2023-09-28 14:46:10 +00:00
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abstract: 'Objectives: Few studies have examined factors associated with compliance
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with a postpartum visit (PPV). The identification of such factors is of
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particular importance in populations with high rates of unintended
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pregnancies and medical complications of pregnancy. This study seeks to
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determine factors associated with compliance with a PPV among low-income
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women in the population served by fourteen Healthy Start sites.
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Methods: Data from the Healthy Start Survey of Postpartum Women were
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reviewed to identify variables associated with compliance with a PPV at
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or beyond 6 weeks. Multiple logistic regression models were created,
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based on a sociobehavioral model of health services use, to examine
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which types of factors (demographic, social, enabling or need) are most
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strongly associated with the use of a PPV.
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Results: The study population consisted of survey respondents
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interviewed six weeks or more following delivery. Eighty-five percent of
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respondents had had a PPV at time of interview. In a multiple regression
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analysis, enabling factors such as multiple moves (OR (95\% CI) = 0.34
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(0.18, 0.67)), trouble understanding the provider (OR (95 \% CI) = 0.65
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(0.43, 0.99)) and appointment reminders (OR (95\% CI) = 2.37 (1.40,
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4.02)) were most strongly associated with a PPV.
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Conclusions: This work finds that women with unstable housing,
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transportation barriers, and difficulties communicating with providers
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are at risk for not receiving a PPV. This suggests that access to
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postpartum health services in the Healthy Start communities studied may
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not be entirely equitable. Policies aimed at improving interconception
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care will need to address these barriers to accessing health services.'
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affiliation: 'Bryant, AS (Corresponding Author), Univ Calif San Francisco, Dept Obstet
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Gynecol \& Reprod Sci, 505 Parnassus Ave,Box 0132, San Francisco, CA 94143 USA.
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Univ Calif San Francisco, Dept Obstet Gynecol \& Reprod Sci, San Francisco, CA 94143
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USA.
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Brigham \& Womens Hosp, Div Gen Med \& Primary Care, Boston, MA 02120 USA.
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Brigham \& Womens Hosp, Div Maternal Fetal Med, Boston, MA 02115 USA.
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Harvard Univ, Sch Publ Hlth, Dept Soc Human Behav \& Hlth, Boston, MA 02115 USA.'
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author: Bryant, Allison S. and Haas, Jennifer S. and McElrath, Thomas F. and McCormick,
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Marie C.
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author-email: 'bryanta@obgyn.ucsf.edu
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jhaas@partners.org
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tmcelrath@partners.org
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mmcormi@hsph.harvard.edu'
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author_list:
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- family: Bryant
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given: Allison S.
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- family: Haas
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given: Jennifer S.
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- family: McElrath
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given: Thomas F.
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- family: McCormick
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given: Marie C.
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da: '2023-09-28'
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doi: 10.1007/s10995-006-0128-5
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eissn: 1573-6628
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files: []
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issn: 1092-7875
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journal: MATERNAL AND CHILD HEALTH JOURNAL
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keywords: postpartum visit; compliance; health services
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language: English
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month: NOV
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number: '6'
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number-of-cited-references: '9'
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orcid-numbers: 'HAAS, JENNIFER/0000-0001-7227-851X
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McCormmick, Marie/0000-0002-3938-1707'
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pages: 511-516
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papis_id: 0bc7b4131fa28bcf434bfae84dbd8165
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ref: Bryant2006predictorscompliance
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times-cited: '90'
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title: Predictors of compliance with the postpartum visit among women living in healthy
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start project areas
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2023-10-01 08:15:07 +00:00
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type: article
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2023-09-28 14:46:10 +00:00
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unique-id: WOS:000243112500006
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usage-count-last-180-days: '0'
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usage-count-since-2013: '3'
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volume: '10'
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web-of-science-categories: Public, Environmental \& Occupational Health
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year: '2006'
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