Improving Peripartum Care Engagement Among Black Women at Risk for Low Prenatal Care Attendance: A Secondary Analysis of Predictors of Attendance and Sample Representativeness.
Improving Peripartum Care Engagement Among Black Women at Risk for Low Prenatal Care Attendance: A Secondary Analysis of Predictors of Attendance and Sample Representativeness.
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提高面临产前护理出勤率低风险的黑人妇女的围产期护理参与度：出勤预测因素和样本代表性的二次分析。
DOI：
10.1089/jwh.2021.0197
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Svikis,DaceS
中科院分区：
文献类型：
--
作者：
Parlier-Ahmad,AnnaBeth;Keyser-Marcus,Lori;Bishop,Diane;Jones,Heather;Svikis,DaceS
背景：美国的孕产妇和婴儿死亡率高得令人无法接受，尤其是黑人妇女及其婴儿。产前和产后护理有助于降低孕产妇和婴儿的发病率和死亡率;然而，黑人妇女不太可能获得和利用围产期护理，这主要是由于结构性种族主义。确定因素，缓冲系统性障碍不成比例地影响这个社区是解决种族健康差距的重要一步。使用现有的数据从一个随机对照试验（RCT）针对孕产妇和婴儿的健康差距，本研究的目的是（1）探讨预测围产期护理出勤率和（2）检查临床试验样本representativeness.Methods：分析解决的主要目的研究包括黑人妇女在风险低产前护理（PNC）参与谁同意参加随机对照试验，并有记录的活产（n= 123）。对于次要的研究目的，同意RCT的妇女（非自愿者;n= 149）和那些没有（非自愿者;n= 122）之间的比较使用卡方和t-tests.Results：分层线性和logistic回归确定产前和产后护理出勤率的预测因素，分别。在控制多重比较后，未发现同意者和不同意者的特征之间存在显著差异。年龄较大（p= 0.038），高危妊娠（p< 0.001），过去一周没有使用药物（p= 0.033）预测PNC的出勤率更高。PNC出勤率预测产后访视出勤率（p< 0.001）。结论：本研究提供了关于围产期护理预测因素和随机对照试验样本代表性的基准数据。研究结果有重要意义的卫生保健系统的变化和发展的文化知情的干预措施。
Background:The United States has unacceptably high rates of maternal and infant mortality, especially among Black women and their infants. Prenatal and postpartum care help reduce maternal and infant morbidity and mortality; however, Black women are less likely to access and utilize peripartum care largely due to structural racism. Identifying factors that buffer against the systemic barriers disproportionately impacting this community is an important step in addressing racial health disparities. Using existing data from a randomized controlled trial (RCT) targeting maternal and infant health disparities, this study aims to (1) explore predictors of peripartum care attendance and (2) examine clinical trial sample representativeness.Methods:The analyses addressing the primary aim of the study included Black women at risk for low prenatal care (PNC) engagement who consented to RCT participation and had a documented live birth (n= 123). For the secondary study aim, comparisons between women who consented to the RCT (Consenters;n= 149) and those who did not (Non-consenters;n= 122) were made using chi-square andt-tests.Results:Hierarchical linear and logistic regression identified predictors of prenatal and postpartum care attendance, respectively. After controlling for multiple comparisons, no significant differences were identified between characteristics of Consenters and Non-consenters. Older age (p= 0.038), high-risk pregnancy (p< 0.001), and no past week substance use (p= 0.033) predicted better PNC attendance. PNC attendance predicted postpartum visit attendance (p< 0.001).Conclusions:This study provides benchmark data on predictors of peripartum care and sample representativeness in RCTs. Findings have important implications for health care system changes and development of culturally informed interventions.
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作者：
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DOI：
10.1001/jama.1997.03540410035027
发表时间：
1997
期刊：
JAMA
影响因子：
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作者：
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