Special12: Adequacy of Prenatal Care: Percentage of pregnant women who receive early and adequate prenatal carea

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Characteristic 2018 2019 2020 2021 2022
Totalb 76.4 76.7 74.7 75.6 74.9
Maternal age group
Under 15 37.9 38.9 36.4 39.2 37.8
Ages 15–19 63.3 63.4 62.3 62.6 60.5
Ages 20–24 70.7 71.2 70.0 70.4 69.3
Ages 25–29 76.5 76.7 74.8 75.7 75.0
Ages 30–34 80.0 80.2 77.6 78.3 77.9
Ages 35 and older 80.1 80.2 77.5 78.3 77.8
Race and Hispanic originc
White, non-Hispanic 81.2 81.8 79.6 80.5 80.6
Black, non-Hispanic 67.6 68.2 67.3 68.5 66.9
Hispanic or Latino 71.8 71.6 69.5 69.7 68.5
American Indian or Alaska Native, non-Hispanic 59.6 60.9 59.1 61.3 60.8
Asian, non-Hispanic 79.0 79.1 76.5 77.8 77.5
Native Hawaiian or Other Pacific Islander, non Hispanic 49.4 48.1 47.1 47.2 45.8
Metropolitan statistical area (MSA) statusd
Metropolitan 76.3 76.6 74.5 75.4 74.7
Nonmetropolitan 76.8 77.3 75.9 76.8 76.3
a This measure is based on the Adequacy of Prenatal Care Utilization Index, which uses data from the birth certificate on the month of pregnancy when prenatal care began, the number of prenatal care visits, and the infant's gestational age to classify levels of prenatal care. The APNCU classifies care as intensive use (or adequate plus) and adequate care that are combined here to define adequate prenatal care that began by the 4th month of pregnancy and where the woman attended 80% or more of the expected number of visits.
b Includes births to Race and Hispanic origin groups not shown separately.
c Race and Hispanic origin refer to the mother's race and Hispanic origin. The 1997 U.S. Office of Management and Budget standards for data on race and ethnicity were used to classify people into one of the following five racial groups: White, Black or African American, Asian, American Indian or Alaska Native, or Native Hawaiian or Other Pacific Islander. All categories are single race. Data on race and Hispanic origin are collected and reported separately. People of Hispanic origin may be of any race.
d The Office of Management and Budget identifies counties in metropolitan statistical areas (metropolitan). In this report, counties not in a metropolitan statistical area are considered nonmetropolitan.
SOURCE: National Center for Health Statistics, National Vital Statistics System, Natality.

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