Catherine E. Henze
Summer 2004
Advisor: Ilene Speizer, Ph.D.
Context: Literature suggests that prenatal care and prenatal supplement use improves pregnancy outcomes. However, we do not know the factors associated with prenatal care and supplement use in Honduras.
Objective: To identify characteristics of Honduran women who are the least and most likely to use prenatal care and supplements.
Methods: Data from a 2001 Honduras cross-sectional survey of women was used to assess their use of prenatal care and supplements. All data was weighted, resulting in a sample size of n = 5647 women who had a live birth since January 1996. Bivariate and multivariate analyses were used to examine factors associated with prenatal care and supplement use.
Results: Current education level was one of the most
significant determinants of prenatal care and supplement use. Women
who were 35 years
or older at the time of their most recent birth, currently unmarried,
of non-Catholic religious affiliation, and of low SES were significantly
less likely to have used prenatal care and supplements. Women who
reported the intentionality of their most recent birth as unwanted
also were significantly less likely to have used prenatal care and
supplements. Prenatal care was the most significant determinant of
prenatal supplement use.
Conclusion: There are significant differences between Honduran women
who use prenatal care and supplements and women who do not. Efforts
to increase prenatal health services among underserved women, especially
those who are older, uneducated, unmarried, of low SES, nonCatholic,
and at risk for an unwanted pregnancy, may significantly improve pregnancy
outcomes in Honduras.