Abstract:
:African American infants die at higher rates and are at greater risk of adverse birth outcomes than White infants in Milwaukee. Though self-reported experiences of racism have been linked to adverse health outcomes, limited research exists on the impact of racism on women's prenatal care experiences. The purpose of this study was to examine the experiences of racial discrimination during prenatal care from the perspectives of African American women in a low income Milwaukee neighborhood. Transcripts from six focus groups with twenty-nine women and two individual interviews were analyzed to identify important emergent themes. Validity was maintained using an audit trail, peer debriefing, and two individual member validation sessions. Participants identified three areas of perceived discrimination based on: (1) insurance or income status, (2) race, and (3) lifetime experiences of racial discrimination. Women described being treated differently by support staff and providers based on type of insurance (public versus private), including perceiving a lower quality of care at clinics that accepted public insurance. While some described personally-mediated racism, the majority of women described experiences that fit within a definition of institutionalized racism-in which the system was designed in a way that worked against their attempts to get quality prenatal care. Women also described lifetime experiences of racial discrimination. Our findings suggest that African American women with limited incomes perceive many provider practices and personal interactions during prenatal care as discriminatory. Future studies could explore the relationship between perceptions of discrimination and utilization of prenatal care.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Salm Ward TC,Mazul M,Ngui EM,Bridgewater FD,Harley AEdoi
10.1007/s10995-012-1194-5subject
Has Abstractpub_date
2013-12-01 00:00:00pages
1753-9issue
10eissn
1092-7875issn
1573-6628journal_volume
17pub_type
杂志文章abstract::Objectives In order to reduce infant mortality in Indonesia, community case management (CCM) was introduced. CCM is a community-based service delivery model to improve children's wellness and longevity, involving the delivery of lifesaving, curative interventions to address common childhood illnesses, particularly whe...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2149-z
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:Depression profoundly impairs psychosocial functioning. Depression can have disruptive effects on a person's family, with significant impact on the psychosocial development of the children. Recent research suggests that a mother's depressive symptoms may increase parenting stress and that parenting stress may...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/b:maci.0000037646.01017.b9
更新日期:2004-09-01 00:00:00
abstract:OBJECTIVES:To understand the similarities, differences, and relationships between three tools for performance and capacity assessment currently available for Maternal and Child Health (MCH) programs and for state and local health agencies. METHODS:Three tools for performance and capacity assessment currently available...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1015468308649
更新日期:2002-06-01 00:00:00
abstract::The objective of this study is to determine prevention strategies for potentially serious injury events among children younger than 3 years of age based upon circumstances surrounding injury events. Surveillance was conducted on all injuries to District of Columbia (DC) residents less than 3 years old that resulted in...
journal_title:Maternal and child health journal
pub_type: 杂志文章,多中心研究
doi:10.1007/s10995-011-0857-y
更新日期:2011-12-01 00:00:00
abstract::In the United States (US), a parent's health insurance status affects their children's access to health care making it critically important to examine trends in coverage for both children and parents. To gain a better understanding of these health insurance trends, we assessed the coverage status for both children and...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1142-4
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:To determine factors contributing to state infant mortality rates (IMR) and develop an adjusted IMR in the United States for 2001 and 2002. DESIGN/METHODS:Ecologic study of factors contributing to state IMR. State IMR for 2001 and 2002 were obtained from the United States linked death and birth certificate d...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0358-9
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:Previous work is conflicted regarding the relationship between motor skill development and physical activity. One potential explanation for this equivocality is the difficulty and lack of precision in physical activity measurement, particularly within preschool populations. Our exploration of plank performanc...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-019-02753-0
更新日期:2019-08-01 00:00:00
abstract::Introduction There is limited research on the relation between weight misperceptions and health-related quality of life (HRQoL) among U.S. adolescents. Methods Baseline data (n = 1509) collected in 2012 from the Team Up for Healthy Living project were used. Measures included BMI percentiles calculated from measured he...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2106-x
更新日期:2017-01-01 00:00:00
abstract::Given the unprecedented operational tempo of the Afghanistan and Iraq wars and the heavy involvement of the Reserve and National Guard, the stress that military families are exposed to is distinct from stress in earlier conflicts, with little empirical data to inform the impact on non-deployed military caregivers or "...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0772-2
更新日期:2012-02-01 00:00:00
abstract::Background Prevention of mother to child transmission of HIV (PMTCT) services are critical to achieve national and global targets of 90% antiretroviral therapy (ART) coverage in PMTCT, and mother to child transmission rates less than 5%. In 2012, Kenya adopted WHO's recommended ART regimen for PMTCT "Option B+". Aims ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2612-0
更新日期:2018-12-01 00:00:00
abstract:PURPOSE:Two local health departments (LHDs) in Washington State, Spokane Regional Health District and Clark County Public Health, are transitioning their Maternal and Child Health (MCH) services from an individual-focused (mother-child dyads/family) home visiting model to a population-focused, place-based model. This p...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1756-4
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVE:To identify maternal characteristics associated with 24-month postpartum weight retention. METHODS:Data were collected from the 2016 Los Angeles Mommy and Baby (LAMB) Follow-Up Survey, a population-based prospective cohort study that assesses maternal and infant health in Los Angeles County. In 2014, LAMB in...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-03082-3
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVES:Current pregnancy weight gain recommendations are for women to gain between 15 and 40 pounds; weight loss or weight maintenance is not recommended. However, for many women, overweight and obesity are chronic conditions, and commitment to weight loss or maintenance could override advice to gain weight during ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0349-x
更新日期:2009-03-01 00:00:00
abstract:OBJECTIVES:To determine if the quality of prenatal care predicts skilled institutional delivery, a primary means of reducing maternal mortality. METHODS:The probability of skilled institutional delivery is predicted among 4173 rural low-income women of reproductive age in seven Mexican states, as a function of materna...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-006-0079-x
更新日期:2006-09-01 00:00:00
abstract::To describe and evaluate recruitment techniques used to enroll 152 healthy pregnant women fewer than 15 weeks gestation into a prospective study of environmental chemical exposure during pregnancy. Posters, a website, online and print advertising, recruitment emails, media coverage, recruitment from clinic waiting roo...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0739-8
更新日期:2012-02-01 00:00:00
abstract:OBJECTIVES:While the validity of self-reported smoking habits is generally judged as satisfactory, objective markers of secondhand smoke (SHS) exposure may be more useful in validating the causal links between prenatal SHS and health effects. The cohort study in Krakow provided an opportunity for comparative assessment...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0350-4
更新日期:2009-05-01 00:00:00
abstract::Poor birth outcomes are associated with illicit drug use during pregnancy. While prenatal cigarette exposure has similar effects, cessation of illicit drug use during pregnancy is often prioritized over cessation of smoking. The study goal was to examine the impact of pregnancy tobacco use, relative to use of illicit ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0776-y
更新日期:2012-02-01 00:00:00
abstract::Our exploratory study examined rural-urban differences in dental care utilization during early childhood among Medicaid-enrolled children aged younger than 4 years in South Carolina. We conducted a secondary data analysis using Medicaid data. Dependent variables included preventive dental visits, use of medical settin...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0725-1
更新日期:2012-01-01 00:00:00
abstract:OBJECTIVES:Increasingly, the public and private sectors are turning to "service integration" efforts to reduce, if not eliminate, barriers to needed care created by categorical programs. In 1991, the Robert Wood Johnson Foundation established a new national demonstration project, called the Child Health Initiative, int...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1022374728615
更新日期:1997-12-01 00:00:00
abstract::Background While there is considerable variability with respect to attendance at the postpartum visit, not much is known about women's preferences with respect to postpartum care. Likewise, there is also limited information on providers' practices regarding the postpartum visit and care including the delivery of contr...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2044-7
更新日期:2016-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the accuracy of computer-matched records for maternal and child health epidemiologic investigations. METHODS:Using Automatch probabilistic record linkage software, we linked electronic records in Georgia for the 2001 Medicaid paid delivery claims and infant deaths of the 2001 birth cohort to 2001...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0377-6
更新日期:2009-07-01 00:00:00
abstract::Objectives Physical activity patterns can track from childhood into adulthood; therefore, establishing active behaviors early is imperative. Given the multidimensional nature of a mother's influence on their children, there is a need to utilize more comprehensive measures to assess the relationship between mother and ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2474-5
更新日期:2018-07-01 00:00:00
abstract::Giving birth remains a dangerous endeavour for many of the world's women. Progress to improve this has been slow in sub-Saharan Africa. The second delay, where transport infrastructure is key in allowing a woman to reach care, has been a relatively neglected field of study. Six eRanger motorbike ambulances, specifical...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1086-8
更新日期:2013-08-01 00:00:00
abstract::Objectives Sleep problems and deprivation are common during pregnancy, particularly in the third trimester. Previous studies are mostly descriptive or focused on specific clinical groups and late pregnancy. We aimed to identify sleep duration trajectories during the pregnancy period, their associated factors, and impa...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2212-9
更新日期:2017-05-01 00:00:00
abstract:OBJECTIVE:To review the scientific evidence for prenatal programming of childhood overweight and obesity, and discuss its implications for MCH research, practice, and policy. METHODS:A systematic review of observational studies examining the relationship between prenatal exposures and childhood overweight and obesity ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-006-0141-8
更新日期:2007-09-01 00:00:00
abstract::Objectives To determine whether affluent-born White mother's descending neighborhood income is associated with infant mortality rates (< 365 day, IMR). Methods Stratified and multilevel logistic regression analyses were completed on the Illinois transgenerational dataset of singleton births (1989-1991) to non-Latina W...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2544-8
更新日期:2018-10-01 00:00:00
abstract::The gestational weight gain (GWG) guidelines of the Institute of Medicine (IOM) aim to optimize birth outcomes and reduce pregnancy complications. The GWG guidelines are set based on the prepregnancy weight status and optimal weight gain at different trimesters of pregnancy. Dietary references intakes (DRIs) of the IO...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1383-x
更新日期:2014-08-01 00:00:00
abstract::The article discusses Arizona's strategic implementation and evaluation of the first time motherhood initiative grant (FTMI) to understand preconception health among African American men and women in Arizona. Longitudinal focus groups assessed whether African American men and women in the targeted areas comprehended a...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1206-5
更新日期:2013-12-01 00:00:00
abstract::The purpose of this study is to evaluate the effectiveness of a single session intervention designed to reduce emotional distress in first-time mothers. We held a parenting class for first-time mothers who had given birth at a university hospital in Tokyo, Japan. The program of the class consists of lectures on infant...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1088-6
更新日期:2013-08-01 00:00:00
abstract:OBJECTIVE:To evaluate the association between maternal reproductive history and preterm delivery. METHODS:The 312 preterm delivery cases, studied in aggregate, and in subgroups (spontaneous preterm labor, preterm premature rupture of membranes, medically induced preterm delivery, moderate preterm delivery [gestational...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1023/a:1022593601948
更新日期:2003-03-01 00:00:00