{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T19:28:44Z","timestamp":1786649324281,"version":"build-2736575974"},"reference-count":42,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the association between maternal factors and the timing of initiation and the number of antenatal care (ANC) visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>This is an analytical cross-sectional study using data from a nationally representative survey in Mexico. The analysis included 1329 women aged 14\u201349 years. Information on prenatal care during the last pregnancy was collected. The timing of the first prenatal visit was classified as early (\u22643 months) or late (&gt;3 months), and the number of prenatal contacts was categorized as &lt;8 or \u22658. Available sociodemographic variables were described, and associations were assessed using logistic regression models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The prevalence of early initiation of ANC and attending eight or more ANC contacts was 81.8% and 86.4%, respectively. Women between 20 and 34 years of age (OR = 2.66; 95% Confidence interval [CI] =1.21\u20135.85) and 35 to 49 years of age (OR = 4.12; 95% CI: 1.78\u20139.56) were more likely to initiate ANC early. Women with higher educational levels (OR = 2.77; 95% CI: 1.42\u20135.40), residents of metropolitan areas (OR = 1.89; 95% CI: 1.18\u20133.03), and those who started prenatal care early (OR = 6.02; 95% CI: 4.12\u20138.79) were likelier to have eight or more prenatal care visits.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This study found maternal age, education, and residence area significantly influence ANC initiation and frequency. These results highlight the need for tailored strategies to reduce disparities in ANC access and adherence. The findings can inform policies aimed at improving ANC coverage among vulnerable populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jfmpc.jfmpc_1614_25","type":"journal-article","created":{"date-parts":[[2026,4,20]],"date-time":"2026-04-20T10:00:49Z","timestamp":1776679249000},"page":"1208-1216","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Maternal factors associated with antenatal care attendance: Nationally representative cross-sectional survey in Mexico"],"prefix":"10.4103","volume":"15","author":[{"given":"Jos\u00e9 A.","family":"Hern\u00e1ndez-Mariano","sequence":"first","affiliation":[{"name":"Department of Research, Hospital Juarez of Mexico, Mexico City, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana C.","family":"Casta\u00f1eda-M\u00e1rquez","sequence":"additional","affiliation":[{"name":"Scientific Research Institute, Juarez University of the State of Durango, Durango, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yolanda","family":"Mart\u00ednez-L\u00f3pez","sequence":"additional","affiliation":[{"name":"Scientific Research Institute, Juarez University of the State of Durango, Durango, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jaime","family":"Salvador-Moys\u00e9n","sequence":"additional","affiliation":[{"name":"Scientific Research Institute, Juarez University of the State of Durango, Durango, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaneth C.","family":"Orbe-Orihuela","sequence":"additional","affiliation":[{"name":"Center for Research on Infectious Diseases, National Institute of Public Health, Morelos, Mexico"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,4,20]]},"reference":[{"issue":"32","key":"R1-20260424","first-page":"100653","article-title":"Improving maternal and newborn health and reducing stillbirths in the Western Pacific Region- Current situation and the way forward","volume":"13","author":"Vallely","year":"2022","journal-title":"Lancet Reg Health West Pac"},{"key":"R2-20260424","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1016\/j.jped.2016.08.001","article-title":"Maternal and neonatal mortality:Time to act","volume":"92","author":"Carlo","year":"2016","journal-title":"J Pediatr (Rio J)"},{"key":"R4-20260424","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1186\/s12939-024-02100-y","article-title":"Persistent inequities in maternal mortality in Latin America and the Caribbean, 1990\u20132019","volume":"23","author":"S\u00e1enz","year":"2024","journal-title":"Int J Equity Health"},{"key":"R5-20260424","doi-asserted-by":"crossref","first-page":"e0302369","DOI":"10.1371\/journal.pone.0302369","article-title":"Obstetric risk profiles and causes of death:Estimating their association with cesarean sections among maternal deaths in Mexico","volume":"19","author":"Mart\u00ednez-Garrido","year":"2024","journal-title":"PLoS One"},{"key":"R6-20260424","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1016\/j.arcmed.2022.12.013","article-title":"Burden, incidence, mortality and lethality of maternal disorders in Mexico 1990-2019:An analysis for the Global Burden of Disease study 2019","volume":"54","author":"Montoya","year":"2023","journal-title":"Arch Med Res"},{"key":"R8-20260424","doi-asserted-by":"crossref","first-page":"1120979","DOI":"10.3389\/fped.2023.1120979","article-title":"Effect of optimal antenatal care on maternal and perinatal health in Ethiopia","volume":"11","author":"Tesfay","year":"2023","journal-title":"Front Pediatr"},{"key":"R9-20260424","doi-asserted-by":"crossref","first-page":"1328796","DOI":"10.1080\/16549716.2017.1328796","article-title":"Effectiveness of antenatal care services in reducing neonatal mortality in Kenya:Analysis of national survey data","volume":"10","author":"Arunda","year":"2017","journal-title":"Glob Health Action"},{"key":"R10-20260424","doi-asserted-by":"crossref","first-page":"e0222566","DOI":"10.1371\/journal.pone.0222566","article-title":"The impact of antenatal care on neonatal mortality in sub-Saharan Africa:A systematic review and meta-analysis","volume":"14","author":"Tekelab","year":"2019","journal-title":"PLoS One"},{"key":"R11-20260424","first-page":"e51254","article-title":"The effectiveness of adequate antenatal care in reducing adverse perinatal outcomes:Evidence from a low- or middle-income country","volume":"15","author":"Mina","year":"2023","journal-title":"Cureus"},{"key":"R12-20260424","doi-asserted-by":"crossref","first-page":"20503121241248275","DOI":"10.1177\/20503121241248275","article-title":"Magnitude, disparity, and predictors of poor-quality antenatal care service:A systematic review and meta-analysis","volume":"12","author":"Demissie","year":"2024","journal-title":"SAGE Open Med"},{"key":"R13-20260424","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.ejogrb.2022.03.009","article-title":"Provision of antenatal care in Europe-A scientific study commissioned by European Board and College of Obstetrics and Gynaecology (EBCOG)","volume":"272","author":"Topcu","year":"2022","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"R14-20260424","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1186\/s12884-016-1018-5","article-title":"Coverage and timing of antenatal care among poor women in 6 Mesoamerican countries","volume":"16","author":"Dansereau","year":"2016","journal-title":"BMC Pregnancy Childbirth"},{"key":"R15-20260424","first-page":"1346","article-title":"Application and use of Andersen's behavioral model as theoretical framework:A systematic literature review from 2012-2021","volume":"52","author":"Alkhawaldeh","year":"2023","journal-title":"Iran J Public Health"},{"key":"R16-20260424","doi-asserted-by":"crossref","first-page":"e0251477","DOI":"10.1371\/journal.pone.0251477","article-title":"Magnitude and determinants of adequate antenatal care service utilization among mothers in Southern Ethiopia","volume":"16","author":"Gebrekirstos","year":"2021","journal-title":"PLoS One"},{"key":"R17-20260424","doi-asserted-by":"crossref","first-page":"522","DOI":"10.21149\/14186","article-title":"Design of the Encuesta Nacional de Salud y Nutrici\u00f3n 2022 and planning and design of the Ensanut Continua 2020-2024","volume":"64","author":"Romero-Mart\u00ednez","year":"2022","journal-title":"Salud Publica Mex"},{"key":"R19-20260424","doi-asserted-by":"crossref","first-page":"240","DOI":"10.1590\/s1806-37562016000000225","article-title":"Test for trend:Evaluating dose-response effects in association studies","volume":"42","author":"Patino","year":"2016","journal-title":"J Bras Pneumol"},{"key":"R20-20260424","first-page":"1","article-title":"Timing and adequacy of prenatal care in the United States, 2016","volume":"67","author":"Osterman","year":"2018","journal-title":"Natl Vital Stat Rep"},{"key":"R21-20260424","doi-asserted-by":"crossref","first-page":"233","DOI":"10.1186\/s12978-021-01275-9","article-title":"Timing of first antenatal care visits and number of items of antenatal care contents received and associated factors in Ethiopia:multilevel mixed effects analysis","volume":"18","author":"Woldeamanuel","year":"2021","journal-title":"Reprod Health"},{"key":"R22-20260424","doi-asserted-by":"crossref","first-page":"e0302297","DOI":"10.1371\/journal.pone.0302297","article-title":"Predictors and number of antenatal care visits among reproductive age women in Sub-Saharan Africa further analysis of recent demographic and health survey from 2017-2023:Zero-inflated negative binomial regression","volume":"19","author":"Endawkie","year":"2024","journal-title":"PLoS One"},{"key":"R23-20260424","doi-asserted-by":"crossref","first-page":"109","DOI":"10.4103\/2230-8229.181012","article-title":"Preconception care in Saudi women with diabetes mellitus","volume":"23","author":"Madanat","year":"2016","journal-title":"J Family Community Med"},{"key":"R24-20260424","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1186\/1471-2393-12-100","article-title":"Advanced maternal age and risk perception:A qualitative study","volume":"12","author":"Bayrampour","year":"2012","journal-title":"BMC Pregnancy Childbirth"},{"key":"R25-20260424","doi-asserted-by":"crossref","first-page":"22","DOI":"10.18597\/rcog.3034","article-title":"Association with the socioeconomic level of the pregnant woman. Cross-sectional study. Bucaramanga, Colombia, 2014-2015","volume":"69","author":"C\u00e1ceres Manrique","year":"2018","journal-title":"Rev Colomb Obstet Ginecol"},{"key":"R26-20260424","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1016\/j.pcl.2016.11.007","article-title":"Adolescent pregnancy","volume":"64","author":"Leftwich","year":"2017","journal-title":"Pediatr Clin North Am"},{"key":"R27-20260424","doi-asserted-by":"crossref","first-page":"133","DOI":"10.1007\/s10995-008-0419-0","article-title":"Initiation of and barriers to prenatal care use among low-income women in San Antonio, Texas","volume":"14","author":"Sunil","year":"2010","journal-title":"Matern Child Health J"},{"key":"R28-20260424","doi-asserted-by":"crossref","first-page":"e3810","DOI":"10.1111\/hsc.14072","article-title":"Facilitators and barriers to seeking and engaging with antenatal care in high-income countries:A meta-synthesis of qualitative research","volume":"30","author":"Esca\u00f1uela S\u00e1nchez","year":"2022","journal-title":"Health Soc Care Community"},{"key":"R29-20260424","doi-asserted-by":"crossref","first-page":"659","DOI":"10.1089\/jwh.2016.5773","article-title":"The importance of antenatal partner support","volume":"25","author":"Hartman","year":"2016","journal-title":"J Womens Health (Larchmt)"},{"key":"R30-20260424","doi-asserted-by":"crossref","first-page":"710858","DOI":"10.3389\/fpsyg.2021.710858","article-title":"The impact of social support and pregnancy on subjective well-being:A systematic review","volume":"12","author":"Battulga","year":"2021","journal-title":"Front Psychol"},{"key":"R31-20260424","doi-asserted-by":"crossref","first-page":"e3481","DOI":"10.1590\/1518-8345.4964.3481","article-title":"Antenatal care in Mozambique:Number of visits and gestational age at the beginning of antenatal care","volume":"29","author":"Reis-Muleva","year":"2021","journal-title":"Rev Lat Am Enfermagem"},{"issue":"18","key":"R32-20260424","first-page":"39","article-title":"The role of health literacy in explaining the association between educational attainment and the use of out-of-hours primary care services in chronically ill people:a survey study","volume":"31","author":"Jansen","year":"2018","journal-title":"BMC Health Serv Res"},{"key":"R33-20260424","doi-asserted-by":"crossref","first-page":"579","DOI":"10.1016\/j.pop.2023.04.007","article-title":"Educational attainment and educational contexts as social determinants of health","volume":"50","author":"Suiter","year":"2023","journal-title":"Prim Care"},{"key":"R34-20260424","doi-asserted-by":"crossref","first-page":"1187336","DOI":"10.3389\/fpubh.2023.1187336","article-title":"Education level as a predictor of the onset of health problems among China's middle-aged population:Cox regression analysis","volume":"11","author":"Ping","year":"2023","journal-title":"Front Public Health"},{"key":"R35-20260424","doi-asserted-by":"crossref","first-page":"e113377","DOI":"10.1371\/journal.pone.0113377","article-title":"Prenatal care in combination with maternal educational level has a synergetic effect on the risk of neonatal low birth weight:new findings in a retrospective cohort study in Kunshan City, China","volume":"9","author":"Dai","year":"2014","journal-title":"PLoS One"},{"key":"R36-20260424","doi-asserted-by":"crossref","first-page":"436","DOI":"10.1186\/s12884-024-06630-9","article-title":"Patient-perceived barriers to early initiation of prenatal care at a large, urban federally qualified health center:A mixed-methods study","volume":"24","author":"Holt","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"key":"R37-20260424","first-page":"533","article-title":"Elements of pregnancy and parenthood policies of importance to medical students and included in a sample of medical schools'websites and student handbooks","volume":"2","author":"De Haan","year":"2021","journal-title":"Womens Health Rep (New Rochelle)"},{"key":"R38-20260424","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1186\/s13690-024-01247-y","article-title":"Factors associated with timely initiation of antenatal care among reproductive age women in The Gambia:A multilevel fixed effects analysis","volume":"82","author":"Daniels-Donkor","year":"2024","journal-title":"Arch Public Health"},{"key":"R39-20260424","doi-asserted-by":"crossref","first-page":"1319","DOI":"10.15537\/smj.2016.12.15505","article-title":"Barriers related to prenatal care utilization among women","volume":"37","author":"Roozbeh","year":"2016","journal-title":"Saudi Med J"},{"key":"R40-20260424","doi-asserted-by":"crossref","first-page":"227","DOI":"10.1186\/1471-2393-14-227","article-title":"Barriers, motivators and facilitators related to prenatal care utilization among inner-city women in Winnipeg, Canada:A case-control study","volume":"14","author":"Heaman","year":"2014","journal-title":"BMC Pregnancy Childbirth"},{"key":"R41-20260424","doi-asserted-by":"crossref","first-page":"e0243065","DOI":"10.1371\/journal.pone.0243065","article-title":"Differential plasma exosomal long non-coding RNAs expression profiles and their emerging role in E-cigarette users, cigarette, waterpipe, and dual smokers","volume":"15","author":"Kaur","year":"2020","journal-title":"PLoS One"},{"key":"R42-20260424","doi-asserted-by":"crossref","first-page":"309","DOI":"10.1186\/s12884-024-06490-3","article-title":"Determinants of early antenatal care visits among women of reproductive age in Ghana:Evidence from the recent Maternal Health Survey","volume":"24","author":"Abuosi","year":"2024","journal-title":"BMC Pregnancy Childbirth"},{"key":"R43-20260424","doi-asserted-by":"crossref","first-page":"e0281038","DOI":"10.1371\/journal.pone.0281038","article-title":"Determinants of early initiation of first antenatal care visit in Ethiopia based on the 2019 Ethiopia mini-demographic and health survey:A multilevel analysis","volume":"18","author":"Abebe","year":"2023","journal-title":"PLoS One"},{"key":"R44-20260424","doi-asserted-by":"crossref","first-page":"132494","DOI":"10.1155\/2014\/132494","article-title":"Previous early antenatal service utilization improves timely booking:Cross-sectional study at university of Gondar hospital, northwest Ethiopia","volume":"2014","author":"Belayneh","year":"2014","journal-title":"J Pregnancy"},{"key":"R45-20260424","doi-asserted-by":"crossref","first-page":"e0314769","DOI":"10.1371\/journal.pone.0314769","article-title":"Compliance with the WHO recommended 8+antenatal care contacts schedule among postpartum mothers in eastern Uganda:A cross-sectional study","volume":"19","author":"Lee","year":"2024","journal-title":"PLoS One"}],"container-title":["Journal of Family Medicine and Primary Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1614_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,13]],"date-time":"2026-08-13T18:52:28Z","timestamp":1786647148000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jfmpc.jfmpc_1614_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3]]},"references-count":42,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/jfmpc.jfmpc_1614_25","relation":{},"ISSN":["2249-4863","2278-7135"],"issn-type":[{"value":"2249-4863","type":"print"},{"value":"2278-7135","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3]]},"assertion":[{"value":"2025-09-02","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-14","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}