Mary C Mazul1,2, Trina C Salm Ward3,4, Emmanuel M Ngui5,4. 1. Joseph J Zilber School of Public Health, University of Wisconsin-Milwaukee, P.O. Box 413, Milwaukee, WI, 53201-04133, USA. mcmazul@uwm.edu. 2. Wheaton Franciscan Healthcare, 400 W. River Woods Parkway, Glendale, WI, 53209, USA. mcmazul@uwm.edu. 3. The University of Georgia, 279 Williams St, Athens, GA, 306053, USA. 4. Center for Urban Population Health, 1020 N. 12th Street, Suite 4180, Milwaukee, WI, 53233, USA. 5. Joseph J Zilber School of Public Health, University of Wisconsin-Milwaukee, P.O. Box 413, Milwaukee, WI, 53201-04133, USA.
Abstract
BACKGROUND: Although early, consistent prenatal care (PNC) can be helpful in improving poor birth outcomes, rates of PNC use tend to be lower among African-American women compared to Whites. This study examines low-income African-American women's perspectives on barriers and facilitators to receiving PNC in an urban setting. METHODS: We conducted six focus groups with 29 women and individual structured interviews with two women. Transcripts were coded to identify barriers and facilitators to obtaining PNC; codes were reviewed to identify emergent themes. RESULTS: Barriers to obtaining PNC included structural barriers such as transportation and insurance, negative attitudes towards PNC, perceived poor quality of care, unintended pregnancy, and psychosocial stressors such as overall life stress and chaos. Facilitators of PNC included positive experiences such as trusting relationships with providers, respectful staff and providers, and social support. CONCLUSIONS: Findings suggest important components in an ideal PNC model to engage low-income African-American women.
BACKGROUND: Although early, consistent prenatal care (PNC) can be helpful in improving poor birth outcomes, rates of PNC use tend to be lower among African-American women compared to Whites. This study examines low-income African-American women's perspectives on barriers and facilitators to receiving PNC in an urban setting. METHODS: We conducted six focus groups with 29 women and individual structured interviews with two women. Transcripts were coded to identify barriers and facilitators to obtaining PNC; codes were reviewed to identify emergent themes. RESULTS: Barriers to obtaining PNC included structural barriers such as transportation and insurance, negative attitudes towards PNC, perceived poor quality of care, unintended pregnancy, and psychosocial stressors such as overall life stress and chaos. Facilitators of PNC included positive experiences such as trusting relationships with providers, respectful staff and providers, and social support. CONCLUSIONS: Findings suggest important components in an ideal PNC model to engage low-income African-American women.
Authors: Sheryl L Coley; Jasmine Y Zapata; Rebecca J Schwei; Glen Ellen Mihalovic; Maya N Matabele; Elizabeth A Jacobs; Cynthie K Anderson Journal: Womens Health Issues Date: 2017-12-06
Authors: Dace S Svikis; Sydney S Kelpin; Lori Keyser-Marcus; Diane L Bishop; Anna Beth Parlier-Ahmad; Heather Jones; Gabriela Villalobos; Sara B Varner; Susan M Lanni; Nicole W Karjane; Lauretta A Cathers; Diane M Langhorst; Saba W Masho Journal: J Racial Ethn Health Disparities Date: 2021-02-23