Barriers to prenatal care for homeless pregnant women
Barriers to prenatal care for homeless pregnant women
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DOI：
10.1177/0884217504266775
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发表时间：
2004-07-01
影响因子：
1.8
通讯作者：
Van Loock, DM
中科院分区：
文献类型：
--
作者：
Bloom, KC;Bednarzyk, MS;Van Loock, DM
目的：本研究的目的是探索和描述无家可归孕妇产前护理的障碍。设计：一项带有书面问卷的描述性调查。参与者：在任何特定月份，大约有 183 名无家可归孕妇居住在佛罗里达州东北部。通过为佛罗里达州东北部无家可归者提供庇护所和/或服务的机构，向无家可归的孕妇分发了超过 250 份调查问卷。返回了 47 份调查，占估计人口的 25.7%。 主要结果测量：使用 Melnyk 障碍量表（27 项李克特型量表）测量产前护理障碍。结果：在受访者中，75.61% 认为产前护理障碍。与地点相关的因素最为重要，其次是提供者/客户关系、不便、恐惧和成本。结论：尽管佛罗里达州东北部的所有孕妇都可以获得产前护理，但无家可归的孕妇获得这种护理的障碍很大，需要卫生保健提供者和管理人员解决。有必要对这些问题进行额外的定性研究。
Objective: The purpose of this study was to explore and describe the barriers to prenatal care for homeless pregnant women.Design: A descriptive survey with written questionnaires.Participants: About 183 pregnant homeless women live in Northeast Florida in any given month. More than 250 surveys were distributed to homeless pregnant women via agencies that provide shelter and/or services to homeless people in Northeast Florida. Forty-seven surveys were returned, representing 25.7% of the estimated population.Main Outcome Measure: Barriers to prenatal care were measured using Melnyk's Barriers Scale, a 27-item Likert-type scale.Results: Of the respondents, 75.61% perceived barriers to prenatal care. Site-related factors were the most significant, followed by provider/client relationship, inconvenience, fear, and cost.Conclusions: Although prenatal care is available to all pregnant women in Northeast Florida, barriers to accessing this care for homeless pregnant women are significant and need to be addressed by health care providers and administrators. Additional qualitative study of these issues is warranted.