Insurance-based discrimination during prenatal care, labor, and delivery: Perceptions of Oregon mothers Public Deposited

http://ir.library.oregonstate.edu/concern/defaults/q237hs748

This is the author's peer-reviewed final manuscript, as accepted by the publisher. The published article is copyrighted by Springer and can be found at:  http://link.springer.com/journal/10995.

Descriptions

Attribute NameValues
Creator
Abstract or Summary
  • Objective. The purpose of this study was to improve understanding of who experiences insurance-based discrimination during prenatal care, labor, and delivery and how their health care may differ from that of other women. Methods. We pooled data from the 1998-99, 2000, and 2001 Oregon Pregnancy Risk Assessment Monitoring System and conducted univariate, bivariate, and multivariate analyses. Results. The women who perceived that they had been treated differently by health care providers during prenatal care, labor, or delivery based on their insurance status were largely a lower income group. Insurance-based discrimination was significantly associated with lower annual household incomes, being unable to pay bills during pregnancy, and being without employer-sponsored insurance for their baby’s delivery, when adjusted for other factors. Insurance-based discrimination was less likely among Hispanic mothers. With respect to the relationship between insurance-based discrimination and receipt of health care, our findings were mixed. Insurance-based discrimination was not significantly associated with the number of topics covered by providers during prenatal care. In contrast, insurance-based discrimination was significantly associated with fewer breastfeeding support actions taken at the hospital and with having had a provider discuss birth control after delivery among women with employer sponsored insurance. Conclusion. These findings draw attention to the need to better understand women’s experiences and perceptions of insurance-based discrimination during prenatal care, labor, and delivery.
Resource Type
DOI
Date Available
Date Issued
Citation
  • Thorburn, S., & De Marco, M. (2010). Insurance-based discrimination during prenatal care, labor, and delivery: Perceptions of oregon mothers. Maternal and Child Health Journal, 14(6), 875-885. doi: 10.1007/s10995-009-0533-7
Academic Affiliation
Series
Keyword
Rights Statement
Publisher
Peer Reviewed
Language
Replaces
Additional Information
  • description.provenance : Made available in DSpace on 2013-03-27T18:14:43Z (GMT). No. of bitstreams: 1 ThorburnSherylPublicHealthHumanSciencesInsuranceBasedDiscrimination.pdf: 168276 bytes, checksum: e20f2def4d4435094146a8aef96ff1ed (MD5) Previous issue date: 2010-11
  • description.provenance : Submitted by Deanne Bruner (deanne.bruner@oregonstate.edu) on 2013-03-27T18:13:35Z No. of bitstreams: 1 ThorburnSherylPublicHealthHumanSciencesInsuranceBasedDiscrimination.pdf: 168276 bytes, checksum: e20f2def4d4435094146a8aef96ff1ed (MD5)
  • description.provenance : Approved for entry into archive by Deanne Bruner(deanne.bruner@oregonstate.edu) on 2013-03-27T18:14:43Z (GMT) No. of bitstreams: 1 ThorburnSherylPublicHealthHumanSciencesInsuranceBasedDiscrimination.pdf: 168276 bytes, checksum: e20f2def4d4435094146a8aef96ff1ed (MD5)

Relationships

In Administrative Set:
Last modified: 07/13/2017

Downloadable Content

Download PDF
Citations:

EndNote | Zotero | Mendeley

Items