Racial Equity
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 our county performing?

In 2022, in Worcester County, rates of early prenatal care were lower among Black and African American births (76%) compared to Hispanic and Latino (82%), White (87%) and Asian (88%) births. Worcester County rates among all groups were higher than those at the state and national levels, particularly among Latino births which were lower at the state (74%) and nation (69%).

Rates of prenatal care have held fairly steady for all groups between 2016 and 2022, with the exception of Asian births which increased by six percentage points.

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.

Early Prenatal Care by Mother's Race/Ethnicity, 2022
AsianBlack or African AmericanHispanic or LatinoWhite
Worcester County88%76%82%87%
Massachusetts84%69%74%84%

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, 2022
AsianBlack or African AmericanHispanic or LatinoWhite
Worcester County4178001,5675,664
Massachusetts4,7937,01711,37741,557

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
Arts, Entertainment and Recreation Establishments 1
Increasing
Average Charitable Contribution 0
Maintaining
Households With Internet Access 1
Increasing
Protected Land 10 Not Applicable*
Voter Participation Rate -1
Decreasing
Voter Registration Rate 0
Maintaining
Arrest Rate by Race/Ethnicity -1
Decreasing
Change in Total Population 1
Increasing
Change in Population by Race/Ethnicity 1
Increasing
Foreign-Born Population 1
Increasing
Language Diversity 1
Increasing
Population by Age -1
Decreasing
Households by Type 0
Maintaining
Single-Parent Families by Race/Ethnicity -1
Decreasing
Median Household Income 0
Maintaining
Household Income by Race/Ethnicity 0
Maintaining
80/20 Income Ratio 0
Maintaining
Income in Relation to Poverty Level 0
Maintaining
People Living in Poverty 0
Maintaining
People Living in Poverty, by Education Level 1
Increasing
People Living in Poverty, by Age 1
Increasing
People Living in Poverty, by Race/Ethnicity 1
Increasing
Homeownership Rates, by Race/Ethnicity 1
Increasing
Overall Housing Cost Burden -1
Decreasing
Cost of Rent, by Race/Ethnicity 10 Not Applicable*
Median Home Value by Race/Ethnicity 10 Not Applicable*
Homelessness 10 Not Applicable*
Households Receiving SNAP by Race/Ethnicity 1
Increasing
Household Receiving Temporary Assistance 0
Maintaining
Households Without Vehicles 0
Maintaining
Education Levels of Adults by Race/Ethnicity 1
Increasing
Change in Employment by Sector 10 Not Applicable*
Change in Average Salary by Sector 10 Not Applicable*
Female to Male Earnings Ratio 0
Maintaining
Unemployment Rate by Race/Ethnicity -1
Decreasing
Employer Size 1
Increasing
Business Ownership, by Race/Ethnicity 10 Not Applicable*
Self-Employment Revenue 0
Maintaining
People Entering/Leaving County for Work 1
Increasing
Early Prenatal Care by Mother's Race/Ethnicity 1
Increasing
Preterm Births 10 Not Applicable*
Infant Mortality by Mother's Race/Ethnicity 10 Not Applicable*
Children with Elevated Blood Lead Levels -1
Decreasing
Prevalence of Children with Asthma 1
Increasing
People with Disabilities 1
Increasing
People Without Health Insurance -1
Decreasing
Cancer Incidence 0
Maintaining
Diabetes Incidence -1
Decreasing
Substance Abuse Treatment Admissions 1
Increasing
Opioid Overdose Mortality Rate 1
Increasing
Children Living in Poverty 0
Maintaining
Children Living in Poverty, by Race/Ethnicity -1
Decreasing
Economically Disadvantaged Students 1
Increasing
Disengaged Youth -1
Decreasing
Prekindergarten Participation -1
Decreasing
Student Performance on Grade 3 English, by Student Subgroup -1
Decreasing
Student Performance on Grade 8 Math, by Student Subgroup -1
Decreasing
Student Performance on Grade 10 English, by Student Subgroup -1
Decreasing
Student Performance on Grade 10 Math, by Student Subgroup -1
Decreasing
High School Cohort Graduation Rate, by Student Group 1
Increasing
Arrest Rate by Race/Ethnicity -1
Decreasing
Change in Population by Race/Ethnicity 1
Increasing
Single-Parent Families by Race/Ethnicity -1
Decreasing
Household Income by Race/Ethnicity 0
Maintaining
People Living in Poverty, by Race/Ethnicity 1
Increasing
Homeownership Rates, by Race/Ethnicity 1
Increasing
Cost of Rent, by Race/Ethnicity 10 Not Applicable*
Median Home Value by Race/Ethnicity 10 Not Applicable*
Households Receiving SNAP by Race/Ethnicity 1
Increasing
Education Levels of Adults by Race/Ethnicity 1
Increasing
Unemployment Rate by Race/Ethnicity -1
Decreasing
Business Ownership, by Race/Ethnicity 10 Not Applicable*
Early Prenatal Care by Mother's Race/Ethnicity 1
Increasing
Infant Mortality by Mother's Race/Ethnicity 10 Not Applicable*
Children Living in Poverty, by Race/Ethnicity -1
Decreasing
Student Performance on Grade 3 English, by Student Subgroup -1
Decreasing
Student Performance on Grade 8 Math, by Student Subgroup -1
Decreasing
Student Performance on Grade 10 English, by Student Subgroup -1
Decreasing
Student Performance on Grade 10 Math, by Student Subgroup -1
Decreasing
High School Cohort Graduation Rate, by Student Group 1
Increasing





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