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Cited by 137Maternal and Neonatal HealthcareReproductive Health and ContraceptionGlobal Maternal and Child Health

Predictors of Compliance with the Postpartum Visit among Women Living in Healthy Start Project Areas

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Bryant, Allison S., Haas, Jennifer S., McElrath, Thomas F., McCormick, Marie C.·2006·Maternal and Child Health Journal
DOI 10.1007/s10995-006-0128-5
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Abstract

Objectives Few studies have examined factors associated with compliance with a postpartum visit (PPV). The identification of such factors is of particular importance in populations with high rates of unintended pregnancies and medical complications of pregnancy. This study seeks to determine factors associated with compliance with a PPV among low-income women in the population served by fourteen Healthy Start sites.Methods Data from the Healthy Start Survey of Postpartum Women were reviewed to identify variables associated with compliance with a PPV at or beyond 6 weeks. Multiple logistic regression models were created, based on a sociobehavioral model of health services use, to examine which types of factors (demographic, social, enabling or need) are most strongly associated with the use of a PPV.Results The study population consisted of survey respondents interviewed six weeks or more following delivery. Eighty-five percent of respondents had had a PPV at time of interview. In a multiple regression analysis, enabling factors such as multiple moves (OR (95% CI)=0.34 (0.18, 0.67)), trouble understanding the provider (OR (95% CI)=0.65 (0.43, 0.99)) and appointment reminders (OR (95% CI)=2.37 (1.40, 4.02)) were most strongly associated with a PPV.Conclusions This work finds that women with unstable housing, transportation barriers, and difficulties communicating with providers are at risk for not receiving a PPV. This suggests that access to postpartum health services in the Healthy Start communities studied may not be entirely equitable. Policies aimed at improving interconception care will need to address these barriers to accessing health services.

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Authors
Bryant, A. S., Haas, J. S., McElrath, T. F., & McCormick, M. C.
Affiliations
  • University of California, San Francisco (US)
  • Brigham and Women's Hospital (US)
  • Harvard University (US)
Corresponding author
Bryant, Allison S.
ORCID
Venue
Maternal and Child Health Journal
Publisher
Springer Science and Business Media LLC
Published
2006-06-29
Volume
10
Issue
6
Pages
511-516
ISSN
  • 1092-7875 (ISSN-L)
  • 1573-6628
DOI
10.1007/s10995-006-0128-5
OpenAlex
W2123582344
Cited by
137
References
8
Citations by year
2026: 12 · 2025: 9 · 2024: 5 · 2023: 14 · 2022: 10 · 2021: 17 · 2020: 16 · 2019: 9 · 2018: 13 · 2017: 10 · 2016: 10 · 2015: 3 · 2014: 2 · 2013: 3 · 2012: 2
FWCI
0.64
Type
journal article
Language
en
Open access
Licence
Locations
  • Maternal and Child Health Journal (publishedVersion)
  • PubMed (publishedVersion)
  • Digital Access to Scholarship at Harvard (DASH) (Harvard University) (submittedVersion, cc-by)
  • eScholarship (California Digital Library) (submittedVersion)
Topics
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
Keywords
postpartum visits, postpartum care, Healthy Start program, low-income women, health care utilization, enabling factors, housing instability, transportation barriers, appointment reminders, interconception care, health equity, postpartum women
MeSH terms
Adult, Female, Health Services Accessibility, Humans, Infant, Infant, Newborn, Maternal-Child Health Centers, Patient Compliance, Postnatal Care, Poverty, Socioeconomic Factors, United States, Health Care Surveys

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