Evidence map›Paper›PMID 42560597›Full record

ArticleMaternal and child health journal2026

Associations Between Virtual Prenatal Care Utilization, Social Determinants of Health, and Stressful Life Events: A Multistate Analysis of U.S. Women, 2020-2021.

Don E Willis, Pearl A McElfish, Clare C Brown, Jennifer A Andersen, George C Pro, James P Selig, Cari A Bogulski

Abstract read
In one paragraph

Article in Maternal and child health journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

7 authors.

Don E WillisSchool of Human Environmental Sciences, Dale Bumpers College of Agricultural, Food and Life Sciences, University of Arkansas, 118 Home Economics Building, Fayetteville, AR, 72701, USA. dewillis@uark.edu.
Pearl A McElfishCollege of Medicine, University of Arkansas for Medical Sciences, Springdale, AR, USA.
Clare C BrownFay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
Jennifer A AndersenCollege of Medicine, University of Arkansas for Medical Sciences, Springdale, AR, USA.
George C ProFay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
James P SeligFay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA.
Cari A BogulskiCollege of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA.

Funding

HRSA HHS U3GRH40001Patient-Centered Outcomes Research Institute PARTNER-2023C1-31347-PS1
6 · The paper itself

Abstract

objectivesTo examine associations between virtual prenatal care utilization, social determinants of health, and stressful life events.

methodsWe analyzed cross-sectional pooled survey data (N = 11,966) from phase 8 of the Pregnancy Risk Assessment Monitoring System for women who gave birth in 2020 or 2021 and received prenatal care.

resultsA third (35%) of women utilized virtual rather than in-person-only prenatal care. Adjusted odds of receiving any virtual prenatal care were greater for women who identified as Asian (aOR = 1.23; 95% CI[1.01, 1.51]) or Hispanic (aOR = 1.61; 95% CI[1.37, 1.88]), and for those who experienced homelessness (aOR = 1.90; 95% CI[1.27, 2.84]) or job loss (aOR = 1.25; 95% CI[1.04, 1.51]). Adjusted odds were lower for women who did not have a bachelor's degree, had previously given birth, had no insurance pre-pregnancy (aOR = 0.69; 95% CI[0.56, 0.85]), were rural residents (aOR = 0.51; 95% CI[0.41, 0.63]), had been exposed to incarceration (aOR = 0.49; 95% CI[0.30, 0.79]), and had given birth in 2021 (aOR = 0.77; 95% CI[0.69, 0.86]).

conclusionsSocial determinants of health and stressful life events are not uniformly associated with greater or lesser odds of utilizing virtual prenatal care.

Indexed as

Life Change EventsPatient Acceptance of Health CarePrenatal CareSocial Determinants of HealthStress, PsychologicalAdultCross-Sectional StudiesDigital HealthFemaleHumansPregnancySurveys and QuestionnairesUnited StatesPrenatal careSocial determinantsStressVirtual care

Identifiers

PMID42560597
PMCPMC13503387

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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.