African American Women and Prenatal Care

Dahlem, Chin Hwa Y.; Villarruel, Antonia M.; Ronis, David L.

doi:10.1177/0193945914533747

Cited by 48 publications

(37 citation statements)

References 31 publications

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“…Health inequality plays a significant role in maternal mortality and morbidity, particularly among African Americans, despite the efforts made to eliminate inequality and disparity in the U.S. healthcare system (Dahlem et al, 2015;Lori et al, 2011;Prather et al, 2018;Xiang et al, 2011;& Zhang et al, 2013). Other factors such as poor interaction and ineffective patient-provider communication are also significant issues that should be considered.…”

Section: Discussionmentioning

confidence: 99%

“…Ineffective communication and interaction between pregnant women and healthcare providers has a negative impact on maternal outcomes especially in cases with the pre-existing conditions (Chang et al, 2018;Madula et al, 2018;& Nair et al, 2014), and can create obstacles to obtaining adequate prenatal care. Prenatal care provides women access to health education, nutritional support, preventative care services, and social services to ensure healthy outcomes for both the mother and the child (Dahlem et al, 2015).…”

Section: Discussionmentioning

confidence: 99%

“…Socioeconomic status (SES) was found to be associated with maternal morbidity and mortality, especially among African American women. Women of low SES often suffer from poor nutrition, lack of medical care, social isolation, stress, (Blumenshine et al, 2010& Braveman et al, 2013, and have ineffective communication and weak interaction with care providers (Dahlem et al, 2015;Lori et al, 2011;& Prather et al, 2018).…”

Section: Socioeconomic Factorsmentioning

confidence: 99%

“…Several studies claimed that ineffective patient-provider communication was one of the critical factors in delaying prenatal care among pregnant women particularly multiparous women in the State of Georgia (Meyer et al, 2016;& Pacagnella et al, 2014). Miscommunication sometimes leads to a missed or late diagnosis that sometimes goes untreated throughout the pregnancy (Dahlem et al, 2015;Lori et al, 2017;& Prather et al, 2018).…”

Section: Communication Factorsmentioning

confidence: 99%

“…Further, healthcare systems should offer training sessions in communication skills and encourage healthcare professionals to participate in the program (Dahlem et al, 2015) since poor communication was a significant contributing factor in delaying prenatal care and resulted in late diagnosis or misdiagnosis of complications during pregnancy (Haddrill et al, 2014;& Pacagnella et al, 2014). On the other hand, state and local governments should invest in and benefit from the recent advancement in technology created and designed by "Kognito," a health simulation company.…”

Section: Policy Recommendations and Future Implicationsmentioning

confidence: 99%

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Maternal Mortality among African American Women in the State of Georgia, Causes, Policy, and Ethical Considerations

Shahin

Hardwick

Jeffery

et al. 2020

JGPHA

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Background: The U.S. is currently one of thirteen countries where maternal mortality rates (MMR) is worse now than it was fifteen years ago. Reducing maternal mortality is one of the significant challenges facing the health system in the United States, especially in the State of Georgia, which has one of the highest MMR in the nation. The purpose of this review is to explore the causes, policy, and ethical contextual factors contributing to increased maternal mortality rates among African American women in the State of Georgia. Also, identifying and addressing weaknesses and gaps that exist in the healthcare system and recommending policy implications to seek to reduce the MMR. Methods: This study conducted a comprehensive literature review from the online database and also used data from CDC Wonder, OASIS Georgia, and Georgia Department of Public Health website to identify the primary antecedents of elevated MMR among African American women in the State of Georgia with specific attention to policy and ethical considerations. Results: This review found factors that were related to causes of maternal death in the U.S. include socioeconomic status, communication between patient and healthcare provider, and maternal medical conditions and complications during pregnancy. In the State of Georgia, complications during pregnancy and cardiomyopathy were the leading cause of MMR, particularly among African American women in comparison with other races. However, inconsistency in reporting maternal death data was another issue that is discussed in this review. Conclusions: Policies that incorporate ethical considerations need to be developed to benefit the family and society. Policymakers should seek to develop targeted policies in support of specific vulnerable populations through improving maternal screening, health promotion, behavior uptake, and effective case management.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Socioeconomic Factorsmentioning

confidence: 99%

Section: Communication Factorsmentioning

confidence: 99%

Section: Policy Recommendations and Future Implicationsmentioning

confidence: 99%

See 3 more Smart Citations

Maternal Mortality among African American Women in the State of Georgia, Causes, Policy, and Ethical Considerations

Shahin

Hardwick

Jeffery

et al. 2020

JGPHA

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Modeling Health Disparities and Outcomes in Disenfranchised Populations

Hauenstein

Clark

Merwin

2018

Community Ment Health J

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The Health Disparities and Outcomes (HDO) model originally created to explain the complexity of obtaining healthcare in rural settings has been revised and updated using emerging theoretical models of adversity and inequity and two decades of empirical work by the authors. With a strong orientation to explaining population-based health inequities, the HDO is applied to individuals with Serious Mental Illness (SMI), to explain their high rates of morbidity and mortality compared to the general population. Individual-, community-, and system-level factors that reflect an understanding of life-long risk, accrued hazards associated with multiple and intersecting disadvantages, and difficulty obtaining healthcare that meets accepted standards are described. The revised HDO can be applied to populations with disproportionate health challenges to identify multi-level factors that affect illness trajectory and overall health outcomes.

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Structural and Socio-cultural Barriers to Prenatal Care in a US Marshallese Community

Ayers

Purvis

Bing

et al. 2018

Matern Child Health J

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Objectives Pacific Islanders are disproportionately burdened by poorer perinatal health outcomes with higher rates of pre-term births, low birth weight babies, infant mortality, and inadequate or no prenatal care. The aim of this study is to examine Marshallese mothers' beliefs, perceptions, and experiences of prenatal care and to identify potential barriers. Methods Three focus groups were conducted with Marshallese mothers, who were 18 years or older, and living in Arkansas. Focus groups focused on mothers' beliefs, perceptions, and experiences of prenatal care. A thematic qualitative analysis was conducted to identify salient themes within the data. Results The results demonstrated that negotiating health insurance, transportation, and language barriers were all major structural barriers that constrain prenatal care. The social-cultural barriers that emerged included a lack of understanding of the importance of seeking early and consistent prenatal care, as well as how to navigate the healthcare process. The more complicated challenges that emerged were the feelings of shame and embarrassment due to the perception of their age or being unmarried during pregnancy not being acceptable in American culture. Furthermore, the participants described perceived discrimination from prenatal care providers. Lastly, the participants described fear as a barrier to seeking out prenatal care. Conclusions for Practice This study identified both structural and socio-cultural barriers that can be incorporated into suggestions for policy makers to aid in alleviating maternal health disparities among Pacific Islander women. Further research is needed to address the Marshallese mothers' perceived discrimination from maternal health care providers.

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African American Women and Prenatal Care

Cited by 48 publications

References 31 publications

Maternal Mortality among African American Women in the State of Georgia, Causes, Policy, and Ethical Considerations

Maternal Mortality among African American Women in the State of Georgia, Causes, Policy, and Ethical Considerations

Modeling Health Disparities and Outcomes in Disenfranchised Populations

Structural and Socio-cultural Barriers to Prenatal Care in a US Marshallese Community

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