WMJ Vol 120 Supplement 1: Prenatal Racial Discrimination Associated With Dissatisfaction With Prenatal Care
Introduction: Maternal and infant racial and ethnic health disparities persist in Wisconsin. The Black infant mortality rate is 3 to 4 times that of White infants.
Objective: In this study, we used data from the Wisconsin Pregnancy Risk Assessment Monitoring System to examine women’s experiences with racism and accessing pre- and postnatal care.
Methods: Data from the 2016-2018 Pregnancy Risk Assessment Monitoring System—an ongoing state-administered surveillance system of new mothers—were used. The total number of non-White respondents was n = 2,571. The data are weighted both for nonsampling and for nonresponse. The prevalence of late entry to prenatal care, inadequate prenatal care, and no postpartum visit in the population of non-White women were calculated. Multivariable logistic regression was used to model the association between racial discrimination in the year prior to birth and perinatal care utilization and satisfaction.
Results: Less-than-adequate prenatal care was significantly associated with racial discrimination in bivariate analysis (OR 1.4; 95% CI, 1.02-1.8), but this relationship became marginally significant after adjusting for maternal sociodemographic characteristics (OR 1.3; 95% CI, 0.9-1.7). In contrast, prenatal experience of racial discrimination was associated with about 1.5 times the odds of not receiving a postpartum visit both before and after adjusting for maternal characteristics (OR 1.6; 95% CI, 1.1-2.3).
Conclusions: Completing the postpartum visit has the potential to save mothers’ lives; decreasing experiences of racial discrimination in health care settings may be one mechanism for decreasing maternal and infant mortality.
The target audience for this journal-based activity is healthcare providers caring for the people and communities of Wisconsin and beyond.
As a result of this journal-based activity, the healthcare team will be able to:
- Explain the possible significance of the relationship between experiences of racial discrimination and engagement in pre- and postnatal care.
- Demonstrate the value of using PRAMS data to describe perinatal experiences for women in Wisconsin.
- Identify benefits of the postpartum visit to the long-term wellbeing of women.
It is the policy of the University of Wisconsin–Madison Interprofessional Continuing Education Partnership (ICEP) to identify, mitigate and disclose all relevant financial relationships with ineligible companies* held by the speakers/presenters, authors, planners, and other persons who may influence content of this accredited continuing education (CE). In addition, speakers, presenters and authors must disclose any planned discussion of unlabeled/unapproved uses of drugs or devices during their presentation.
For this accredited continuing education activity all relevant financial relationships have been mitigated and detailed disclosures are listed below.
|Name of Individual||Individual's Role in Activity|
Name of Commercial Interest &
|Terese Bailey, BS||Accreditation Specialist||No relevant relationships with ineligible companies to disclose||No|
|Jennifer Edgoose, MD, MPH||Reviewer||No relevant relationships with ineligible companies to disclose||No|
|Kate H. Gillespie, DNP||Author||No relevant relationships with ineligible companies to disclose||No|
|Sheri P. Johnson, PhD||Reviewer||No relevant relationships with ineligible companies to disclose||No|
|David J. Pate, PhD||Reviewer||No relevant relationships with ineligible companies to disclose||No|
|Roberta Pawlak, PhD, RN, NEA-BC||Reviewer||No relevant relationships with ineligible companies to disclose||No|
|Sarina Schrager, MD, MS||Editor||No relevant relationships with ineligible companies to disclose||No|
|Fiona Weeks, MSPH||Author||No relevant relationships with ineligible companies to disclose||No|
*Ineligible companies are those whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on, patients.
The ACCME does not consider providers of clinical services directly to patients to be commercial interests.
|In support of improving patient care, this activity has been planned and implemented by the University of Wisconsin–Madison ICEP and the Wisconsin Medical Journal. The University of Wisconsin–Madison ICEP is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.|
Credit Designation Statements
American Medical Association (AMA)
The University of Wisconsin–Madison ICEP designates this journal-based CE activity for a maximum of 1.0 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
American Nurses Credentialing Center (ANCC)
The University of Wisconsin–Madison ICEP designates this journal-based CE activity for a maximum of 1.0 ANCC contact hour.
Iowa Board of Nursing accepts ANCC contact hours for nursing continuing education requirements.
Continuing Education Units
The University of Wisconsin–Madison ICEP, as a member of the University Professional & Continuing Education Association (UPCEA), authorizes this program for 0.1 continuing education units (CEUs) or 1 hour.
- 1.00 AMA PRA Category 1 Credit™
- 1.00 ANCC Contact Hours
- 1.00 University of Wisconsin–Madison Continuing Education Hours
- 1.00 Approved for AMA PRA Category 1 Credit™
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