health
Early Prenatal Care by Mother's Race/Ethnicity

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Source: Centers for Disease Control and Prevention

What does this measure?

The number of births to mothers who initiated prenatal care during the first trimester of pregnancy (before 13 weeks gestation), expressed as a percentage of all live births within each racial and ethnic group.

Why is this important?

Early, high-quality prenatal care is critical to reducing risks for complications of pregnancy or birth and improving birth outcomes.

How is Norfolk County doing?

In 2021, in Norfolk County, rates of early prenatal care were lower among African American (82%) and Latino (87%) births compared to Asian and white births (both at 92%). Norfolk County rates among all groups were higher than those at the state and national levels, which showed similar racial and ethnic disparities.

Norfolk County also had higher rates among all racial and ethnic groups compared to Essex and Middlesex counties. Its rate for Latino births was 8 points higher than Essex County at 79% and 10 points higher than Middlesex at 77%. Norfolk's rate for African American births was similar to Essex at 81% and higher than Middlesex at 74%.

Why do these disparities exist?

Researchers have uncovered a number of factors contributing to generally lower rates of early prenatal care among mothers of color. These include: socioeconomic characteristics like education and family income; maternal health and characteristics of pregnancies (such as maternal age and number of previous pregnancies); types of insurance coverage - whether women are covered by Medicaid, private insurance, or have no coverage; and the location of prenatal care facilities - in physicians' offices and public health clinics. One study found socioeconomic differences were responsible for roughly half the gap -- pregnant women with lower incomes and levels of formal education often do not have the resources necessary to obtain care early and often - but that public programs such as the Special Supplemental Nutrition Program for Women, Infants, and Children increased access to care.

Notes about the data

The rate excludes live births for which the date of entry into prenatal care is unknown. In addition to considering when prenatal care began, it is also important to understand the quality and continuity of care received throughout the pregnancy.

snapshot
Early Prenatal Care by Mother's Race/Ethnicity, 2021
AsianBlack or African AmericanHispanic or LatinoWhite
Norfolk County92%82%87%92%
Essex County90%81%79%86%
Middlesex County87%74%77%87%
Massachusetts87%75%76%86%

Source: Centers for Disease Control and Prevention
Notes: Percent of live births for which mothers received prenatal care beginning in the first trimester of pregnancy. Data may not be available for every group.




Number of Births with Early Prenatal Care by Mother's Race/Ethnicity, 2021
AsianBlack or African AmericanHispanic or LatinoWhite
Norfolk County8836965624,691
Essex County2418002,4225,737
Middlesex County2,2211,0621,8689,781
Massachusetts4,7667,19311,07343,602

Source: Centers for Disease Control and Prevention
Notes: Number of births for which mothers received prenatal care beginning in the first trimester of pregnancy. Data may not be available for every group.






INDICATORS TREND
Change in Total Population 1
Increasing
Change in Population by Race/Ethnicity 1
Increasing
Language Diversity 1
Increasing
Foreign-Born Population 1
Increasing
Population by Age 1
Increasing
People with Disabilities 1
Increasing
Voter Registration -1
Decreasing
Voter Participation 1
Increasing
Arrest Rate by Race/Ethnicity 0
Maintaining
Incarceration Rate by Race/Ethnicity 10 Not Applicable*
Change in Total Jobs 10 Not Applicable*
Unemployment Rate 10 Not Applicable*
Unemployment Rate by Race/Ethnicity 0
Maintaining
Living Wage 10 Not Applicable*
Median Household Income 0
Maintaining
Median Household Income by Race/Ethnicity 0
Maintaining
Income in Relation to Poverty Level -1
Decreasing
People Living in Poverty 1
Increasing
People Living in Poverty by Race/Ethnicity -1
Decreasing
People Living in Poverty by Age -1
Decreasing
Children Living in Poverty by Race/Ethnicity 1
Increasing
Females Living in Poverty by Race/Ethnicity -1
Decreasing
Seniors Living in Poverty 1
Increasing
Share of Workers who are Professionals by Race/Ethnicity 10 Not Applicable*
Business Ownership by Race/Ethnicity 10 Not Applicable*
Access to Financial Services by Race/Ethnicity 10 Not Applicable*
Student Performance on Grade 3 English by Student Subgroup 10 Not Applicable*
High School Cohort Graduation Rate by Student Group 10 Not Applicable*
Education Levels of Adults by Race/Ethnicity 1
Increasing
Overall Housing Cost Burden -1
Decreasing
Median Home Value 0
Maintaining
Median Home Value by Race/Ethnicity 10 Not Applicable*
Cost of Homeownership 1
Increasing
Cost of Homeownership by Race/Ethnicity 10 Not Applicable*
Cost of Renting 1
Increasing
Cost of Rent by Race/Ethnicity 10 Not Applicable*
Households Receiving SNAP 1
Increasing
Households Receiving SNAP by Race/Ethnicity -1
Decreasing
Food Insecurity 10 Not Applicable*
Households Without Vehicles 1
Increasing
Means of Transportation to Work by Race/Ethnicity 0
Maintaining
Protected Land 10 Not Applicable*
Percent of Days with Good Air Quality 10 Not Applicable*
Early Prenatal Care 10 Not Applicable*
Early Prenatal Care by Mother's Race/Ethnicity 10 Not Applicable*
Drug Poisoning Mortality Rate 10 Not Applicable*
Substance Abuse Treatment Admissions 10 Not Applicable*
People 65 or Older Living Alone 1
Increasing
Change in Population by Race/Ethnicity 1
Increasing
Arrest Rate by Race/Ethnicity 0
Maintaining
Incarceration Rate by Race/Ethnicity 10 Not Applicable*
Unemployment Rate by Race/Ethnicity 0
Maintaining
Median Household Income by Race/Ethnicity 0
Maintaining
People Living in Poverty by Race/Ethnicity -1
Decreasing
Children Living in Poverty by Race/Ethnicity 1
Increasing
Females Living in Poverty by Race/Ethnicity -1
Decreasing
Share of Workers who are Professionals by Race/Ethnicity 10 Not Applicable*
Business Ownership by Race/Ethnicity 10 Not Applicable*
Student Performance on Grade 3 English by Student Subgroup 10 Not Applicable*
High School Cohort Graduation Rate by Student Group 10 Not Applicable*
Education Levels of Adults by Race/Ethnicity 1
Increasing
Median Home Value by Race/Ethnicity 10 Not Applicable*
Cost of Homeownership by Race/Ethnicity 10 Not Applicable*
Cost of Rent by Race/Ethnicity 10 Not Applicable*
Households Receiving SNAP by Race/Ethnicity -1
Decreasing
Early Prenatal Care by Mother's Race/Ethnicity 10 Not Applicable*



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