African American and Latino Patient Versus Provider Perceptions of Determinants of Prenatal Care Initiation
| Autor: | Barbara K. Wingrove, Renee A. Milligan, Julie M. Utter, Leslie Richards, Brinda Bhaskar, Barbara J. Hatcher, Barbara Wesley, Margaret Rodan, Haziel Laryea, M. Nabil El-Khorazaty, Allan A. Johnson |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Attitude of Health Personnel Epidemiology Concordance Prenatal care Health Services Accessibility Interviews as Topic Young Adult Pregnancy medicine Humans African american Motivation business.industry Public health Public Health Environmental and Occupational Health Obstetrics and Gynecology Prenatal Care Hispanic or Latino Patient Acceptance of Health Care Infant mortality Black or African American Low birth weight Social Perception Family medicine District of Columbia Pediatrics Perinatology and Child Health Female Health education medicine.symptom business Psychosocial |
| Zdroj: | Maternal and Child Health Journal. 15:27-34 |
| ISSN: | 1573-6628 1092-7875 |
| DOI: | 10.1007/s10995-011-0864-z |
| Popis: | Few studies have compared provider and patient perceptions of barriers, motivators and facilitators of prenatal care (PNC) initiation. The current study compared these perceptions in providers and patients in Washington, DC, a city characterized by infant mortality and low birth weight rates that are among the highest in the nation, and poor utilization of PNC, particularly among minority groups. The results reported here were part of a larger study of barriers, motivators and facilitators influencing PNC utilization in Washington, DC. A convenience sample of 331 African American and Latino patients and 61 providers were interviewed to identify which of 63 motivators, facilitators, and barriers significantly influenced PNC initiation. Both sample groups were recruited at 14 PNC facilities, selected to represent all sites in DC known to serve high-risk, low-income minority women, including hospital-based clinics, community-based clinics, and private practices. Data were analyzed using Fisher exact tests and Kendall's concordance tests. Results indicated that there was good agreement between patients and providers about the relative importance of the various barriers (especially psychosocial), motivators, and facilitators. However, differences were found between patients and providers in the response frequencies. Providers were more likely to report barriers while patients were more likely to report certain motivators (especially learning better health habits and how to protect health). These results indicate that despite widespread agreement on most issues, especially psychosocial barriers, patients rated health education higher than providers. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|