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Show Figure 1. Adequacy of Prenatal Care in Utah, 1999 Utah PRAMS I Adequate PNC II Inadequate PNC Due to Late Entry ? Inadequate PNC Due to Insufficient deemed sufficient after PNC entry. The APCNU Index was used as this is the measure Healthy People 2010 uses. Both the APCNU and the modified Kessner index, demonstrate that over one-third of Utah women receive inadequate PNC. The APNCU Index has four categories: inadequate, intermediate, adequate, and adequate plus. For this report, these categories were collapsed into two levels: adequate or adequate plus PNC was reported as adequate; and inadequate or intermediate PNC was reported as inadequate. The APNCU Index was calculated from 1999 birth certificate data for PRAMS respondents. PRAMS data from 1999 were analyzed using clii-squared tests to identify significant barriers to early and adequate PNC. PRENATAL CARE IN UTAH Overall, in 1999, 81.1% of women entered PNC in the first trimester, 17.7% entered care in the second or third trimester, and 0.2% said they did not receive PNC during their pregnancies. Of all Utah women, 83.2% said they received PNC as early in their pregnancy as they wanted, 16.3% indicated they did not receive care as early in their pregnancy as they wanted, and 0.5% indicated that they did not want PNC. Table 1. Barriers to Sufficient Number of Prenatal Care Visits, 1999 Utah PRAMS Data. Percent of Women With Inadequate PNC Due to Insufficient Visits (95% Confidence Pop. Maternal Characteristics P- Interval) Estimate Value Total Birth Population Maternal Age < 19 20-34 35 + Education Level Less than High School Completed High School More than High School Race White Other Than White Hispanic Ethnicity Hispanic Non-Hispanic Marital status Married Unmarried Geographic Area Urban Rural Annual Household Income <$15,000 $15,000-35,000 $35,000 - 50,000 >$50,000 24.6 + 2.8 11,300 NS NS 18.6 + 8.1 800 24.4 + 3.1 9,000 32.6 + 9.8 1,600 NS 21.9 + 7.5 1,700 25.9 + 5.2 3,500 25.0 + 3.8 6,200 <0.05 25.1 + 3.0 11,000 16.2 + 4.3 400 NS 25.0 + 9.3 1,400 24.5 + 2.9 9,900 NS 25.1 + 3.1 9,800 22.0 + 7.1 1,600 NS 20.8 + 2.3 7,400 28.3 + 8.8 3,000 NS 23.0 + 6.2 2,300 25.5 + 5.1 3,900 23.9 + 5.9 2,500 26.6 + 6.2 2,700 Table 1 (Continued). PNC Payer Type Private/Group Insurance Medicaid Indian Health Service, Other, or No Insurance Pregnancy Intention Intended Unintended Smoked Cigarettes in 3 Months Before Pregnancy Yes No Drank Alcohol in 3 Months Before Pregnancy Yes No Number of Previous Live Births None 1-4 5 or more Pregnancy Recognition <5 weeks 5 - 8 weeks 9+ weeks Birth Interval < 20 months 21-36 months 37+ months NS = Not Significant 23.6 + 3.3 7,300 25.3 + 6.3 2,500 28.4 4 ;10.4 1,400 24.5 + 3.5 7,500 23.4 + 5.0 3,600 24.8 + 7.3 24.4 + 3.1 29.4 + 6.4 3,100 23.4 + 3.2 8,300 22.0 + 4.3 3,700 26.3 + 3.8 7,200 22.7 + 14.0 400 26.9 + 4.3 6,100 24.0 + 4.7 4,000 18.8 + 6.7 1,200 12.8 + 7.0 500 32.3 + 7.0 3,700 26.2 + 6.5 2,800 NS NS NS 1,600 9,600 NS NS NS <0.01 Utah's Health: An Annual Review Volume DC |