Evidence map›Paper›PMID 33279734›Full record

ArticleAcademic pediatrics2021

Barriers to Attendance of Prenatal and Well-Child Visits.

Elizabeth R Wolf, Erin Donahue, Roy T Sabo, Bergen B Nelson, Alex H Krist

Abstract read
In one paragraph

Article in Academic pediatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  7. Identifying children at risk in Swedish Child Health Services.Scandinavian journal of public health · 2025
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  8. Review
  9. Prenatal Care Coordination and Well-Child Visit Receipt in Early Childhood.Journal of the American Board of Family Medicine : JABFM · 2025
    Article
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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

5 authors.

Elizabeth R WolfChildren's Hospital of Richmond at VCU (ER Wolf and BB Nelson), Richmond, Va; Department of Pediatrics (ER Wolf and BB Nelson), Virginia Commonwealth University, Richmond, Va. Electronic address: elizabeth.wolf@vcuhealth.org.
Erin DonahueDepartment of Cancer Biostatistics (E Donahue), Levine Cancer Institute, Charlotte, NC; Department of Biostatistics (E Donahue and RT Sabo), Virginia Commonwealth University, Richmond, Va.
Roy T SaboDepartment of Biostatistics (E Donahue and RT Sabo), Virginia Commonwealth University, Richmond, Va.
Bergen B NelsonChildren's Hospital of Richmond at VCU (ER Wolf and BB Nelson), Richmond, Va; Department of Pediatrics (ER Wolf and BB Nelson), Virginia Commonwealth University, Richmond, Va.
Alex H KristDepartment of Family Medicine and Population Health (AH Krist), Virginia Commonwealth University, Richmond, Va.

Funding

Research Supplement to Promote Diversity in Health Related ResearchUL1TR002649 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2018 to 2022
$19.1M
Center for Clinical and Translational ResearchUL1TR000058 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI MOELLER, FREDERICK GERARD · 2012 to 2015
$12.5M
Institutional Career Development CoreKL2TR002648 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI NANASINKAM, SERGE PATRICK, SANYAL, ARUN J · 2018 to 2022
$3.7M
CTSA K12 Program at Virginia Commonwealth UniversityK12TR004364 · NCATS · VIRGINIA COMMONWEALTH UNIVERSITY · PI SERGE PATRICK NANASINKAM, Gretchen N Neigh · 2023 to 2026
$3.0M
NCATS NIH HHS K12 TR004364NCATS NIH HHS KL2 TR002648NCATS NIH HHS UL1 TR000058NCATS NIH HHS UL1 TR002649
6 · The paper itself

Abstract

objectivePrenatal care (PNC) and well child visit (WCV) attendance are associated with improved health outcomes. We aimed to determine if the factors affecting maternal and child attendance are similar or different.

methodsWe conducted a retrospective case control study at Virginia Commonwealth University Health System. We used the Adequacy of Prenatal Care Utilization Index and the American Academy of Pediatrics recommendations to assess the adequacy of PNC and WCV attendance, respectively. Mothers with less than 50% visit adherence or initiation after 5 months gestation were eligible as cases and those with 80% or more adherence and initiation before 5 months were eligible as controls. Children in the lowest quintile of adherence were eligible as cases and those with 80% or more adherence were eligible as controls. Cases and controls were randomly selected at a 1:2 ratio from the eligible subjects and frequency matched on birth month.

resultsIn adjusted analyses, mothers and children who were publicly insured or who were uninsured had higher odds of poor preventive visit attendance. Mothers who experienced intimate partner violence and had more living children were more likely to have poor attendance. Children whose mothers had younger age, greater number of pregnancies and transportation difficulties had poorer attendance.

conclusionsWhile lack of insurance and public insurance remained significantly associated with both poor PNC and WCV attendance, other factors varied between groups. Expanding eligibility requirements and streamlining enrollment and renewal processes may improve two generations of preventive visit attendance.

Indexed as

Child Health ServicesPrenatal CareCase-Control StudiesChildFemaleHumansMothersPregnancyRetrospective StudiesUnited Statesattendanceprenatalwell-child

Identifiers

PMID33279734
PMCPMC8172669

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.