Evidence map›Paper›PMID 38795280›Full record

ArticleMaternal and child health journal2024

Disparities in Postpartum Care Visits: The Dynamics of Parental Leave Duration and Postpartum Care Attendance.

Brianna Keefe-Oates, Elizabeth Janiak, Barbara Gottlieb, Jarvis T Chen

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Article in Maternal and child health journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 4 papers.

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

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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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Promoting Maternal Health in the Postpartum Period to Advance Birth Equity.International journal of environmental research and public health · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors.

Brianna Keefe-OatesDepartment of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, USA. bkeefeoates@gmail.com.ORCID http://orcid.org/0000-0002-2704-1289
Elizabeth JaniakDepartment of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, USA.
Barbara GottliebDepartment of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, USA.
Jarvis T ChenDepartment of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo understand differences in the relationship between parental leave duration and postpartum care across sociodemographic and income groups.

methodsWe used data from six states participating in the Center for Disease Control and Prevention's yearly PRAMS study from 2016 to 2019 with a total sample of 12,442 people. Bivariable analyses assessed demographics among those who took more or less parental leave and estimated the prevalence of not accessing postpartum care by demographics, stratified by leave length. We used propensity score weighting to estimate the predicted risk and risk ratios of not accessing postpartum care with < 7 as compared to > = 7 weeks of leave, stratified by income.

resultsThere were significant differences in the prevalence of not accessing care stratified by leave duration, and disparities in utilization by race, ethnicity, and income. A shorter leave duration was associated with a higher risk of not accessing care (RR: 1.98 [CI 1.25-3.20] in higher income group, RR: 1.45 [CI 1.08, 1.99] in lower). The absolute risk of not accessing care was highest in the lower income group regardless of leave duration, though patterns of increased utilization with longer leave duration were consistent in both groups. CONCLUSIONS FOR PRACTICE: While shorter leave durations increased the risk of not attending postpartum care, those with lower incomes had the highest absolute risk of not attending care. Policies to support paid leave and extended leave duration are necessary, along with additional supports to increase postpartum care utilization, particularly among low-income families.

Indexed as

Healthcare DisparitiesParental LeavePostnatal CareAdultFemaleHealth Services AccessibilityHumansPostpartum PeriodPregnancyTime FactorsUnited StatesHealth PolicyParental LeavePostpartum care

Identifiers

PMID38795280
PMCPMC11358175

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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.