ArticleMaternal and child health journal2014
Barriers to adequate prenatal care utilization in American Samoa.
Article in Maternal and child health journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.
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The trial behind it
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Who cites it
28 citing papers in PubMed.
- A group prenatal care intervention reduces gestational weight gain and gestational diabetes in American Samoan women.Obesity (Silver Spring, Md.) · 2024Trial
- Patient navigation for pregnant individuals with opioid use disorder: Results of a randomized multi-site pilot trial.Addiction (Abingdon, England) · 2024Trial
- Representativeness of Study Population: A Critical Consideration for Applying Gestational Age Estimation Models.BJOG : an international journal of obstetrics and gynaecology · 2026Article
- Mapping Geographic Disparities in Healthcare Access Barriers Among Married Women in Pakistan: Evidence from a Nationally Representative Survey.Healthcare (Basel, Switzerland) · 2025Article
- The effectiveness of an integrated continuous team midwifery care model on the quality of antenatal care in Iran's health system: A randomized controlled trial.European journal of obstetrics & gynecology and reproductive biology: X · 2025Article
- Predictors of inadequacy of prenatal tests of postpartum women: a cross-sectional study.Revista brasileira de enfermagem · 2025Article
- Providers' Perspectives of a Culturally Adapted CenteringPregnancy Intervention for Marshallese Women in Arkansas.Nursing for women's health · 2024Article
- Marshallese Mothers' and Marshallese Maternal Healthcare Providers' Perspectives on Contraceptive Use and Reproductive Life Planning Practices and Influences.International journal of environmental research and public health · 2023Article
- Gestational Diabetes Mellitus Prevalence, Screening, and Treatment Practices in American Samoa, 2016.Hawai'i journal of health & social welfare · 2022Article
- Stressful life events and social support among pregnant Marshallese women.Maternal and child health journal · 2022Article
- Dietary Practices during Pregnancy in a Marshallese Community: A Mixed Methods Analysis.International journal of environmental research and public health · 2022Article
- Breaking Barriers to Healthcare Access: A Multilevel Analysis of Individual- and Community-Level Factors Affecting Women's Access to Healthcare Services in Benin.International journal of environmental research and public health · 2021Article
- Assessing the Quality of the Systems of Care for Children with Congenital Zika Virus Infection and Other Neurodevelopmental Disabilities in the United States Pacific Island Territories.Hawai'i journal of health & social welfare · 2020Article
- Maternal Health Beliefs, Perceptions, and Experiences in a U.S. Marshallese Community.Journal of transcultural nursing : official journal of the Transcultural Nursing Society · 2020Article
- A pilot multisite study of patient navigation for pregnant women with opioid use disorder.Contemporary clinical trials · 2019Article
- Factors associated with the timing of the first prenatal ultrasound in Canada.BMC pregnancy and childbirth · 2019Article
- Organisation of primary health care systems in low- and middle-income countries: review of evidence on what works and why in the Asia-Pacific region.BMJ global health · 2019Article
- Primary health care financing interventions: a systematic review and stakeholder-driven research agenda for the Asia-Pacific region.BMJ global health · 2019Article
- Providers' perspectives of barriers experienced in maternal health care among Marshallese women.Women and birth : journal of the Australian College of Midwives · 2018Article
- Structural and Socio-cultural Barriers to Prenatal Care in a US Marshallese Community.Maternal and child health journal · 2018Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
The objective of this study is to describe the utilization of prenatal care in American Samoan women and to identify socio-demographic predictors of inadequate prenatal care utilization. Using data from prenatal clinic records, women (n = 692) were categorized according to the adequacy of prenatal care utilization index as having received adequate plus, adequate, intermediate or inadequate prenatal care during their pregnancy. Categorical socio-demographic predictors of the timing of initiation of prenatal care (week of gestation) and the adequacy of received services were identified using one way analysis of variance and independent samples t tests. Between 2001 and 2008 85.4 % of women received inadequate prenatal care. Parity (P = 0.02), maternal unemployment (P = 0.03), and both parents being unemployed (P = 0.03) were negatively associated with the timing of prenatal care initiation. Giving birth in 2007-2008, after a prenatal care incentive scheme had been introduced in the major hospital, was associated with earlier initiation of prenatal care (20.75 vs. 25.12 weeks; P < 0.01) and improved adequacy of received services (95.04 vs. 83.8 %; P = 0.02). The poor prenatal care utilization in American Samoa is a major concern. Improving healthcare accessibility will be key in encouraging women to attend prenatal care. The significant improvements in the adequacy of prenatal care seen in 2007-2008 suggest that the prenatal care incentive program implemented in 2006 may be a very positive step toward addressing issues of prenatal care utilization in this population.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.