Evidence map›Paper›PMID 27170788›Full record

ArticleJournal of the American Board of Family Medicine : JABFM

Disrupting the Pathways of Social Determinants of Health: Doula Support during Pregnancy and Childbirth.

Katy B Kozhimannil, Carrie A Vogelsang, Rachel R Hardeman, Shailendra Prasad

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Review
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Katy B KozhimannilFrom the Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis (KBK, CAV); the Division of Health Care Policy & Research, Mayo Clinic College of Medicine, Rochester, MN (RRH); and the Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis (SP). kbk@umn.edu.
Carrie A VogelsangFrom the Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis (KBK, CAV); the Division of Health Care Policy & Research, Mayo Clinic College of Medicine, Rochester, MN (RRH); and the Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis (SP).
Rachel R HardemanFrom the Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis (KBK, CAV); the Division of Health Care Policy & Research, Mayo Clinic College of Medicine, Rochester, MN (RRH); and the Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis (SP).
Shailendra PrasadFrom the Division of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis (KBK, CAV); the Division of Health Care Policy & Research, Mayo Clinic College of Medicine, Rochester, MN (RRH); and the Department of Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis (SP).

Funding

University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
NCATS NIH HHS UL1 TR000114
6 · The paper itself

Abstract

purposeThe goal of this study was to assess perspectives of racially/ethnically diverse, low-income pregnant women on how doula services (nonmedical maternal support) may influence the outcomes of pregnancy and childbirth.

methodsWe conducted 4 in-depth focus group discussions with low-income pregnant women. We used a selective coding scheme based on 5 themes (agency, personal security, connectedness, respect, and knowledge) identified in the Good Birth framework, and we analyzed salient themes in the context of the Gelberg-Anderson behavioral model and the social determinants of health.

resultsParticipants identified the role doulas played in mitigating the effects of social determinants. The 5 themes of the Good Birth framework characterized the means by which nonmedical support from doulas influenced the pathways between social determinants of health and birth outcomes. By addressing health literacy and social support needs, pregnant women noted that doulas affect access to and the quality of health care services received during pregnancy and birth.

conclusionsAccess to doula services for pregnant women who are at risk of poor birth outcomes may help to disrupt the pervasive influence of social determinants as predisposing factors for health during pregnancy and childbirth.

Indexed as

Biobehavioral SciencesParturitionQuality of Health CareSocial Determinants of HealthDoulasEthnicityFemaleFocus GroupsHumansMinnesotaPovertyPregnancyPregnancy OutcomeBirthCultural DiversityHealth Care DisparitiesPopulationsSocial Determinants of HealthUnderserved

Identifiers

PMID27170788
PMCPMC5544529

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.