Use of postpartum care: predictors and barriers.
Use of postpartum care: predictors and barriers.
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DOI：
10.1155/2014/530769
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发表时间：
2014
影响因子：
3.2
通讯作者：
Lu MC
中科院分区：
文献类型：
--
作者：
DiBari JN;Yu SM;Chao SM;Lu MC
本研究的目的是确定实际和感知的障碍，产后护理之间的概率样本的妇女谁在洛杉矶县，加州在2007年生产。来自2007年洛杉矶母婴（LAMB）研究（N = 4,075）的调查数据用于确定产后护理使用的预测因素和障碍。LAMB研究是一项以人群为基础的横断面研究，旨在检查孕前、产前和产后期间的孕产妇和儿童健康结局。多变量分析发现，低收入、分居/离婚和从未结婚、努力怀孕或试图预防怀孕、Medi-Cal保险持有者以及缺乏产前护理是产后护理不使用的风险因素，而西班牙裔种族是保护性的。产后护理最常见的障碍是感觉良好，与婴儿忙碌太多，还有其他事情要做，以及缺乏需求。这项研究的结果可以为针对未获得产后护理的风险亚组的干预措施的制定提供信息。社区教育和改善获得护理的机会可以进一步提高产后就诊的可接受性，并有助于改善妇女的健康。产后护理可以作为一个途径，使得不到充分服务的人口参与妇女保健的连续性。
This study aimed to identify actual and perceived barriers to postpartum care among a probability sample of women who gave birth in Los Angeles County, California in 2007. Survey data from the 2007 Los Angeles Mommy and Baby (LAMB) study (N = 4,075) were used to identify predictors and barriers to postpartum care use. The LAMB study was a cross-sectional, population-based study that examined maternal and child health outcomes during the preconception, prenatal, and postpartum periods. Multivariable analyses identified low income, being separated/divorced and never married, trying hard to get pregnant or trying to prevent pregnancy, Medi-Cal insurance holders, and lack of prenatal care to be risk factors of postpartum care nonuse, while Hispanic ethnicity was protective. The most commonly reported barriers to postpartum care use were feeling fine, being too busy with the baby, having other things going on, and a lack of need. Findings from this study can inform the development of interventions targeting subgroups at risk for not obtaining postpartum care. Community education and improved access to care can further increase the acceptability of postpartum visits and contribute to improvements in women's health. Postpartum care can serve as a gateway to engage underserved populations in the continuum of women's health care.