Barriers to women's participation in inter-conceptional care: a cross-sectional analysis

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  • Hogan, Vijaya
    • Affiliation: Gillings School of Global Public Health, Department of Maternal and Child Health
  • Amamoo, M Ahinee
    • Affiliation: Gillings School of Global Public Health
  • Anderson, Althea D
    • Other Affiliation: Mailman School of Public Health, Columbia University, New York, NY, USA
  • Webb, David
    • Other Affiliation: Children's Hospital of Philadelphia, Philadelphia, USA
  • Mathews, Leny
    • Other Affiliation: Children's Hospital of Philadelphia, Philadelphia, USA
  • Rowley, Diane
    • Affiliation: Gillings School of Global Public Health
  • Culhane, Jennifer F
    • Other Affiliation: Children's Hospital of Philadelphia, Philadelphia, USA
Abstract
  • Abstract Background We describe participation rates in a special interconceptional care program that addressed all commonly known barriers to care, and identify predictors of the observed levels of participation in this preventive care service. Methods A secondary analysis of data from women in the intervention arm of an interconceptional care clinical trial in Philadelphia (n = 442). Gelberg-Andersen Behavioral Model for Vulnerable Populations to Health Services (herein called Andersen model) was used as a theoretical base. We used a multinomial logit model to analyze the factors influencing women's level of participation in this enhanced interconceptional care program. Results Although common barriers were addressed, there was variable participation in the interconceptional interventions. The Andersen model did not explain the variation in interconceptional care participation (Wald ch sq = 49, p = 0.45). Enabling factors (p = 0.058), older maternal age (p = 0.03) and smoking (p = < 0.0001) were independently associated with participation. Conclusions Actively removing common barriers to care does not guarantee the long-term and consistent participation of vulnerable women in preventive care. There are unknown factors beyond known barriers that affect participation in interconceptional care. New paradigms are needed to identify the additional factors that serve as barriers to participation in preventive care for vulnerable women.
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Resource type
  • Article
Rights statement
  • In Copyright
Rights holder
  • Vijaya K Hogan et al.; licensee BioMed Central Ltd.
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Journal title
  • BMC Public Health
Journal volume
  • 12
Journal issue
  • 1
Page start
  • 93
Language
  • English
Is the article or chapter peer-reviewed?
  • Yes
ISSN
  • 1471-2458
Bibliographic citation
  • BMC Public Health. 2012 Feb 01;12(1):93
Publisher
  • BioMed Central Ltd
Access right
  • Open Access
Date uploaded
  • July 15, 2016

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