Preconception and Prenatal Health of Women of Mexican Origin Who Reside in Texas and Mexico

s / Annals of Epidemiology 25 (2015) 702e719 719 Conclusions: Inadequate rate of GWG doubles the odds of stillbirth. Future analyses will use cubic splines to model continuous GWG rate. P70. Preconception and Prenatal Health of Women of Mexican Origin Who Reside in Texas and Mexico Thelma Carrillo MPH, Kyle A. Biggs DO, Roberta J. Ruiz PhD, Lewis P. Rubin MD, Ghulam Murtaza MD, Zuber D. Mulla PhD. Brookdale Hospital and Medical Center Purpose: Acculturation has been associated to favorable and unfavorable health outcomes in the United States. In relation to birth outcomes, studies are finding that less acculturated women have relatively more favorable or as favorable outcomes as populations with greater material resources. We conducted a pilot study in El Paso, Texas, to describe the prenatal health of women of Mexican origin. Methods: A cross-sectional questionnaire was conducted using a simple stratified sampling design among post-partum inpatient women. The three strata consisted of women born in the U.S. and residents of the U.S. (S1), women born in Mexico and residents of the U.S. (S2), and women born in Mexico and residents of Mexico, (S3). The questionnaire included questions from the Quality of Life SF-36, the Medical Outcomes Study Social Support Survey and other validated questions from U.S. national surveys. Results: Preliminary results for some indicators of preconception or prenatal health for 216 women are the following means: pre-pregnancy weight, S1 156.1 (141.6, 170.6), S2 150.2 (142.1, 158.3), S3 146.5 (139.6, 153.5), self-rated health, S1 70.0 (62.3, 77.7), S2 71.7 (66.5, 76.9), S3 72.8 (68.5, 77.0), and emotional well-being, S1 75.6 (70.7, 80.5), S2 78.4 (74.7, 82.2), and S3 78.7 (75.3, 82.0). Conclusions: The preliminary results indicate that a greater proportion of women who were born and resided in Mexico had better health indicators than their more acculturated counterparts. These select and preliminary findings may be worthy of further study to identify the mechanisms through which a culture’s protective factors affect health. P71. High Cost of Pregnancy and Child Birth in India Srinivas Goli PhD. Jawaharlal Nehru University (JNU) Purpose: This paper has twofold objectives: first, to measure the catastrophic payments in the medical care of pregnancy and childbirth. Second is to analyze if the type of hospital, utilization of JSY and family income made a difference in the spending pattern of pregnancy and childbirth. Methods: Our analysis uses unique data from 230 pregnant women that we interviewed in Uttar Pradesh, which is the largest state in India and has among the poorest health outcomes for women and children. In addition to detailed demographic and socioeconomic characteristics of the respondents, we collected information on the type of hospital for ANCs and delivery, pregnancy and childbirth costs, including hospitalization costs, doctor’s fees, medication costs, transportation costs, and access to government programs such as JSY and so on. We have used bivariate and multivariate regression analyses. Results: Our analysis reveals that the percentage share of the total cost of pregnancy and childbirth in annual income of the couples is above 40% for below poverty line families which is a huge catastrophic payment for them. It also shows strong and statistically positive associations between higher levels of education, private hospital and higher costs during pregnancy and childbirth. Conclusions: Although, ANCs and delivery care is highly sponsored in maternal and child health scheme of ongoing National HealthMission (NHM) andmost of the services should be free of cost, but we observed a high cost of pregnancy and child birth even in the government hospitals.