Anatomy of Good Prenatal Care: Perspectives of Low Income African-American Women on Barriers and Facilitators to Prenatal Care
Anatomy of Good Prenatal Care: Perspectives of Low Income African-American Women on Barriers and Facilitators to Prenatal Care
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DOI：
10.1007/s40615-015-0204-x
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发表时间：
2017-02-01
影响因子：
3.9
通讯作者：
Ngui, Emmanuel M.
中科院分区：
文献类型：
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作者：
Mazul, Mary C.;Ward, Trina C. Salm;Ngui, Emmanuel M.
背景 虽然早期、持续的产前护理 (PNC) 有助于改善不良的出生结局，但与白人相比，非裔美国女性的 PNC 使用率往往较低。本研究探讨了低收入非裔美国女性对在城市环境中接受 PNC 的障碍和促进因素的看法。方法 我们对 29 名女性进行了六个焦点小组并对两名女性进行了个人结构化访谈。对成绩单进行编码，以确定获得 PNC 的障碍和促进因素；审查代码以确定新出现的主题。 结果 获得 PNC 的障碍包括交通和保险等结构性障碍、对 PNC 的消极态度、护理质量差、意外怀孕以及整体生活压力和混乱等社会心理压力源。 PNC 的促进者包括积极的经验，例如与提供者的信任关系、尊重的员工和提供者以及社会支持。 结论 研究结果表明，吸引低收入非裔美国妇女的理想 PNC 模式中的重要组成部分。
Background Although early, consistent prenatal care (PNC) can be helpful in improving poor birth outcomes, rates of PNC use tend to be lower among African-American women compared to Whites. This study examines low-income African-American women's perspectives on barriers and facilitators to receiving PNC in an urban setting.Methods We conducted six focus groups with 29 women and individual structured interviews with two women. Transcripts were coded to identify barriers and facilitators to obtaining PNC; codes were reviewed to identify emergent themes.Results Barriers to obtaining PNC included structural barriers such as transportation and insurance, negative attitudes towards PNC, perceived poor quality of care, unintended pregnancy, and psychosocial stressors such as overall life stress and chaos. Facilitators of PNC included positive experiences such as trusting relationships with providers, respectful staff and providers, and social support.Conclusions Findings suggest important components in an ideal PNC model to engage low-income African-American women.