Gesundheitswesen 2017; 79(08/09): 656-804
DOI: 10.1055/s-0037-1605903
Poster
Georg Thieme Verlag KG Stuttgart · New York

Impact of migration background on the uptake of antenatal care: the BaBi birth cohort study, Germany

A Grosser
1   Fakultät für Gesundheitswissenschaften/Universität Bielefeld, AG Epidemiologie & International Public Health, Bielefeld
,
C Höller-Holtrichter
1   Fakultät für Gesundheitswissenschaften/Universität Bielefeld, AG Epidemiologie & International Public Health, Bielefeld
,
J Breckenkamp
1   Fakultät für Gesundheitswissenschaften/Universität Bielefeld, AG Epidemiologie & International Public Health, Bielefeld
,
R Hoffmann
1   Fakultät für Gesundheitswissenschaften/Universität Bielefeld, AG Epidemiologie & International Public Health, Bielefeld
,
O Razum
1   Fakultät für Gesundheitswissenschaften/Universität Bielefeld, AG Epidemiologie & International Public Health, Bielefeld
,
J Spallek
2   Institut für Gesundheit/B TU Cottbus-Senftenberg, FG Gesundheitswissenschaften, Senftenberg
› Author Affiliations
Further Information

Publication History

Publication Date:
01 September 2017 (online)

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Background:

Antenatal care (ANC) can contribute to a decrease in maternal and perinatal morbidity and mortality[1]. In Germany migrants and majority population have a similar uptake of medical ANC (e.g. ultrasound scan), but their uptake of non-medical support measures (e.g. antenatal classes) is lower[2]. The role of education and acculturation as possible interacting factors remains unclear[2]. We analysed factors contributing to the utilization of medical and non-medical ANC in a German city.

Methods:

Baseline data 2013 – 16 of the BaBi birth cohort in Bielefeld were analysed. Standardized interviews during pregnancy or after birth were conducted and data linked to routinely collected perinatal data. Bivariate and multivariate logistic regression analyses were performed to study associations between migrant status, educational level, and level of acculturation with the uptake of medical and non-medical ANC.

Results:

Of the 975 study participants, 41% were 1st generation (immigrated themselves) or 2nd generation women (offspring of immigrants). Low numbers (< 9) of ANC visits were associated with migrant status (Χ2(2)= 17.81, p < 0.001), educational (Χ2(2)= 9.38, p < 0.01), independently associated with 2nd generation status (OR 7.1 [CI 95% 1.58 – 32.12]) and women from the low educational group (OR 5.0 [CI 95% 1.01 – 25.07]), but not associated with level of acculturation (r =-0.02, p = 0.80). The uptake of non-medical measures was significantly higher among non-immigrants than among migrants (all ps< 0.001); among higher compared to lower educated (all ps< 0.001); and among more compared to less acculturated women (p< 0.05).

Discussion:

In our sample, 2nd generation women and women with low education levels were more likely to show inadequate uptake of medical and non-medical ANC. Public health activities to promote utilisation of ANC for these subgroups are advisable.

[1] Heaman et al. 2013, Matern Child Health J, 17:816 – 836.

[2] Brenne et al. 2015, DOI 01.1007/s00203 – 015 – 2141 – 6.