What determines the start of prenatal care? Prenatal care, insurance, and education

Med Care. 1985 Aug;23(8):986-97. doi: 10.1097/00005650-198508000-00006.


The effects of financial coverage, education, race, age, and marital status on the start of prenatal care was studied in this analysis of 85,000 live births that occurred in New York City in 1981. Log-linear models were selected for the three variables prenatal care, coverage, and education after the data had been partitioned by race, age, and marital status. An overall model for the six variables was also selected to determine the relationship between race, age, and marital status and the three principal variables named above. Late or no prenatal care was found to be associated with Medicaid and an education of less than 12 years. For the most part, the association of race and age with late or no prenatal care was mediated by coverage and education. Hispanics, blacks, and teenagers who experienced greater odds of incomplete education and Medicaid insurance experienced greater odds of late or no prenatal care.

MeSH terms

  • Adolescent
  • Adult
  • Educational Status
  • Ethnicity
  • Female
  • Humans
  • Insurance, Health*
  • Marriage
  • Medicaid
  • Models, Theoretical
  • New York City
  • Patient Acceptance of Health Care*
  • Pregnancy
  • Prenatal Care / economics*
  • Time Factors