Evidence map›Paper›PMID 29470813›Full record

ArticleMaternal and child health journal2018

Structural and Socio-cultural Barriers to Prenatal Care in a US Marshallese Community.

Britni L Ayers, Rachel S Purvis, Williamina Ioanna Bing, Jellesen Rubon-Chutaro, Nicola L Hawley, Rebecca Delafield, Ingrid K Adams, Pearl Anna McElfish

Abstract read
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In one paragraph

Article in Maternal and child health journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 4 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

31 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  18. Dietary Practices during Pregnancy in a Marshallese Community: A Mixed Methods Analysis.International journal of environmental research and public health · 2022
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  19. Best of Intentions: Influential Factors in Infant Feeding Intent among Marshallese Pregnant Women.International journal of environmental research and public health · 2022
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Britni L AyersOffice of Community Health and Research, University of Arkansas for Medical Sciences, Northwest Campus, 1125 N. College Ave, Fayetteville, AR, 72701, USA.
Rachel S PurvisOffice of Community Health and Research, University of Arkansas for Medical Sciences, Northwest Campus, 1125 N. College Ave, Fayetteville, AR, 72701, USA.
Williamina Ioanna BingOffice of Community Health and Research, University of Arkansas for Medical Sciences, Northwest Campus, 1125 N. College Ave, Fayetteville, AR, 72701, USA.
Jellesen Rubon-ChutaroOffice of Community Health and Research, University of Arkansas for Medical Sciences, Northwest Campus, 1125 N. College Ave, Fayetteville, AR, 72701, USA.
Nicola L HawleyDepartment of Chronic Disease Epidemiology, Yale School of Public Health, New Haven, CT, USA.
Rebecca DelafieldDepartment of Native Hawaiian Health, John A. Burns School of Medicine, University of Hawai'i, Honolulu, HI, USA.
Ingrid K AdamsDepartment of Nutrition & Food Science, University of Kentucky, Lexington, KY, USA.
Pearl Anna McElfishOffice of Community Health and Research, University of Arkansas for Medical Sciences, Northwest Campus, 1125 N. College Ave, Fayetteville, AR, 72701, USA. pamcelfish@uams.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives Pacific Islanders are disproportionately burdened by poorer perinatal health outcomes with higher rates of pre-term births, low birth weight babies, infant mortality, and inadequate or no prenatal care. The aim of this study is to examine Marshallese mothers' beliefs, perceptions, and experiences of prenatal care and to identify potential barriers. Methods Three focus groups were conducted with Marshallese mothers, who were 18 years or older, and living in Arkansas. Focus groups focused on mothers' beliefs, perceptions, and experiences of prenatal care. A thematic qualitative analysis was conducted to identify salient themes within the data. Results The results demonstrated that negotiating health insurance, transportation, and language barriers were all major structural barriers that constrain prenatal care. The social-cultural barriers that emerged included a lack of understanding of the importance of seeking early and consistent prenatal care, as well as how to navigate the healthcare process. The more complicated challenges that emerged were the feelings of shame and embarrassment due to the perception of their age or being unmarried during pregnancy not being acceptable in American culture. Furthermore, the participants described perceived discrimination from prenatal care providers. Lastly, the participants described fear as a barrier to seeking out prenatal care. Conclusions for Practice This study identified both structural and socio-cultural barriers that can be incorporated into suggestions for policy makers to aid in alleviating maternal health disparities among Pacific Islander women. Further research is needed to address the Marshallese mothers' perceived discrimination from maternal health care providers.

Indexed as

Attitude of Health PersonnelCommunication BarriersHealth BehaviorMothersNative Hawaiian or Pacific IslanderPatient Acceptance of Health CarePrenatal CareAdultCommunity-Based Participatory ResearchDiscrimination, PsychologicalFemaleFocus GroupsHealth Knowledge, Attitudes, PracticeHealth Services AccessibilityHumansInfant, NewbornCommunity-based participatory researchIslandersMarshallesePacificPrenatal care

Identifiers

PMID29470813

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.