To determine barriers to prenatal care among managed-care enrollees who receive Medicaid.
In-person interviews were conducted with women 13-45 years old who were members of the Prudential HealthCare Community Plan in Memphis, Tennessee.
Interview data were linked to medical chart reviews for 200 women who were currently pregnant or had delivered a baby since enrollment in Prudential.
Factors related to untimely entry to prenatal care and inadequate prenatal visits were examined.
More than half of the respondents had either untimely entry to or inadequate prenatal care.
Overall, 89% of respondents had favorable attitudes about prenatal care.
Several system and personal factors were associated with receipt of early or adequate prenatal care.
Multivariate analysis showed that one system and two personal factors remained significantly related to entry to prenatal care.
Women who entered Prudential during pregnancy were 2.4 times more likely (95% CI 1.1,5.0) to receive late care than women who enrolled before pregnancy.
Women who felt too tired to go for care were 2.2 times more likely (95% Cl 1.0,4.9) to receive late care.
Women who experienced physical violence during pregnancy were 3.5 times more likely (95% CI 1.0,12.0) to receive late care. (...)
Mots-clés Pascal : Soin, Prénatal, Pauvreté, Statut socioéconomique, Soin intégré, Evaluation, Homme, Femme, Système santé, Organisation santé, Etats Unis, Amérique du Nord, Amérique, Gestation, Surveillance
Mots-clés Pascal anglais : Care, Prenatal, Poverty, Socioeconomic status, Managed care, Evaluation, Human, Woman, Health system, Public health organization, United States, North America, America, Pregnancy, Surveillance
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0417727
Code Inist : 002B30A03B. Création : 22/03/2000.