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.'
affiliation: 'Bryant, AS (Corresponding Author), Univ Calif San Francisco, Dept Obstet
  Gynecol \& Reprod Sci, 505 Parnassus Ave,Box 0132, San Francisco, CA 94143 USA.

  Univ Calif San Francisco, Dept Obstet Gynecol \& Reprod Sci, San Francisco, CA 94143
  USA.

  Brigham \& Womens Hosp, Div Gen Med \& Primary Care, Boston, MA 02120 USA.

  Brigham \& Womens Hosp, Div Maternal Fetal Med, Boston, MA 02115 USA.

  Harvard Univ, Sch Publ Hlth, Dept Soc Human Behav \& Hlth, Boston, MA 02115 USA.'
author: Bryant, Allison S. and Haas, Jennifer S. and McElrath, Thomas F. and McCormick,
  Marie C.
author-email: 'bryanta@obgyn.ucsf.edu

  jhaas@partners.org

  tmcelrath@partners.org

  mmcormi@hsph.harvard.edu'
author_list:
- family: Bryant
  given: Allison S.
- family: Haas
  given: Jennifer S.
- family: McElrath
  given: Thomas F.
- family: McCormick
  given: Marie C.
da: '2023-09-28'
doi: 10.1007/s10995-006-0128-5
eissn: 1573-6628
files: []
issn: 1092-7875
journal: MATERNAL AND CHILD HEALTH JOURNAL
keywords: postpartum visit; compliance; health services
language: English
month: NOV
number: '6'
number-of-cited-references: '9'
orcid-numbers: 'HAAS, JENNIFER/0000-0001-7227-851X

  McCormmick, Marie/0000-0002-3938-1707'
pages: 511-516
papis_id: 0bc7b4131fa28bcf434bfae84dbd8165
ref: Bryant2006predictorscompliance
times-cited: '90'
title: Predictors of compliance with the postpartum visit among women living in healthy
  start project areas
type: article
unique-id: WOS:000243112500006
usage-count-last-180-days: '0'
usage-count-since-2013: '3'
volume: '10'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2006'