PUBLI : Maxime Eslier, Priscille Sauvegrain, Elie Azria et al. « Association between Migrant Women’s Legal Status and Prenatal Care Utilization in the PreCARE Cohort », International Journal of Environmental Research and Public Health, Septembre 2020

  • Liste complète des auteurs : Maxime Eslier, Catherine Deneux-​Tharaux, Priscille Sauvegrain, Thomas Schmitz, Dominique Luton, Laurent Mandelbrot, Candice Estellat, Elie Azria
  • L’article est en accès libre sur le site de la revue

Résumé

Barriers to access to prenatal care may partially explain the higher risk of adverse preg­nancy outcomes among migrants compared with native-​born women in Europe. Our aim was to assess the asso­ci­a­tion between women’s legal status and inad­e­quate prenatal care utiliza­tion (PCU) in France, where access to health­care is supposed to be universal. The study popu­la­tion was extracted from the PreCARE prospec­tive cohort (N = 10,419). The asso­ci­a­tions between women’s legal status and a composite outcome vari­able of inad­e­quate PCU were assessed with multi­variate logistic regres­sions. The propor­tion of women born in sub-​Saharan Africa (SSA) was higher among the undoc­u­mented than that of other migrants. All groups of migrant women had a higher risk of inad­e­quate PCU (31.6% for legal migrants with European nation­al­i­ties, 40.3% for other legal migrants, and 52.0% for undoc­u­mented migrants) than French-​born women (26.4%). The adjusted odds ratio (aOR) for inad­e­quate PCU for undoc­u­mented migrants compared with that for French-​born women was 2.58 (95% confi­dence interval 2.16 – 3.07) overall, and this asso­ci­a­tion was similar for migrant women born in SSA (aOR 2.95, 2.28 – 3.82) and those born else­where (aOR 2.37, 1.89 – 2.97). Regardless of the maternal place of birth, undoc­u­mented migrant status is asso­ci­ated with a higher risk of inad­e­quate PCU.