Evidence map›Paper›PMID 32333378›Full record

ArticleJournal of racial and ethnic health disparities2021

Multiparous Black and Latinx Women Face More Barriers to Prenatal Care than White Women.

Kimberly Fryer, Maria Christina Munoz, Lisa Rahangdale, Alison M Stuebe

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of racial and ethnic health disparities, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 16% of its field
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Observational
  5. Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Healthcare Experiences of African American Women with the Fragile X Premutation.Journal of racial and ethnic health disparities · 2024
    Article
  11. Article
  12. Article
  13. Article
  14. Child Care as a Barrier to Perinatal Health Care in Illinois.Maternal and child health journal · 2024
    Article
  15. Article
  16. Article
  17. Article
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

4 authors at 2 institutions in 1 country.

Kimberly FryerDivision of General Obstetrics and Gynecology, Department of Obstetrics and Gynecology, University of South Florida, Tampa, FL, USA. kfryer@usf.edu.
Maria Christina MunozDivision of General Obstetrics and Gynecology, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Lisa RahangdaleDivision of General Obstetrics and Gynecology, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Alison M StuebeDivision of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology and Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
University of North Carolina at Chapel Hill · USUniversity of South Florida · US

Funding

Community Child Health Network: BaltimoreU01HD044207 · NICHD · ST. MICHAEL'S HOSPITAL · PI VANCE, MAXINE · 2003 to 2012
$3.2M
Community Child Health Research in Washington, D.C.U01NR008929 · NINR · GEORGETOWN UNIVERSITY · PI RAMEY, SHARON LANDESMAN · 2003 to 2006
$630k
6 · The paper itself

Abstract

objectiveWomen who are late to prenatal care miss opportunities for health interventions and are at increased risk for pregnancy-related complications. Black women have the lowest rates of first trimester care compared with White or Latinx women. We sought to describe barriers to prenatal care experienced by race/ethnicity in a multi-site, prospective cohort. STUDY

designWe performed a secondary analysis of the Community Child Health Research Network Study, a multi-site prospective cohort study of pregnant women from 2008 to 2012. Women were recruited at the time of delivery and followed prospectively for 2 years. Participants who experienced a repeat pregnancy in the 2-year follow-up period had a prospective assessment of prenatal care barriers. A multilevel mixed effects Poisson regression was performed to evaluate the association between race/ethnicity and number of prenatal barriers.

resultsOf the 298 participants in the sample, 43% of Black, 35% of Latinx, and 23% of White participants reported barriers to prenatal care. After adjustment for confounders, Black and Latinx women reported almost twice as many barriers to prenatal care as White women (adjusted rate ratio 1.89 [1.2, 3.0]; 2.00 [1.1, 3.8], respectively).

conclusionIn our analysis, multiparous Black and Latinx women reported encountering more barriers to prenatal care than White women. Additional reforms and policy change are needed at the clinic, local, and state levels to support women in accessing early quality prenatal care to achieve racial equity in prenatal care.

Indexed as

ParityAdolescentAdultBlack or African AmericanFemaleHealthcare DisparitiesHispanic or LatinoHumansPregnancyPrenatal CareProspective StudiesWhite PeopleYoung AdultAccess to careBarriers to carePrenatal careRacial dispartitiesRacial equity

Identifiers

PMID32333378
OpenAlexW3019095276

What OpenQuestion holds

Textmetadata
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.