182857 Racial and Ethnic Disparities in Preconception Care Utilization: Findings from the Los Angeles Mommy and Baby (LAMB) Survey

Wednesday, October 29, 2008

Luu Cortes Doan , Department of Community Health Sciences, University of California Los Angeles School of Public Health, Los Angeles, CA
Michael C. Lu, MD, MPH , Department of Community Health Sciences and Department of Obstetrics and Gynecology, University of California Los Angeles School of Public Health and School of Medicine, Los Angeles, CA
Eunice Muthengi, MPH, MSW , Department of Community Health Sciences, University of California at Los Angeles, Los Angeles, CA
Angie Denisse Otiniano, MPH , School of Public Health Department of Community Health Sciences, University of California Los Angeles, Los Angeles, CA
Fathima Wakeel, PhD , Department of Community Health Sciences, University of California Los Angeles School of Public Health, Los Angeles, CA
Karen M. Coller, PhD MPH , Division of General Internal Medicine and Health Services Research, UCLA School of Medicine, Los Angeles, CA
Shin Margaret Chao, PhD, MPH , Maternal, Child, and Adolescent Health, Los Angeles County Department of Public Health, Los Angeles, CA
Cynthia Harding, MPH , Maternal, Child, and Adolescent Health, Los Angeles County Department of Public Health, Los Angeles, CA
Giannina M. Donatoni, PhD, MT(ASCP) , Maternal, Child, and Adolescent Health, Los Angeles County Department of Public Health, Los Angeles, CA
Yvonne Y. Lau, MPH, RD , Maternal, Child, and Adolescent Health, Los Angeles County Department of Public Health, Los Angeles, CA
Chandra Higgins, MPH , Maternal, Child, and Adolescent Health, Los Angeles County Department of Public Health, Los Angeles, CA
Marian Eldahaby , Maternal, Child, and Adolescent Health, Los Angeles County Department of Public Health, Los Angeles, CA
Diana E. Ramos, MD, MPH , Reproductive Health, Los Angeles County-Department of Public Health, Los Angeles, CA
OBJECTIVE: To examine racial and ethnic disparities in preconception care utilization. METHODS: We used data from the first wave of 2007 Los Angeles Mommy and Baby (LAMB) Survey. LAMB is a mail sample survey with telephone follow-up for non-respondents based on multistage clustered design. Our preliminary analyses were based on the responses of 721 women with a live birth in 2007 in Los Angeles County. The relationship between race and ethnicity and preconception care utilization was examined using Pearson's chi square tests, stratified by preconception insurance status and other sociodemographic characteristics. RESULTS: More than two-thirds (69.6%) of women surveyed did not receive a checkup in the 6 months prior to their most recent pregnancy. Latina and African American women were significantly less likely to receive care (p<0.0001); 78% of Latina women and 72% of African American women did not receive care, as compared to 63.3% of Asian and Pacific Islander women and 57% of white women. Uninsured women were significantly less likely to receive preconception care than insured women (p<0.001); 89% of uninsured women had no prepregnancy checkup compared to 61% of women with private insurance. However, racial-ethnic disparities in preconception care utilization persisted even when the analyses were stratified by insurance status. Among privately insured women; 69% of Latinas, 65% of African Americans, and 62% of API women compared to 49% of white women, did not receive preconception care. DISCUSSION: Significant racial-ethnic disparities in preconception care utilization exist even among women with health insurance.

Learning Objectives:
By the end of this session, the participants will be able to Discuss the importance of preconception care to maternal health and pregnancy outcome; Describe racial-ethnic disparities in preconception care utilization based a population-based survey of women with a recent live birth in Los Angeles County; Discuss the contribution of preconception insurance status to racial-ethnic disparities in preconception care utilization

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a medical student in the Department of Obstetrics and Gynecology at the UCLA School of Medicine. I have been involved in all aspects of the LAMB Survey including data collection, abstract development, data analysis and the creation of the poster.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.