The Manitoba Healthy Baby Prenatal Benefit Program: who is participating?
Can J Public Health
; 98(1): 65-9, 2007.
Article
em En
| MEDLINE
| ID: mdl-17278681
ABSTRACT
BACKGROUND:
Programs offering income supplements for lower-income pregnant women have been introduced in order to reduce the incidence of poor perinatal outcomes. This study used a population-based approach to examine the characteristics of mothers who received the Healthy Baby Prenatal Benefit in Manitoba.METHODS:
All women giving birth between August 2001 and April 2003 (n = 22,643) were studied using de-identified linked administrative data. Multivariate logistic regression was used to determine factors that predicted receipt of the benefit, adjusting for potential confounding effects. Separate regressions were run for all mothers, and for a group of mothers eligible to receive the benefit (N = 1962).RESULTS:
Almost 29% of mothers giving birth during the study period received the prenatal benefit. Mothers were more likely to receive the benefit if they lived outside of Winnipeg; received income assistance during pregnancy; were younger at their first birth; were unmarried; made prenatal physician visits; experienced maternal depression; were having a first birth; and lived in the lowest income areas. Despite all being eligible, only 67% of non-Winnipeg and 80% of Winnipeg women receiving income assistance received the benefit. Factors related to benefit receipt for those eligible were living in Winnipeg; making prenatal visits; not being a young teen at current birth; and experiencing a first birth.CONCLUSION:
It is important to look not only at the characteristics of benefit recipients but also at those not receiving the benefit, in order to develop strategies to reach those who may most need and benefit from the program.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
1_ASSA2030
/
5_ODS3_mortalidade_materna
Problema de saúde:
1_desigualdade_iniquidade
/
5_maternal_care
Assunto principal:
Cuidado Pré-Natal
/
Resultado da Gravidez
/
Aceitação pelo Paciente de Cuidados de Saúde
/
Programas Gente Saudável
/
Bem-Estar Materno
/
Assistência Médica
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Aspecto:
Determinantes_sociais_saude
/
Equity_inequality
Limite:
Adolescent
/
Adult
/
Female
/
Humans
/
Pregnancy
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Can J Public Health
Ano de publicação:
2007
Tipo de documento:
Article