Barriers to prenatal care in low-income women
Dr. Lynne P. Lewallen, RN, PhD
- Sigma Affiliation
- Gamma Zeta
Visits vs Downloads
Visitors - World Map
Top Visiting Countries
Top Visiting Cities
Visits (last 6 months)
Downloads (last 6 months)
Popular Works for Lewallen, Lynne Porter by View
Popular Works for Lewallen, Lynne Porter by Download
The purposes of this study were to: investigate barriers to prenatal care, both structural and psychosocial; test the Pender Health Promotion Model and the Triandis Model of Social Behavior to determine their effectiveness in predicting utilization of prenatal care; and document behaviors women perform during pregnancy to stay healthy. The sample consisted of 207 low-income pregnant women recruited from a public clinic at their first prenatal visit. The Pender Model was operationalized with the following instruments: the Laffrey Health Conception Scale, Wellness Subscale; the Multidimensional Health Locus of Control Scale, Form A, Internal Subscale; the Krondak Barriers and Benefits to Prenatal Care Scale; the Personal Competence Scale; the Value Survey; a single item measuring perceived health status; and researcher-developed scales measuring interpersonal factors, behavioral factors, situational factors, and demographic factors. The Triandis Model was operationalized by researcher-developed scales measuring the following constructs: behavioral intention, affect, facilitating conditions, norms, self-concept, role perceptions, habit, and perceived consequences. Utilization of prenatal care was measured using Kotelchuck's Adequacy of Prenatal Care Utilization Index. In addition, two open-ended questions regarding the woman's healthy behaviors practiced during pregnancy and her sources of health information were asked. Path analysis was used in model testing. The Pender model was significant in the prediction of prenatal care adequacy (p $<$.02, R2 =.05), with only the concept of perceived benefits as a significant predictor (B = $-$.212). The Triandis model was significant (p $<$.0002, R2 =.09), with behavioral intention (B = $-$.188) and facilitating conditions (B = $-$.205) as significant predictors. Concepts in the Triandis model predicted 40% of the variance in behavioral intention to obtain prenatal care, but intention did not predict prenatal care utilization. Responses to open-ended questions identified food-related behaviors as the most common health behavior in pregnancy, and family members as the most common source of information about healthy behaviors in pregnancy. What motivates women to use prenatal care remains unclear. Personal, cultural, and environmental factors should be included in proposed models to predict prenatal care utilization.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9538432; ProQuest document ID: 304229137. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
|Review Type||None: Degree-based Submission|
|Research Approach||Mixed/Multi Method Research|
|Keywords||Pregnant Women's Care;
|CINAHL Subject(s)||Prenatal Care;
Health Services Accessibility;
Health Services Accessibility--Evaluation;
Pender Health Promotion Model
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Showing items related by title, author, creator and subjects.
McKeever, Amy (2017-07-27)The purpose of this presentation is to discuss the findings of a qualitative descriptive study exploring the perinatal experiences of low-income urban women with regarding their experience with prenatal care and prenatal ...
Accessing prenatal and perinatal health care services: Experiences of first generation Latina immigrants in a rural west Tennessee county Burchum, Jacqueline RosenjackBetween 1990 and 2000, there was a substantial immigration of people of Latino heritage to the United States. Tennessee, with an increase in Latino residents of 278.2%, had the fourth largest percentage Latino population ...
An interprofessional service-learning experience with low-income elders: Use of a near-peer teaching strategy Avallone, Margaret A.; Cantwell, E. Renee; Pacetti, StaciThis session describes a unique interprofessional service-learning experience for Accelerated Baccalaureate Student (ABS) nurses. Using a near-peer teaching strategy, fourth-semester students mentored second-semester ...
An ecological approach to understanding health promoting behaviors of children from low-income families: A multi-level analysis Park, Jiyoung; Kang, Chulhee; Lee, Tae Wha; Nam, Chung-Mo; Lee, Ja-yin; Kim, Hee Soon; Lee, Hyeonkyeong (2014-11-17)Session presented on Sunday, July 27, 2014: Purpose: 'Health disparity' is becoming a serious issue worldwide. The practice of health promoting behaviors (HPB) among childhood is influenced not only by individual factors ...
Walker, Deborah SueWhile the current prenatal visit schedule is widely accepted as providing the highest quality prenatal care and followed by health care practitioners in this country and abroad, it is not based on sound scientific evidence. ...