ArticleMaternal and child health journal2003
Determinants of late prenatal care initiation by African American women in Washington, DC.
Article in Maternal and child health journal, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
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Who cites it
20 citing papers in PubMed.
- Recruitment and retention of low-income minority women in a behavioral intervention to reduce smoking, depression, and intimate partner violence during pregnancy.BMC public health · 2007Trial
- Perceptions of positive and negative clinician communication in obstetrical visits from the perspectives of pregnant patients who use substances.PEC innovation · 2025Article
- Addressing transportation barriers to health care during the COVID-19 pandemic: Perspectives of care coordinators.Transportation research. Part A, Policy and practice · 2022Article
- Prenatal care utilization in pregnant women who consider but do not have abortions.BMC pregnancy and childbirth · 2022Observational
- Multiparous Black and Latinx Women Face More Barriers to Prenatal Care than White Women.Journal of racial and ethnic health disparities · 2021Article
- A Novel Model for a Free Clinic for Prenatal and Infant Care in Detroit.Maternal and child health journal · 2020Article
- Barriers and facilitators related to use of prenatal care by inner-city women: perceptions of health care providers.BMC pregnancy and childbirth · 2015Article
- Barriers, motivators and facilitators related to prenatal care utilization among inner-city women in Winnipeg, Canada: a case-control study.BMC pregnancy and childbirth · 2014Article
- When homogeneity meets heterogeneity: the geographically weighted regression with spatial lag approach to prenatal care utilization.Geospatial health · 2014Article
- Predictors of inadequate prenatal care in methamphetamine-using mothers in New Zealand and the United States.Maternal and child health journal · 2013Article
- The Black and White of infant back sleeping and infant bed sharing in Florida, 2004-2005.Maternal and child health journal · 2012Article
- Barriers to women's participation in inter-conceptional care: a cross-sectional analysis.BMC public health · 2012Article
- Determinants of the use of prenatal care in rural China: the role of care content.Maternal and child health journal · 2012Article
- NIH-DC initiative to reduce infant mortality in minority populations in Washington, DC: history and lessons learned.Maternal and child health journal · 2011Article
- Explaining ethnic differences in late antenatal care entry by predisposing, enabling and need factors in The Netherlands. The Generation R Study.Maternal and child health journal · 2011Article
- How racial and ethnic groupings may mask disparities: the importance of separating Pacific Islanders from Asians in prenatal care data.Maternal and child health journal · 2010Article
- Racial/ethnic disparities in obstetric outcomes and care: prevalence and determinants.American journal of obstetrics and gynecology · 2010Review
- Perinatal disparities for black mothers and their newborns.Maternal and child health journal · 2008Article
- Association of preconceptional health care utilization and early initiation of prenatal care.Journal of perinatology : official journal of the California Perinatal Association · 2006Article
- Prenatal care need and access: a GIS analysis.Journal of medical systems · 2004Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
objectivesThe objective of this study was to identify the determinants of late prenatal care (PNC) initiation among minority women in Washington, DC.
methodsDC-resident, African American women (n = 303) were recruited at 14 PNC facilities, representing the various types of PNC facilities located in DC: 4 hospital-based clinics, 5 community-based clinics, and 5 private practices. The women were interviewed at their first prenatal care visits to determine their perceptions of 63 barriers, motivators and facilitators influencing PNC initiation; substance use; and sociodemographic background. PNC initiation was classified as early (prior to the 20th week of gestation) or late (after the 20th week of gestation). The responses of women who initiated PNC early versus late were compared using bivariate and multivariate statistical procedures. Classification and Regression Trees analysis was used to identify groups at risk of late initiation.
resultsVariables contributing to late PNC initiation included maternal age not between 20 and 29 years, unemployment, no history of previous abortions, consideration of abortion, lack of money to pay for PNC, and no motivation to learn how to protect ones health. Three risk groups for late PNC initiation included 1) women consideringabortion and not employed outside their homes; 2) women not considering abortion who had no previous abortion experience; and 3) teenagers not considering abortion and with no previous abortions.
conclusionsThe results of this study indicate that psychosocial barriers are more important than structural barriers. Of the psychosocial barriers, the major determinants of late PNC initiation were consideration of abortion and previous abortion experience.
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