Evidence map›Paper›PMID 36939097›Full record

ArticleWomen's health (London, England)

A qualitative exploration of experiences accessing community and social services among pregnant low-income people of color during the COVID-19 pandemic.

Bridgette E Blebu, Miriam Kuppermann, Kimberly Coleman-Phox, Deborah Karasek, Lauren Lessard, Brittany D Chambers

Open access · goldAbstract read
In one paragraph

Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

3 citing papers in PubMed, 3 citations in OpenAlex.

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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

6 authors at 4 institutions in 1 country.

Bridgette E BlebuDepartment of Obstetrics and Gynecology, The Lundquist Institute at Harbor-UCLA Medical Center, Torrance, CA, USA.ORCID 0000-0002-9843-6683
Miriam KuppermannCalifornia Preterm Birth Initiative, School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Kimberly Coleman-PhoxCalifornia Preterm Birth Initiative, School of Medicine, University of California, San Francisco, San Francisco, CA, USA.ORCID 0000-0002-3214-8179
Deborah KarasekCalifornia Preterm Birth Initiative, School of Medicine, University of California, San Francisco, San Francisco, CA, USA.
Lauren LessardInstitute for Circumpolar Health Studies, University of Alaska, Anchorage, Anchorage, AK, USA.
Brittany D ChambersDepartment of Human Ecology, College of Agricultural and Environmental Sciences, University of California, Davis, Davis, CA, USA.
University of California, San Francisco · USUCLA Medical Center · USUniversity of Alaska Anchorage · USUniversity of California, Davis · US

Funding

UCSF/Kaiser-DOR Program for Developing Independent Women's Health ResearchersK12HD052163 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ADLER, NANCY E, BRINDIS, CLAIRE D. · 2005 to 2023
$9.3M
Stakeholder-Partnered Implementation Research and Innovation Translation (SPIRIT) programK12HS026407 · AHRQ · UNIVERSITY OF CALIFORNIA LOS ANGELES · PI GOULD, MICHAEL K, ONG, MICHAEL K · 2018 to 2022
$3.7M
Transdisciplinary Research Training to Reduce Disparities in Preterm Birth and Improve Maternal and Neonatal OutcomesT32HD098057 · NICHD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KUPPERMANN, MIRIAM · 2019 to 2023
$1.4M
Community Racial Equity Training And Evaluation of Current and Future Health Care Clinicians (CREATE) StudyK01MD015785 · NIMHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI CHAMBERS, BRITTANY D. · 2021 to 2024
$557k
AHRQ HHS K12 HS026407NICHD NIH HHS K12 HD052163NICHD NIH HHS T32 HD098057NIMHD NIH HHS K01 MD015785
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic has been associated with increased social and economic stressors among pregnant individuals. While community and social services have been available to mitigate stressors in pregnancy (e.g. food insecurity and financial hardship) and reduce the risk of adverse maternal outcomes, it is unclear how the pandemic impacted access to these resources, particularly in communities of color with lower incomes.

objectiveTo examine the experiences accessing community and social service resources during the COVID-19 pandemic among pregnant people of color with low incomes.

designParticipants for this COVID-related qualitative study were recruited from two sources-a prospective comparative effectiveness study of two models of enhanced prenatal care and the California Black Infant Health Program between August and November of 2020.

methodsWe conducted 62 interviews with Medicaid-eligible participants in California's Central Valley. During their interviews, study participants were asked to share their pregnancy-related experiences, including how they felt the pandemic had affected those experiences.

resultsWe identified two broad themes: challenges with accessing community and social service resources during the pandemic and opportunities for improving access to these resources. Sub-themes related to challenges experienced included difficulty with remote access, convoluted enrollment processes for community and social services, and problems specific to accessing COVID-19 resources (e.g. testing). Sub-themes related to opportunities to improve access included leveraging instrumental support from perinatal staff and informational (e.g. practical) support from other community programs and pregnant peers. Participant recommendations included leveraging opportunities to improve client experiences through increased transparency and better patient-provider communication.

conclusionThis study highlights some important trends that emerged with the rollout of remote service delivery for social services among a vulnerable population. Many participants were able to leverage support through other programs and perinatal staff. These individuals identified additional opportunities to improve client experiences that can inform the future implementation of support services for pregnant people.

Indexed as

COVID-19Social WorkEthnic and Racial MinoritiesFemaleHumansInfantPandemicsPovertyPregnancyProspective StudiesUnited StatesCOVID-19 pandemicimplementationpregnancysocial stressorssupport resources

Identifiers

PMID36939097
PMCPMC9988620
OpenAlexW4323023290

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.