Barriers to prenatal care in a multiethnic, urban sample

Scupholme, Anne; Robertson, Euan G.; Kamons, A.Susan

doi:10.1016/0091-2182(91)90060-3

Cited by 25 publications

(13 citation statements)

References 13 publications

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“…If information and/or health care is available, they will seek it. In this regard, they have one of the highest prenatal clinic attendance rates among South Florida immigrant and ethnic groups ( Scupholme, 1989). They will also attend well‐baby clinics with their children even if it means losing pay for time off to keep appointments ( DeSantis & Thomas, 1990, 1992).…”

Section: Discussionmentioning

confidence: 99%

Intergenerational Concepts of Adolescent Sexuality: Implications for Community‐Based Reproductive Health Care with Haitian Immigrants

DeSantis

Thomas

Sinnett

1999

Public Health Nursing

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Intergenerational conflict occurs when immigrant parents hold different values from those of their more rapidly acculturating offspring. These conflicts frequently involve disparate views related to sex roles and reproduction. A community-based study of 19 immigrant Haitian parent-adolescent pairs in South Florida compared their attitudes and values about sexuality and reproduction. Data were obtained through focused, open-ended interviews. Content analysis procedures at the level of words and phrases facilitated the categorization of responses. Data revealed considerable differences between parents and adolescents about the sources and types of information learned about reproduction and contraception, when such information is learned, and expectations regarding premarital sexual intercourse. Both parents and adolescents lacked accurate biomedical information about contraception, placed responsibility for contraceptive use primarily on the female partner, considered reproduction a natural rather than a medical event, and believed parents have the major responsibility for educating children about reproduction and contraception. Implications for culturally-appropriate health care center on increasing the role of the public health nurse in health education, minimizing intergenerational and intercultural conflict, and engaging the Haitian immigrant community in the promotion of reproductive health.

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Section: Discussionmentioning

confidence: 99%

Intergenerational Concepts of Adolescent Sexuality: Implications for Community‐Based Reproductive Health Care with Haitian Immigrants

DeSantis

Thomas

Sinnett

1999

Public Health Nursing

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“…Of immediate interest, given the higher incidence of inadequate prenatal care among the MA-using mothers in the US, is the potential role of health insurance: previous studies in the US have emphasized the importance of health insurance as a determinant of adequate prenatal care, with lack of insurance presenting a severe financial deterrent to prenatal care utilization [26, 33, 36, 37, 39, 42–50]. Comparative studies of the US and European countries have suggested that the greater inaccessibility of American prenatal healthcare is due, to a large degree, to the incomplete financial coverage provided by the US’s private insurance systems [51–57].…”

Section: Discussionmentioning

confidence: 99%

“…Other commonly associated maternal sociodemographic factors such as racial/ethnic minority status [11, 36, 38, 39, 48, 66–68], maternal age [11, 48, 59, 68], education level [39, 46, 48, 50, 59, 66, 68], socioeconomic status [34, 39, 42, 45, 59, 66–68], partner status [35, 42, 45, 48, 59, 68] and referral to CPS were examined along with MA-exposure and other prenatal substance use as factors related to inadequate prenatal care in both countries. Interestingly, none of these variables were significantly associated with inadequate prenatal care in either country except for CPS referral in the US, with referral increasing the odds of inadequate prenatal care 7.15 times.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Inadequate Prenatal Care in Methamphetamine-Using Mothers in New Zealand and the United States

LaGasse

Wouldes

et al. 2012

Matern Child Health J

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This study compared patterns of prenatal care among mothers who used methamphetamine (MA) during pregnancy and non-using mothers in the US and New Zealand (NZ), and evaluated associations among maternal drug use, child protective services (CPS) referral, and inadequate prenatal care in both countries. The sample consisted of 182 mothers in the MA-Exposed and 196 in the Comparison groups in the US, and 107 mothers in the MA-Exposed and 112 in the Comparison groups in NZ. Positive toxicology results and/or maternal report of MA use during pregnancy were used to identify MA use. Information about sociodemographics, prenatal care and prenatal substance use was collected by maternal interview. MA-use during pregnancy is associated with lower socio-economic status, single marital status, and CPS referral in both NZ and the US. Compared to their non-using counterparts, MA-using mothers in the US had significantly higher rates of inadequate prenatal care. No association was found between inadequate care and MA-use in NZ. In the US, inadequate prenatal care was associated with CPS referral, but not in NZ. Referral to CPS for drug use only composed 40 % of all referrals in the US, but only 15 % of referrals in NZ. In our study population, prenatal MA-use and CPS referral eclipse maternal sociodemographics in explanatory power for inadequate prenatal care. The predominant effect of CPS referral in the US is especially interesting, and should encourage further research on whether the US policy of mandatory reporting discourages drug-using mothers from seeking antenatal care.

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“…Barriers to prenatal care that may result from conflict between traditional beliefs and practices of Native Am ericans and the Western model of prenatal care include a lack of appreciation for cultural values of illness and healing (Mokuau & Fong, 1994) and provider characteristics such as disrespect, hostility, and paternalism (Scupholme, Robertson, & Kam ons, 1991). These m ay com pound personal barriers, such as fear that substance use will be detected, fear of m edical providers and procedures, prior negative experiences with the health system, and the belief in the ª naturalness of pregnancyº (York, Grant, Gibeau, Beecham , & Kessler, 1996).…”

Section: Review O F Th E Literatu Rementioning

confidence: 98%

Living in Two Worlds: Native American Women and Prenatal Care

Long

Curry²

1998

Health Care for Women International

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The purpose of this qualitative study was to explore traditional beliefs and practices related to pregnancy and childbirth among Native American women and examine the relationship of these beliefs and practices to current use of prenatal care. Focus groups of elders and young women were held and the data analyzed with the Ethnograph software. The central theme was the breakdown in transmission of cultural wisdom among Native American women. The major causes described by women were federal assimilation policies and deaths of elders. Major factors influencing young women's nonutilization of prenatal care were this breakdown, the "Western model" of prenatal care, substance abuse, and domestic violence. Recommendations for improving the use of prenatal care are grounded in the reality that Native American women live in two different worlds. Prenatal care should be reconceptualized as traditional cultural wisdom, with the majority of care provided by natural helpers in the Native American community, including tribal elders, grandmothers, and aunts in collaboration with licensed providers.

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Barriers to prenatal care in a multiethnic, urban sample

Cited by 25 publications

References 13 publications

Intergenerational Concepts of Adolescent Sexuality: Implications for Community‐Based Reproductive Health Care with Haitian Immigrants

Intergenerational Concepts of Adolescent Sexuality: Implications for Community‐Based Reproductive Health Care with Haitian Immigrants

Predictors of Inadequate Prenatal Care in Methamphetamine-Using Mothers in New Zealand and the United States

Living in Two Worlds: Native American Women and Prenatal Care

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