Access Barriers and the Use of Prenatal Care by Low-Income, Inner-City Women
An important public health agenda in the United States is improving access to prenatal care, particularly for low-income women. The study discussed in this article was designed to determine which social, environmental, and psychological barriers are most likely to interfere with the early and regula...
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| Veröffentlicht in: | Social work (New York) 1999-03, Vol.44 (2), p.129-139 |
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| container_title | Social work (New York) |
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| creator | Loveland Cook, Cynthia A. Selig, Kimberly L. Wedge, Barbara J. Gohn-Baube, Erika A. |
| description | An important public health agenda in the United States is improving access to prenatal care, particularly for low-income women. The study discussed in this article was designed to determine which social, environmental, and psychological barriers are most likely to interfere with the early and regular use of prenatal health services. Low-income adult women hospitalized on the postpartum unit of a large urban medical center were interviewed about the barriers they experienced gaining access to prenatal care. Access barriers involving family and friends significantly increased the odds of receiving inadequate care, particularly not wanting anyone to know about the pregnancy and not having help getting to clinic appointments. Other important barriers included those related to the health care system and intrapersonal issues. Social workers are in an ideal position to help women eliminate barriers to access to prenatal care through clinical expertise in assessment, advocacy, outreach, and case management. |
| doi_str_mv | 10.1093/sw/44.2.129 |
| format | Article |
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The study discussed in this article was designed to determine which social, environmental, and psychological barriers are most likely to interfere with the early and regular use of prenatal health services. Low-income adult women hospitalized on the postpartum unit of a large urban medical center were interviewed about the barriers they experienced gaining access to prenatal care. Access barriers involving family and friends significantly increased the odds of receiving inadequate care, particularly not wanting anyone to know about the pregnancy and not having help getting to clinic appointments. Other important barriers included those related to the health care system and intrapersonal issues. Social workers are in an ideal position to help women eliminate barriers to access to prenatal care through clinical expertise in assessment, advocacy, outreach, and case management.</description><identifier>ISSN: 0037-8046</identifier><identifier>EISSN: 1545-6846</identifier><identifier>DOI: 10.1093/sw/44.2.129</identifier><identifier>PMID: 10718078</identifier><identifier>CODEN: SOWOA8</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Access ; access barriers ; Adolescent ; Adult ; Antenatal care ; Central Cities ; Child care ; Child Health ; Constraints ; Cross-Sectional Studies ; Female ; Health aspects ; Health care ; Health care delivery ; Health Care Utilization ; Health conditions ; Health Services Accessibility ; Humans ; Infant Mortality ; Infants ; Inner cities ; Inner city ; Logistic Models ; Low birth weight ; Low Income Groups ; Low income pregnant women ; Maternal health services ; Medical care ; Odds Ratio ; Poor ; Poor women ; Poverty Areas ; Predisposing factors ; Pregnancy ; Prenatal Care ; Prenatal Care - utilization ; Public health ; Risk Factors ; Role ; Social service ; Social services ; Social Work ; social work practice ; Social workers ; United States ; United States of America ; USA ; Women ; women's health ; Womens health services ; Young Children</subject><ispartof>Social work (New York), 1999-03, Vol.44 (2), p.129-139</ispartof><rights>Copyright © 1999 National Association of Social Workers, Inc.</rights><rights>1999 National Association of Social Workers, Inc. 1999</rights><rights>COPYRIGHT 1999 Oxford University Press</rights><rights>COPYRIGHT 1999 Oxford University Press</rights><rights>Copyright National Association of Social Workers, Incorporated Mar 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c735t-e5acff347c416c7bfc9d4706eac52d97ed4e14562f30942275d639761bc11e113</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/23718636$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/23718636$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>315,781,785,804,1585,27867,27871,27926,27927,31002,33777,58019,58252</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10718078$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Loveland Cook, Cynthia A.</creatorcontrib><creatorcontrib>Selig, Kimberly L.</creatorcontrib><creatorcontrib>Wedge, Barbara J.</creatorcontrib><creatorcontrib>Gohn-Baube, Erika A.</creatorcontrib><title>Access Barriers and the Use of Prenatal Care by Low-Income, Inner-City Women</title><title>Social work (New York)</title><addtitle>Social Work</addtitle><addtitle>Social Work</addtitle><description>An important public health agenda in the United States is improving access to prenatal care, particularly for low-income women. The study discussed in this article was designed to determine which social, environmental, and psychological barriers are most likely to interfere with the early and regular use of prenatal health services. Low-income adult women hospitalized on the postpartum unit of a large urban medical center were interviewed about the barriers they experienced gaining access to prenatal care. Access barriers involving family and friends significantly increased the odds of receiving inadequate care, particularly not wanting anyone to know about the pregnancy and not having help getting to clinic appointments. Other important barriers included those related to the health care system and intrapersonal issues. Social workers are in an ideal position to help women eliminate barriers to access to prenatal care through clinical expertise in assessment, advocacy, outreach, and case management.</description><subject>Access</subject><subject>access barriers</subject><subject>Adolescent</subject><subject>Adult</subject><subject>Antenatal care</subject><subject>Central Cities</subject><subject>Child care</subject><subject>Child Health</subject><subject>Constraints</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Health aspects</subject><subject>Health care</subject><subject>Health care delivery</subject><subject>Health Care Utilization</subject><subject>Health conditions</subject><subject>Health Services Accessibility</subject><subject>Humans</subject><subject>Infant Mortality</subject><subject>Infants</subject><subject>Inner cities</subject><subject>Inner city</subject><subject>Logistic Models</subject><subject>Low birth weight</subject><subject>Low Income Groups</subject><subject>Low income pregnant women</subject><subject>Maternal health services</subject><subject>Medical care</subject><subject>Odds Ratio</subject><subject>Poor</subject><subject>Poor women</subject><subject>Poverty Areas</subject><subject>Predisposing factors</subject><subject>Pregnancy</subject><subject>Prenatal Care</subject><subject>Prenatal Care - utilization</subject><subject>Public health</subject><subject>Risk Factors</subject><subject>Role</subject><subject>Social service</subject><subject>Social services</subject><subject>Social Work</subject><subject>social work practice</subject><subject>Social workers</subject><subject>United States</subject><subject>United States of America</subject><subject>USA</subject><subject>Women</subject><subject>women's health</subject><subject>Womens health services</subject><subject>Young 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agenda in the United States is improving access to prenatal care, particularly for low-income women. The study discussed in this article was designed to determine which social, environmental, and psychological barriers are most likely to interfere with the early and regular use of prenatal health services. Low-income adult women hospitalized on the postpartum unit of a large urban medical center were interviewed about the barriers they experienced gaining access to prenatal care. Access barriers involving family and friends significantly increased the odds of receiving inadequate care, particularly not wanting anyone to know about the pregnancy and not having help getting to clinic appointments. Other important barriers included those related to the health care system and intrapersonal issues. Social workers are in an ideal position to help women eliminate barriers to access to prenatal care through clinical expertise in assessment, advocacy, outreach, and case management.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>10718078</pmid><doi>10.1093/sw/44.2.129</doi><tpages>11</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0037-8046 |
| ispartof | Social work (New York), 1999-03, Vol.44 (2), p.129-139 |
| issn | 0037-8046 1545-6846 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_69460886 |
| source | MEDLINE; PAIS Index; Sociological Abstracts; Periodicals Index Online; Applied Social Sciences Index & Abstracts (ASSIA); Education Source (EBSCOhost); Oxford Academic Journals (OUP); JSTOR |
| subjects | Access access barriers Adolescent Adult Antenatal care Central Cities Child care Child Health Constraints Cross-Sectional Studies Female Health aspects Health care Health care delivery Health Care Utilization Health conditions Health Services Accessibility Humans Infant Mortality Infants Inner cities Inner city Logistic Models Low birth weight Low Income Groups Low income pregnant women Maternal health services Medical care Odds Ratio Poor Poor women Poverty Areas Predisposing factors Pregnancy Prenatal Care Prenatal Care - utilization Public health Risk Factors Role Social service Social services Social Work social work practice Social workers United States United States of America USA Women women's health Womens health services Young Children |
| title | Access Barriers and the Use of Prenatal Care by Low-Income, Inner-City Women |
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