Barriers to Adequate Prenatal Care Utilization in American Samoa
| Autor: | Nicola L. Hawley, Bethel T Muasau-Howard, John Ah-Ching, Ofeira Nu'usolia, Carolyn Brown, Stephen T. McGarvey |
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| Rok vydání: | 2013 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Adolescent Epidemiology media_common.quotation_subject Population Fertility Prenatal care Article Health Services Accessibility Interviews as Topic Young Adult Pregnancy Risk Factors Surveys and Questionnaires Health care Humans Medicine Young adult education Socioeconomic status Qualitative Research Quality of Health Care media_common education.field_of_study Primary Health Care business.industry Public health Age Factors Public Health Environmental and Occupational Health Obstetrics and Gynecology Prenatal Care medicine.disease American Samoa Parity Socioeconomic Factors Family medicine Pediatrics Perinatology and Child Health Female business Attitude to Health |
| Zdroj: | Maternal and Child Health Journal. 18:2284-2292 |
| ISSN: | 1573-6628 1092-7875 |
| DOI: | 10.1007/s10995-013-1368-9 |
| Popis: | The objective of this study is to describe the utilization of prenatal care in American Samoan women and to identify socio-demographic predictors of inadequate prenatal care utilization. Using data from prenatal clinic records, women (n = 692) were categorized according to the adequacy of prenatal care utilization index as having received adequate plus, adequate, intermediate or inadequate prenatal care during their pregnancy. Categorical socio-demographic predictors of the timing of initiation of prenatal care (week of gestation) and the adequacy of received services were identified using one way analysis of variance and independent samples t tests. Between 2001 and 2008 85.4 % of women received inadequate prenatal care. Parity (P = 0.02), maternal unemployment (P = 0.03), and both parents being unemployed (P = 0.03) were negatively associated with the timing of prenatal care initiation. Giving birth in 2007–2008, after a prenatal care incentive scheme had been introduced in the major hospital, was associated with earlier initiation of prenatal care (20.75 vs. 25.12 weeks; P < 0.01) and improved adequacy of received services (95.04 vs. 83.8 %; P = 0.02). The poor prenatal care utilization in American Samoa is a major concern. Improving healthcare accessibility will be key in encouraging women to attend prenatal care. The significant improvements in the adequacy of prenatal care seen in 2007–2008 suggest that the prenatal care incentive program implemented in 2006 may be a very positive step toward addressing issues of prenatal care utilization in this population. |
| Databáze: | OpenAIRE |
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