Beyond the First Trimester
Social Determinants of Delayed Prenatal Care at a Community Health Center Using the PRAPARE Tool
Bibliographic Data
| ID | 2073367 |
|---|---|
| Authors | Abbie Page (Agricultural Research Service, corresponding author), Rebecca Mccann (0009-0000-7713-1162, University of Arkansas at Fayetteville), Sarah B Mane (0000-0003-0757-7972, East Carolina University), Sarah Mane, Maya Merriweather (Indiana University – Purdue University Indianapolis), Page D Dobbs (0000-0003-1913-6488, University of Arkansas at Fayetteville) |
| Year | 2025 |
| Volume | 12 |
| Issue | 4 |
| Pages | 2312-2319 |
| Publication date | 2025-08-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Journal of Racial and Ethnic Health Disparities (JOURNAL) |
| Journal identifiers | ISSN: 2196-8837 • E-ISSN: 2197-3792 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1007/s40615-024-02052-7 |
| PMID | 38935333 |
| OpenAlex | W4400083205 |
| Language | EN |
| References cited | 26 |
Social determinants of health have been used to explore associations with pregnancy outcomes and the birth weight of infants; however, research employing individually based social risk measures has not examined associations among underserved populations, including pregnant persons at community health centers. Data were collected from a sample (n = 345) of pregnant persons who sought care at a community health center between January 2019 and December 2020. Social risks of pregnant patients were measured using the PRAPARE tool. First, associations between patients' social risks and trimester in which they initiated care were assessed using ANOVAs, grouping social risk by PRAPARE social determinant domains (persona characteristics, family and home, money and resources, and social and emotional health). ANOVAs were stratified by ethnicity. Next, a multivariate logistic regression examined associations between social measures and seeking care after the first trimester. Patients who sought care in the first trimester reported more financial needs than those who sought care in the second (p = .02) or the third (p = .049). Hispanic patients who sought care in the first trimester reported more monetary needs than those who sought care in the second trimester (p = .048), and non-Hispanic patients who sought care in the first trimester reported greater family and home needs than those who sought care in the second trimester (p = .47). Those who experienced stress were 3.07 times as likely to seek care after the first trimester as those who reported no stress. CHC may reduce social risk among poor and underserved communities by reducing barriers to access to care
Community health center · Environmental health · Ethnic group · Family medicine · Health care · Logistic regression · Population · Pregnancy · Prenatal care · Demography · Global Maternal and Child Health · Health disparities and outcomes · Maternal Mental Health During Pregnancy and Postpartum · Medicine · Epidemiology · Gerontology · Internal Medicine
Health Care Spending in the United States and Other High-Income Countries
Resilience, stress and anxiety in pregnancy before and throughout the pandemic
Operational efficiency, patient composition and regional context of U.S. health centers
Using the PRAPARE Tool to Examine Those Tested and Testing Positive for Covid-19 at a Community Health Center
Predictors of preterm birth and low birth weight
Social Risk of Pregnant Women at a Community Health Center
Pregnancy-Specific Stress and Racial Discrimination Among U.S. Women
Infant mortality rate as an indicator of population health
Social Determinants of Health and Health Disparities
| Citation velocity | historical |
|---|---|
| Highly cited | No |