Mayer, Johanna and Brandstetter, Susanne and Tischer, Christina and Seelbach-Goebel, Birgit and Malfertheiner, Sara Fill and Melter, Michael and Kabesch, Michael and Apfelbacher, Christian (2022) Utilisation of supplementary prenatal screening and diagnostics in Germany: cross-sectional study using data from the KUNO Kids Health Study. BMC PREGNANCY AND CHILDBIRTH, 22 (1): 436. ISSN , 1471-2393
Full text not available from this repository. (Request a copy)Abstract
Background: Appropriate health system utilisation during pregnancy is fundamental for maintaining maternal and child's health. To study the use and determinants of supplementary prenatal screening and diagnostics in Germany this study provides comprehensive data. Methods: We obtained data from a recently established prospective German birth cohort study, the KUNO Kids Health Study. Analyses are based on Andersen's Behavioural Model of health system use, which distinguishes between predisposing (e.g. country of birth), enabling (e.g. health insurance) and need factors (e.g. at-risk pregnancy). We examined bi- and multivariate association with the use of supplementary prenatal screening and diagnostics using logistic regression. Results: The study has a sample size of 1886 participating mothers. One fifth of the mothers investigated did not use any supplementary prenatal screening or diagnostics. Notably, the chance of using supplementary prenatal screening and diagnostics more than doubled if the pregnant woman had a private health insurance (OR 2.336; 95% CI 1.527-3.573). Higher maternal age (OR 1.038; 95% CI 1.006-1.071) and environmental tobacco smoke exposure (OR 1.465 95% CI 1.071-2.004) increased the use of supplementary prenatal screening and diagnostics. However, regarding need factors only having an at-risk-pregnancy (OR 1.688; 95% CI 1.271-2.241) showed an independent association. Conclusion: The important role of the type of health insurance and the relatively small influence of need factors was surprising. Especially with respect to equity in accessing health care, this needs further attention.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | CARE UTILIZATION; PREGNANT-WOMEN; ANTENATAL CARE; DETERMINANTS; ADULTS; RISK; Supplementary prenatal screening and diagnostics; Andersen's Behavioural Model of Health Services Use; Birth cohort |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Frauenheilkunde und Geburtshilfe (Schwerpunkt Geburtshilfe) Medicine > Lehrstuhl für Kinder- und Jugendmedizin Medicine > Institut für Epidemiologie und Präventivmedizin |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 13 Feb 2024 10:16 |
| Last Modified: | 13 Feb 2024 10:16 |
| URI: | https://pred.uni-regensburg.de/id/eprint/57161 |
Actions (login required)
 |
View Item |
