期刊
BIRTH-ISSUES IN PERINATAL CARE
卷 39, 期 3, 页码 211-220出版社
WILEY
DOI: 10.1111/j.1523-536X.2012.00550.x
关键词
disadvantage; discrimination; perinatal care; social health
资金
- Australian National Health and Medical Research Council, Canberra, Australian Capital Territory
- Victorian Department of Human Services, Melbourne, Victoria
- South Australian Department of Health, Adelaide, South Australia
- Victorian Government's Operational Infrastructure Support Program, Melbourne, Victoria, Australia
Background Discrimination in women's health care, particularly perinatal care, has received minimal attention. The aim of this study is to describe women's experience of discrimination in different models of maternity care and to examine the relationship between maternal social characteristics and perceived discrimination in perinatal care. Methods A population-based postal survey was mailed 6 similar to months postpartum to all women who gave birth in two Australian states in September and October 2007. Perceived discrimination was assessed using a five-item measure designed to elicit information about experiences of unequal treatment by health professionals. Results A total of 4,366 eligible women completed the survey. Women attending public models of maternity care were significantly more likely to report perceived discrimination compared with women attending a private obstetrician (30.7% vs 19.7%, OR 1.79, 95% CI 1.52.1). Compared with women reporting no stressful life events or social health issues in pregnancy, those reporting three or more stressful life events or social health issues had a twofold increase in adjusted odds of perceived discrimination (41.1% vs 20.4%, adj OR 2.27, 95% CI 1.82.8). Young women (
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