Expectations of Pregnant Women of Mexican Origin Regarding Their Health Care Providers

Baxley, Susan M.; Ibitayo, Kristina

doi:10.1111/1552-6909.12572

Cited by 16 publications

(35 citation statements)

References 21 publications

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“…However, for many Latinas, this trust is often lacking due to language barriers and rushed appointments. Baxley and Ibitayo (2015) found that non-Spanishspeaking health care providers often provide prenatal care to Spanish-speaking Latinas. However, many of these providers do not have translators in their clinics in order to accommodate their Spanish-speaking clients.…”

Section: Background and Significancementioning

confidence: 99%

Access Barriers to Prenatal Care in Emerging Adult Latinas

Torres

2016

Hisp Health Care Int

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Despite efforts to improve access to prenatal care, emerging adult Latinas in the United States continue to enter care late in their pregnancies and/or underutilize these services. Since little is known about emerging adult Latinas and their prenatal care experiences, the purpose of this study was to identify actual and perceived prenatal care barriers in a sample of 54 emerging adult Latinas between 18 and 21 years of age. More than 95% of the sample experienced personal and institutional barriers when attempting to access prenatal care. Results from this study lend support for policy changes for time away from school or work to attend prenatal care and for group prenatal care.

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Section: Background and Significancementioning

confidence: 99%

Access Barriers to Prenatal Care in Emerging Adult Latinas

Torres

2016

Hisp Health Care Int

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“…This finding invites further exploration of how FTPNC is understood and reported among the target population. Unlike previous studies (Baxley and Ibitayo 2015 ; Bergman and Connaughton 2013 ), the vast majority of women in this sample knew the importance of PNC and provided an accurate response about when to initiate it. While the survey did not assess income and education level of respondents, the generally high rates of poverty and low educational attainment in the target areas render it improbable that the sample was uniquely socioeconomically advantaged, thereby explaining the high FTPNC rates assessed.…”

Section: Discussionmentioning

confidence: 82%

“…Many studies have examined the sociodemographic and attitudinal factors that affect Hispanic women delaying PNC, but few look at how these may be different in the border context, a gap in knowledge which this study aims to inform. Factors associated with prenatal care-seeking among Hispanic women generally include: socioeconomic stressors (Luecken et al 2009 ); work and transportation (Torres 2005 ); low education (Sunil et al 2010 ); and negative experiences with providers that affect trust (Baxley and Ibitayo 2015 ). Along the border, factors with the potential to exacerbate these challenges include greater language barriers, fear and lack of social supports among large immigrant populations (Bergman and Connaughton 2013 ; Korinek and Smith 2011 ), challenges of prolonged and persistent poverty in border communities, high rates of uninsurance (Rosenberg et al 2007 ), and an overstretched and under-resourced healthcare system in the region (National Rural Health Association 2010 ).…”

Section: Introductionmentioning

confidence: 99%

First Trimester Prenatal Care Initiation Among Hispanic Women Along the U.S.-Mexico Border

Selchau

Babuca

Bower

et al. 2017

Matern Child Health J

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Background First trimester prenatal care (FTPNC) is associated with improved birth outcomes. U.S.-Mexico border Hispanic women have lower FTPNC than non-border or non-Hispanic women. This study aimed to identify (1) what demographic, knowledge and care-seeking factors influence FTPNC among Hispanic women in border counties served by five Healthy Start sites, and (2) what FTPNC barriers may be unique to this target population. Healthy Starts work to eliminate disparities in perinatal health in areas with high poverty and poor birth outcomes. Methods 403 Hispanic women of reproductive age in border communities of California, Arizona, New Mexico and Texas were surveyed on knowledge and behaviors related to prenatal care (PNC) and basic demographic information. Chi square analyses and logistic regressions were used to identify important relationships. Results Chi square analyses revealed that primiparous women were significantly less likely to start FTPNC than multiparous women (χ2 = 6.8372, p = 0.0089). Women with accurate knowledge about FTPNC were more likely to obtain FTPNC (χ2 = 29.280, p < .001) and more likely to have seen a doctor within the past year (χ2 = 5.550, p = .018). Logistic regression confirmed that multiparity was associated with FTPNC and also that living in Texas was negatively associated with FTPNC (R2 = 0.066, F(9,340) = 2.662, p = .005). Among 27 women with non-FTPNC, barriers included late pregnancy recognition (n = 19) and no medical insurance (n = 5). Conclusions This study supports research that first time pregnancies have lower FTPNC, and demonstrated a strong association between delayed PNC and late pregnancy recognition. Strengthened investments in preconception planning could improve FTPNC in this population.

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“…For these women, physician awareness of and sensitivity to different cultural beliefs about health, improved health education, and inclusion of religious and other supports may play a vital role in encouraging women to seek treatment. 34,36–43 These recommendations are similar to those resulting from qualitative studies of women from racial/ethnic minority groups who historically engage in lower rates of breast cancer screening than white women (CW). 44–48 …”

Section: Racial/ethnic Minoritiesmentioning

confidence: 89%

“…For example, qualitative research has found that Hispanic women, may desire that their physician not only communicate with them in their primary language, but they also desire physicians who act like they are their friends during treatment. 34,35 Qualitative research has also found that different cultural and religious beliefs about infertility may result in increased stigma, fear of interpersonal violence or divorce, and reduced treatment seeking for some women. For these women, physician awareness of and sensitivity to different cultural beliefs about health, improved health education, and inclusion of religious and other supports may play a vital role in encouraging women to seek treatment.…”

Section: Racial/ethnic Minoritiesmentioning

confidence: 99%

Hearing the Silenced Voices of Underserved Women

Lawson

Marsh

2017

Obstetrics and Gynecology Clinics of North America

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Summary for Indexing In order to provide effective evidence-based health care to women, rigorous research that examines women’s lived experiences in their own voices in needed. However, clinical health research has often excluded the experiences of women and minority patient populations. Further, clinical research has often relied on quantitative research strategies; this provides an interesting but limited understanding of women’s health experiences and hinders the provision of effective patient-centered care. In this review, we define qualitative research and its unique contributions to research, and provide examples of how qualitative research has given insights into the reproductive health perspectives and behaviors of underserved women.

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Expectations of Pregnant Women of Mexican Origin Regarding Their Health Care Providers

Cited by 16 publications

References 21 publications

Access Barriers to Prenatal Care in Emerging Adult Latinas

Access Barriers to Prenatal Care in Emerging Adult Latinas

First Trimester Prenatal Care Initiation Among Hispanic Women Along the U.S.-Mexico Border

Hearing the Silenced Voices of Underserved Women

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