
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author-email: kbreathett@shc.arizona.edu
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author_list:
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- family: Breathett
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given: Khadijah
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- family: Filley
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given: Jessica
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- family: Pandey
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given: Madhaba
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- family: Rai
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given: Nayanjot
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- family: Peterson
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given: Pamela N.
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da: '2023-09-28'
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doi: 10.1089/jwh.2016.6031
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eissn: 1931-843X
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files: []
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issn: 1540-9996
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journal: JOURNAL OF WOMENS HEALTH
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keywords: pregnancy; socioeconomic status; policy
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keywords-plus: PREGNANT-WOMEN; HEALTH; POPULATION; RISK; ADEQUACY; MELLITUS; OUTCOMES
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language: English
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month: JAN
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number: '1'
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number-of-cited-references: '34'
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orcid-numbers: 'Rai, Nayanjot Kaur/0000-0001-9614-8234
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Breathett, Khadijah/0000-0001-5397-6419'
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pages: 93-98
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papis_id: 7643542b9451a8d7a4dbacc15a0b9128
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ref: Breathett2018trendsearly
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researcherid-numbers: 'Rai, Nayanjot Kaur/AAU-2431-2020
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'
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times-cited: '3'
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title: 'Trends in Early Prenatal Care Among Women with Pre-Existing Diabetes: Have
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Income Disparities Changed?'
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000422647700012
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usage-count-last-180-days: '0'
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usage-count-since-2013: '0'
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volume: '27'
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web-of-science-categories: 'Public, Environmental \& Occupational Health; Medicine,
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General \&
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Internal; Obstetrics \& Gynecology; Women''s Studies'
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year: '2018'
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