scholarly journals 1356. Association Between Marital Status and Pre-pregnancy STI Counseling Among Women Who Have Recently Given Birth: RI PRAMS 2016-2018

2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S764-S765
Author(s):  
Eun Ji Jang ◽  
Annie Gjelsvik ◽  
Siraj Amanullah
Keyword(s):  
Health Care ◽  
Marital Status ◽  
Live Birth ◽  
Health Care Providers ◽  
Missing Values ◽  
College Education ◽  
Married Women ◽  
Reproductive Age ◽  
Care Providers ◽  
Previous Live Birth

Abstract Background As rates of sexually transmitted infections (STIs) continue to rise, all women of reproductive age can suffer from complications particularly during pregnancy which can lead to adverse neonatal outcomes. Currently, data on STI counseling among married women are limited. This study aims to assess differences in pre-pregnancy STI counseling based on marital status among women who have recently given birth. Methods We utilized the Rhode Island Pregnancy Risk Assessment Monitoring System (RI PRAMS) 2016-2018, a population-based survey of postpartum women. Mothers self-reported if they have received STI counseling for chlamydia, gonorrhea, and syphilis during any health care visit in the 12 months before becoming pregnant. Marital status was obtained from the birth certificate. Multivariable logistic regression analysis was performed adjusting for age, race, Hispanic ethnicity, education, insurance, income, and previous live birth. We accounted for weighting and complex survey design. Results Our analytic sample included 2,361 mothers. More than half of the women reported never having received pre-pregnancy STI counseling about the 3 most reported and curable STIs in the US. Among them, an estimated 78.9% (n=1,207) of married women did not receive pre-pregnancy STI counseling compared to 53.6% (n=429) of unmarried women (Table 1). Married women had 0.61 (95% CI: 0.46, 0.81) odds of receiving STI counseling before pregnancy compared to unmarried women (Figure 1). Other risk factors for not receiving STI counseling included having a college education or higher or having a previous live birth. Table 1. Characteristics of Women who have Recently Given Birth by Marital Status, RI PRAMS 2016-2018 (n=2,361) *Unknown/missing values for each category <10%.**Uninsured population <1% Figure 1: Adjusted Odds of Having Received Pre-pregnancy STI Counseling among Recent Mothers, RI PRAMS 2016-2018 (n=2,361) *P-value <0.05Reference Group; Marital Status: unmarried, Age: < 25 years old, Race: White, Hispanic: Non-Hispanic, Education: High school degree or less, Insurance: Public insurance, Income: < &24,000, Previous live birth: No previous live birth Conclusion Selective STI counseling creates gaps and missed opportunities to address STIs early before pregnancy. All women regardless of their perceived risk for STI or assumptions based on their marital status should receive proper STI counseling as all women are vulnerable and at higher risk of developing complications. Health care providers should increase efforts to address this gap and counsel all women about STIs during every visit irrespective of their marital status. Disclosures All Authors: No reported disclosures

scholarly journals Perceptions about preconception care among health care providers in Ibadan, southwest Nigeria - A qualitative study

2019 ◽  
Author(s):  
Oludoyinmola Omobolade Ojifinni ◽  
Latifat Ibisomi
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Providers ◽  
Pregnancy Outcomes ◽  
Preconception Care ◽  
Reproductive Age ◽  
Care Seeking ◽  
Care Providers ◽  
Medical Problems ◽  
Potential Benefits

Abstract Background: Preconception care (PCC) is a recognised strategy for optimising maternal health and improving maternal and neonatal outcomes. Research has shown that PCC services are minimally available and yet to be fully integrated into maternal health services in Nigeria. This study explored the perceptions about PCC services among health care providers in Ibadan, Nigeria. Methods: This was a case study research among 26 health care providers – 16 specialist physicians and nine nurses covering 10 specialties: Obstetrics/Gynaecology, Cardiology, Endocrinology among others at the primary, secondary and tertiary health care levels. In-depth interviews were digitally recorded, transcribed verbatim and analysed on MAXQDA using thematic analysis. Results: Six main themes were identified from the data – scope of PCC, people who require PCC, where PCC services can be provided, acceptability of PCC services, relevance of PCC to different specialties including gynaecologists, cardiologists, nephrologists, psychiatrists and possible benefits of PCC. PCC was viewed as care for women, men and couples before pregnancy to optimise health status and ensure positive pregnancy outcomes. Almost all participants stated that PCC services should be offered at all three levels of health care with referral when needed from the lower to higher levels. The prevailing opinion on the circumstances when PCC is required was that although all people of reproductive age would benefit, those who had medical problems such as hypertension, sickle cell disease, diabetes and infertility would benefit more. Participants opined that delayed health care seeking observed in the community may influence acceptability of PCC especially for people without known pre-existing conditions. All specialist physicians identified the relevance of PCC to their practice and identified potential benefits of PCC. The potential benefits outlined included opportunity to plan and prepare for pregnancy to ensure positive pregnancy outcomes. Conclusion: Preconception care is perceived as being more important for promoting positive pregnancy outcomes in people with known medical problems and is relevant to different specialities of medical practice. Provision of the service will however require establishment of guidelines and its uptake will depend on acceptability to people with known medical problems who will benefit from the service.

scholarly journals Determinants of rural-urban differences in health care provider visits among women of reproductive age in the United States

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0240700
Author(s):  
Hyunjung Lee ◽  
Ashley H. Hirai ◽  
Ching-Ching Claire Lin ◽  
John E. Snyder
Keyword(s):  
Health Care ◽  
Women’S Health ◽  
Women's Health ◽  
Health Care Providers ◽  
Rural Women ◽  
Reproductive Age ◽  
County Level ◽  
Care Providers ◽  
Provider Type ◽  
Women Of Reproductive Age

Background Rural health disparities and access gaps may contribute to higher maternal and infant morbidity and mortality. Understanding and addressing access barriers for specialty women’s health services is important in mitigating risks for adverse childbirth events. The objective of this study was to investigate rural-urban differences in health care access for women of reproductive age by examining differences in past-year provider visit rates by provider type, and quantifying the contributing factors to these findings. Methods and findings Using a nationally-representative sample of reproductive age women (n = 37,026) from the Medical Expenditure Panel Survey (2010–2015) linked to the Area Health Resource File, rural-urban differences in past-year office visit rates with health care providers were examined. Blinder-Oaxaca decomposition analysis quantified the portion of disparities explained by individual- and county-level sociodemographic and provider supply characteristics. Overall, there were no rural-urban differences in past-year visits with women’s health providers collectively (65.0% vs 62.4%), however differences were observed by provider type. Rural women had lower past-year obstetrician-gynecologist (OB-GYN) visit rates than urban women (23.3% vs. 26.6%), and higher visit rates with family medicine physicians (24.3% vs. 20.9%) and nurse practitioners/physician assistants (NPs/PAs) (24.6% vs. 16.1%). Lower OB-GYN availability in rural versus urban counties (6.1 vs. 13.7 providers/100,000 population) explained most of the rural disadvantage in OB-GYN visit rates (83.8%), and much of the higher family physician (80.9%) and NP/PA (50.1%) visit rates. Other individual- and county-level characteristics had smaller effects on rural-urban differences. Conclusion Although there were no overall rural-urban differences in past-year visit rates, the lower OB-GYN availability in rural areas appears to affect the types of health care providers seen by women. Whether rural women are receiving adequate specialized women’s health care services, while seeing a different cadre of providers, warrants further investigation and has particular relevance for women experiencing high-risk pregnancies and deliveries.

Reproductive health and pregnancy experiences of women with spina bifida: A qualitative study

2021 ◽  
pp. 1-12
Author(s):  
Asia L. van Buuren ◽  
Susan E. O’rinn ◽  
Hayley Lipworth ◽  
Paige Church ◽  
Anne Berndl
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Spina Bifida ◽  
Health Care Providers ◽  
Structured Interview ◽  
Reproductive Age ◽  
Care Providers ◽  
Care Needs ◽  
Health Experiences ◽  
Experiences Of Women

PURPOSE: Despite an increasing number of individuals with spina bifida reaching reproductive age, there has been a paucity of research into their reproductive health care needs. The objective of this study was to better understand the reproductive health experiences of self-identified women with spina bifida using qualitative methodology. METHODS: A phenomenological study design was used to address this objective. Women with spina bifida identified their interest in participating in a semi-structured interview after completing an online reproductive health survey. Interviews were recorded and transcribed verbatim. Qualitative analysis followed a phenomenological approach using Dedoose software. RESULTS: Twelve self-identified women with spina bifida participated. They described experiences in four domains: sexual education, pregnancy, labor and delivery, and postpartum. In addition, an intersecting domain of social justice and advocacy emerged. Numerous themes are described, including a lack of tailored sexual health information, impact of pregnancy on function, attitudes towards delivery method, and parenting challenges. CONCLUSION: This study explored the continuum of reproductive health experiences of women with spina bifida. They face unique reproductive health challenges that provide an opportunity for health care providers to offer more holistic care.

Abstract P531: Immigrants Prioritize Language Over Geography When Accessing Health Care

Circulation ◽  
2020 ◽  
Vol 141 (Suppl_1) ◽  
Author(s):  
Rienna Russo ◽  
Simona Kwon ◽  
Jennifer Tsui ◽  
Stella S Yi
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
College Education ◽  
Health Care Facilities ◽  
Ethnic Enclaves ◽  
Immigrant Communities ◽  
Care Providers ◽  
Available N ◽  
Language Services ◽  
Health Related

Introduction: Nationally, New York City (NYC) has one of the largest immigrant populations and highest gentrification rates. Satellite ethnic enclaves are increasingly prevalent as residents relocate to more affordable neighborhoods. Ethnic immigrant communities already face unique challenges to accessing health care, including linguistic and cultural discordance regarding health-related beliefs and norms. Residence outside of ethnic enclaves may further hinder health care utilization, as culturally appropriate services may become less accessible. Characterization of immigrants visiting doctors’ offices within and outside of ethnic enclaves may inform efforts to retain these populations in care. Hypothesis: We compared immigrants accessing health care within major ethnic enclaves to immigrants accessing care elsewhere to ascertain differences in 1) demographic characteristics; 2) reasons for choosing health care facilities; and 3) distances traveled for health care. Methods: Data were from the 2018 Examining Norms and Behaviors Linked to Eating (ENABLE) Pilot Study. Chinese American participants were recruited using venue-based and snowball sampling methods, with assistance from NYC community-based organizations. Surveys included detailed questions on demographics and health-related factors. Participants were included in the analysis if doctor’s office and home zip code data were available (n=143). Data were analyzed using RStudio v.1.2.5 and STATA v.15.0. Results: The majority of participants saw a Chinatown-based doctor (64%; 92 of 143); and were not Chinatown residents (81%; 116 of 143). A greater number of individuals who saw Chinatown-based doctor had less than a college education; were living with food insecurity; were on public insurance; and were less acculturated. Individuals accessing care in Chinatown prioritized doctor’s offices where doctors and medical staff spoke their language more so than individuals accessing care elsewhere. Overall, people who saw a Chinatown-based doctor traveled significantly further (β=1.51 miles [approximately 15 minutes via subway]; 95% CI 0.25, 2.77). Of people who saw a Chinatown-based doctor, 75% (69 of 92) were not Chinatown residents. On average, these individuals traveled 5.14 miles (SD=3.38) to the doctor. Conclusion: In conclusion, there is a need to expand in-language services for immigrant communities. Immigrants visiting doctors in ethnic enclaves are demographically different and travel further distances for health care. Accessing in language services is a priority for these individuals. Immigrants may prioritize language access over geographic access when choosing their health care providers. Strategies to strengthen community-clinical linkages, including connecting community members with bilingual community health workers, may increase healthcare access of under-served, ethnic populations.

Have the Health Care Professionals Needed Training Competencies to Educate Their Clients?

2016 ◽  
Vol 8 (11) ◽  
pp. 160
Author(s):  
Saman Saber ◽  
Azizollah Arbabisarjou ◽  
Massoud Zare ◽  
Toktam Kianian
Keyword(s):  
Health Care ◽  
Marital Status ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Employment Status ◽  
Individual Characteristics ◽  
Work Place ◽  
Care Providers ◽  
Training Performance ◽  
Significant Difference

<p><strong>INTRODUCTION: </strong>Health care professional are the first and most important level of health care providers that their training competencies determines the health of society. This study aimed to determine the training competencies of health care professionals for training the clients.</p><p><strong>MATERIALS &amp; METHODS: </strong>This is a descriptive cross sectional study conducted in Mashhad’s health care centers in 2013 using probability stratified cluster sampling technique. A total of 250 heath care professionals in the departments of vaccination, mothers and children care, disease fighting, midwifery and environmental health participated in the study. The research instrument was a check list to observe the training performance of the health care professionals.  Its validity confirmed by the content validity. Its reliability  calculated through inter-rater agreement with a correlation coefficient (r=0.70).The data were analyzed using descriptive statistics and analytical tests including Pearson correlation test, independent sample T-test, ANOVA, and Chi square.</p><p><strong>RESULTS:</strong> The results showed that most health care professionals (66.4%) had the proper training competencies in client education.  Training competencies were dependent on individual characteristics such as marital status, work place, employment status, age, experience, and history of participation in different training health workshops. The results showed that the training competencies of 166 workers (66.4%) were at good and acceptable level (13.21±1.79). There was a significant difference between training competencies of the health care professionals and their individual characteristics such as marital status, work place, employment status, and the experience of participating in training workshops (p&lt;0.05).</p><p><strong>CONCLUSION: </strong>Based on the results, although the training competencies  of health care professionals  is an appropriate level, but with considering of this importance for training competencies in promotion of community health, it is necessitate to take actions to upgrade them to excellence level. Appropriate training performance is the most important strategy in preliminary health care. In the present study, the training competencies of the health care professionals and the factors influencing them were determined. Planning for promoting both training and assessment of the health care professionals apart from their general performances is vital.</p>

scholarly journals Perceptions about preconception care among health care providers in Ibadan, southwest Nigeria - A qualitative study

2019 ◽  
Author(s):  
Oludoyinmola Omobolade Ojifinni ◽  
Latifat Ibisomi
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Providers ◽  
Pregnancy Outcomes ◽  
Preconception Care ◽  
Reproductive Age ◽  
Care Providers ◽  
Medical Problems ◽  
Care Services ◽  
Potential Benefits

Abstract Background Preconception care (PCC) is a recognised strategy for optimising maternal health and improving maternal and neonatal outcomes. Research has however shown that preconception care services are not routinely provided as part of maternal health services in Nigeria. This study explored the perceptions about preconception care services among health care workers in Ibadan, Nigeria.Methods This was a qualitative descriptive study involving 25 in-depth interviews among 16 specialist physicians and nine nurses covering 10 specialties: Obstetrics/Gynaecology, Cardiology, Endocrinology among others at the primary, secondary and tertiary health care levels. Interviews were digitally recorded, transcribed verbatim and analysed on MAXQDA using thematic analysis.Results Six main themes were identified from the data – what PCC is, people who require PCC, where PCC services can be provided, acceptability of PCC services, the relevance of PCC to different specialties including gynaecologists, cardiologists, nephrologists, psychiatrists and the possible benefits of PCC. PCC was viewed as care for women, men and couples before pregnancy to optimise health status and ensure positive pregnancy outcomes. Almost all the participants stated that PCC services should be offered at all three levels of health care with referral when needed from the lower to higher levels. The prevailing opinion on the circumstances when PCC is required was that although all people of reproductive age would benefit, those who had medical problems such as hypertension, sickle cell disease, diabetes and infertility would benefit more. Acceptance and use of PCC services could however be hindered by the attitude of potential clients especially for those without any known pre-existing condition who may not use the service even if they were aware of its existence. All specialist physicians identified the relevance of PCC to their practice and identified potential benefits of PCC. The potential benefits outlined included opportunity to plan and prepare for pregnancy to ensure positive pregnancy outcomes.Conclusion Preconception care is important for positive pregnancy outcomes in people with known medical problems and is relevant to different specialities of medical practice. Its uptake will however depend on its acceptability to the people who will benefit from the service.

scholarly journals 702To determine socio-demographic corelates of reproductive tract infection amongst women of reproductive age group

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Anmol Gupta
Keyword(s):  
Health Care ◽  
Tract Infection ◽  
Health Care Providers ◽  
Reproductive Tract ◽  
Health Workers ◽  
Public Health Problem ◽  
Reproductive Age ◽  
Care Providers ◽  
Transmitted Infection ◽  
Reproductive Tract Infection

Abstract Background Reproductive tract infection (RTI) is a public health problem, in developing countries like India. The associated odium with it is a stumbling block in seeking health care. So, our aim was to studyprevalence of RTI symptoms and its socio-demographic corelates. Methods A cross-sectional study was undertaken in the rural field practice area of Department of Community Medicine, Indira Gandhi Medical College, Shimla, Himachal Pradesh, India, from July 2018 to June 2019. Total sample size calculated was 410. Random sampling was used to select eligible couple to whom a predesigned, pretested, semi-structured and anonymousinterview schedule was administered after taking consent. Results The prevalence of self-reported RTI’swas found to be 41.2%.It was more in lower socio-economic classes, and was statistically significant. Other socio-demographic corelates (age, education, occupation) did not showed any significant association. Conclusions RTI infections were more prevalent among multigravida women and those using cloth during menstrual periods. RTIs are usually spurned by women and even the health care providers, so there is a need to give due consideration to this aspect of reproductive health. Key messages The relevant and robust data on RTI’s, may be secured by capacity building of health workers. An exemplary drug supply system may be ensured, so that the RTI kits are available at government health institutions. An introduction of affordable point-of-care tests for sexually transmitted infection may be done, as recommended in the WHO Global Health Sector Strategy for the control and prevention of STIs.

scholarly journals Medicalization of Female Genital Cutting in Sapele Local Government Area, Delta State, Nigeria: The Implication for Health Care Provision in Nigeria

2021 ◽  
Vol 33 (1) ◽  
pp. 30-40
Author(s):  
I. Ikechukwu ◽  
E.C. Isah ◽  
S.E. Ehinze
Keyword(s):  
Health Care ◽  
Local Government ◽  
Health Care Providers ◽  
Local Government Area ◽  
Reproductive Age ◽  
Female Genital Cutting ◽  
Care Providers ◽  
Cross Sectional ◽  
Genital Cutting ◽  
Female Genital

Background: Female genital cutting (FGC) affects over 200 million girls and women globally. It is inimical to health and increasingly being performed by healthcare providers. Medicalization of FGC is proposed by its proponents to reduce and prevent the incidence of its complications and though perceived to be safer, it is unethical and unjustifiable. This study assessed medicalization of FGC in Sapele Local Government Area, Delta State and made recommendations geared towards ending its practice.Methods: A descriptive cross-sectional study was conducted among reproductive age women (15 – 44 years) selected using multi-stage sampling. Pre-tested structured questionnaire was used to obtain quantitative data from 502 women while a focus group discussion guide was used to obtain qualitative data. Data was analyzed using SPSS version 20.0 and by themes. Results were presented as tables and narratives.Results: Prevalence of FGC was 277 (55.2%), of which 223 (80.5%) were medicalized. The mean age of cutting was 16.8 ± 5.46 years and nurses performed majority 220 (79.4%) of them. Few 44 (8.8%) of the respondents were aware of possible complications of FGC. Qualitative findings indicated that FGC is still being practiced with nurses being reported as major practitioners.Conclusion: Despite concerted efforts to eliminate FGC, its practice is still propagated with increasing heath workers as practitioners. Advocacy and health education for women and girls as well as training and retraining of health care providers is imperative to check this trend.

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