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AJPH First Look, published online ahead of print Aug 13, 2008
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October 2008, Vol 98, No. 10 | American Journal of Public Health 1818-1822
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.123687

RESEARCH AND PRACTICE

Perceived Discrimination During Prenatal Care, Labor, and Delivery: An Examination of Data From the Oregon Pregnancy Risk Assessment Monitoring System, 1998–1999, 2000, and 2001

Molly De Marco, PhD, MPH, Sheryl Thorburn, PhD, MPH and Weiyi Zhao, MPH

At the time of the study, Molly De Marco, Sheryl Thorburn, and Weiyi Zhao were with the Department of Public Health, Oregon State University, Corvallis.

Correspondence: Requests for reprints should be sent to Molly De Marco, PhD, MPH, Cecil G. Sheps Center for Health Services Research, University of North Carolina at Chapel Hill, 725 Martin Luther King Boulevard, Chapel Hill, NC 27599 (e-mail: mdemarco{at}schsr.unc.edu).

Although recent research has examined discrimination in health care, no studies have investigated women's experiences during prenatal or obstetrical care. Analyses of data from the Oregon Pregnancy Risk Assessment Monitoring System showed that 18.53% of mothers reported discrimination by providers during prenatal care, labor, or delivery, most commonly because of age or insurance status. Perceived discrimination was associated with maternal characteristics such as age, marital status, and type of insurance, but not with number of subsequent well-baby visits.






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