scholarly journals Detection of Alcohol Use in the Second Trimester Among Low-Income Pregnant Women in the Prenatal Care Settings in Jefferson County, Alabama

2012 ◽  
Vol 36 (8) ◽  
pp. 1449-1455 ◽  
Author(s):  
Qing Li ◽  
Janet Hankin ◽  
Sharon C. Wilsnack ◽  
Ernest L. Abel ◽  
Russell S. Kirby ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Low Income ◽  
Jefferson County ◽  
Second Trimester

Spontaneous cessation of smoking and alcohol use among low-income pregnant women

2002 ◽  
Vol 23 (3) ◽  
pp. 150-159 ◽  
Author(s):  
Judith K Ockene ◽  
Yunsheng Ma ◽  
Jane G Zapka ◽  
Lori A Pbert ◽  
Karin Valentine Goins ◽  
...  
Keyword(s):  
Alcohol Use ◽  
Pregnant Women ◽  
Low Income

scholarly journals Alcohol use, pregnancy and associated risk factors: a pilot cross-sectional study of pregnant women attending antenatal care in an urban city

2019 ◽  
Author(s):  
Imelda K Moise
Keyword(s):  
Risk Factors ◽  
Alcohol Use ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Screening Tool ◽  
Demographic Factors ◽  
Continuous Variables ◽  
Cross Sectional ◽  
Urban City ◽  
Associated Risk Factors

Abstract Background Alcohol consumption during pregnancy is associated with adverse pregnancy outcomes such as preventable alcohol-related developmental disability fetal alcohol syndrome. In Zambia, alcohol use and associated risk factors have not been investigated, and screening in prenatal care is nonexistent. This study determined individual correlates and the prevalence of alcohol use in pregnant women attending prenatal care at two health clinics in Lusaka, Zambia. Methods A study adopted a cross-sectional design and recruited 188 pregnant women after seeking their informed consent from July 19 to 31, 2017. Participants aged 18 or over completed the T-ACE (Tolerance, Annoyance, Cut Down and Eye Opener) screening tool and validated alcohol-screening questionnaires on self-reported alcohol use periconceptional and during conception period while at their regular prenatal visit. The T-ACE screening tool assessed the risk of alcohol dependence in four short questions. The questionnaires included demographic questions. Bivariate analyses were performed using the χ2 test for dichotomous variables and the t-test for continuous variables. Mixed-effects linear models were used to evaluate the effect of outcome variables with patient-level variables. Results About 40 (21.2%) pregnant women were identified by the T-ACE as at-risk for problem drinking during pregnancy. Except for regular prenatal care and distance, there was no difference in the demographic factors between pregnant women who scored <2 on the T-ACE and those that scored > 2 points (all p’s > 0.05). A small proportional of women at both clinics reported binge drinking during the periconceptional period (12.7% vs. 3.2%, p=0.003) and beyond periconception period. Excluding employed women, no significant relationships were observed between alcohol use and demographic factors. Conclusion These findings underscore the need for targeted screening and intervention for alcohol use in all pregnant women in Zambia.

Prenatal Care among Low-Income Women

1994 ◽  
Vol 75 (3) ◽  
pp. 152-159 ◽  
Author(s):  
Marjorie A. Schaffer ◽  
Betty Lia-Hoagberg
Keyword(s):  
Health Care ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Health Care Providers ◽  
Low Income ◽  
Healthcare Personnel ◽  
Care Providers ◽  
Healthy Baby ◽  
Low Income Women ◽  
High Level

Forty low-income pregnant women were interviewed about the personal, family, and provider rewards and costs they experienced in obtaining prenatal care. The women identified important rewards as the health of their babies, their own health, partner's desire for a healthy baby, monitoring of the pregnancy by qualified healthcare personnel, and the evaluation of problems by health-care providers. The authors suggest strategies to strengthen personal, family, and provider rewards aimed at achieving a high level of prenatal care for low-income women.

scholarly journals Evaluating Health Literacy among Adolescent and Young Adult Pregnant Women from a Low-Income Area of Northeast Brazil

2020 ◽  
Vol 17 (23) ◽  
pp. 8806
Author(s):  
Allen Suzane França ◽  
Catherine M. Pirkle ◽  
Tetine Sentell ◽  
Maria P. Velez ◽  
Marlos R. Domingues ◽  
...  
Keyword(s):  
Social Support ◽  
Health Literacy ◽  
Prenatal Care ◽  
Pregnant Women ◽  
School Performance ◽  
Low Income ◽  
Adverse Outcomes ◽  
Northeast Brazil ◽  
Pregnant Adolescents ◽  
Inadequate Health Literacy

Adequate health literacy is important for strong health outcomes during pregnancy, particularly among mothers with high risk of adverse outcomes related to pregnancy and childbirth. Understanding the health literacy of young pregnant women in low-income settings could support strategies to reduce adverse outcomes in this population. This exploratory study assessed the health literacy of young pregnant adolescents and young adults from a rural area in Northeast Brazil and associated factors such as socioeconomic conditions, adequacy of prenatal care, and social support from family and friends. In this cross-sectional study, 41 pregnant adolescents (13–18 years) and 45 pregnant adults (23–28 years) from the Rio Grande do Norte state, Brazil, were assessed regarding health literacy through the Short Assessment of Health Literacy for Portuguese-Speaking Adults (SAHLPA, score from 0–18, inadequate if <15). Income sufficiency, self-perceived school performance, compliance with recommendations for adequate prenatal care, and social support were also assessed. A linear regression analysis was conducted to evaluate the variables associated with the SAHLPA score. Ninety-five percent of the adolescents and 53.3% of the adults (p < 0.001) presented inadequate health literacy. Adolescent age (β − 3.5, p < 0.001), poorer self-perceived school performance (β − 2.8, p < 0.001), and insufficient income for basic needs (β − 2.8, p = 0.014) were associated with worse SAHLPA scores. Adolescent mothers have higher rates of inadequate health literacy in this population. Policies are needed to improve access to health information for young populations from rural low-income areas.

scholarly journals Alcohol use, pregnancy and associated risk factors: a pilot cross-sectional study of pregnant women attending antenatal care in an urban city

2019 ◽  
Author(s):  
Imelda K Moise
Keyword(s):  
Risk Factors ◽  
Alcohol Use ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Demographic Factors ◽  
Continuous Variables ◽  
Cross Sectional ◽  
Urban City ◽  
Adverse Pregnancy ◽  
Associated Risk Factors

Abstract Background Alcohol consumption during pregnancy is associated with adverse pregnancy outcomes such as preventable alcohol-related developmental disability fetal alcohol syndrome. In Zambia, alcohol use and associated risk factors have not been investigated, and screening in prenatal care is nonexistent. This study determined individual correlates and the prevalence of alcohol use in pregnant women attending prenatal care at two health clinics in Lusaka, Zambia. Methods A study adopted a cross-sectional design and recruited 188 pregnant women after seeking their informed consent from July 19 to 31, 2017. Participants aged 18 or over completed validated alcohol screening questionnaires on self-reported alcohol use periconceptional and during conception period while at their regular prenatal visit. The questionnaires included demographic questions. Bivariate analyses were performed using the χ2 test for dichotomous variables and the t-test for continuous variables. Mixed-effects linear models were used to evaluate the effect of outcome variables with patient-level variables. Results About 40 (21.2%) pregnant women were identified by the T-ACE as at-risk for problem drinking during pregnancy. Except for regular prenatal care and distance, there was no difference in the demographic factors between pregnant women who scored <2 on the T-ACE and those that scored > 2 points (all p’s > 0.05). A small proportional of women at both clinics reported binge drinking during the periconceptional period (12.7% vs. 3.2%, p=0.003) and beyond periconception period. Excluding employed women, no significant relationships were observed between alcohol use and demographic factors. Conclusion These findings underscore the need for targeted screening and intervention for alcohol use in all pregnant women in Zambia.

scholarly journals A Successful Dental Care Referral Program for Low-Income Pregnant Women in New York

2021 ◽  
Vol 18 (23) ◽  
pp. 12724
Author(s):  
Stefanie L. Russell ◽  
Steven J. Kerpen ◽  
Jill M. Rabin ◽  
Ronald P. Burakoff ◽  
Chengwu Yang ◽  
...  
Keyword(s):  
New York ◽  
Prenatal Care ◽  
Pregnant Women ◽  
Ethnic Minority ◽  
Low Income ◽  
Dental Care ◽  
Dental Visit ◽  
Dental Utilization ◽  
Evidence Based Guidelines ◽  
Racial Ethnic

Despite evidence-based guidelines that advocate for dental care during pregnancy, dental utilization among pregnant women remains low, especially among low-income and racial–ethnic minority women. We investigated self-reported dental care referral and self-reported dental care attendance among a group of 298 low-income, largely racial–ethnic minority pregnant women attending two suburban prenatal care clinics that had integrated dental care referrals into their prenatal care according to these guidelines. We administered a questionnaire that asked women: (1) whether they had been referred for care by their prenatal care provider; (2) whether they had been seen by a dentist during pregnancy. Among those women who were eligible for a dental care referral (those who reported having dental symptoms, and those not having a recent dental visit), we found that 73.0% reported that they had indeed been referred for dental care by their prenatal provider, while the remaining women reported either no referral (23.5%, n = 67) or were not sure whether they had been referred (3.5%, n = 10). Among those who reported a dental care referral, 67.3% (n = 140) reported that they saw a dentist during their pregnancy, while of those who reported no dental care referral only 35.1% (n = 27) reported a dental visit (Chi-Sq. = 24.1, df = 1, p < 0.001). Having received a dental referral was a significant predictor of reporting a dental visit during pregnancy, with women who received a referral being 4.6 times more likely to report a dental visit during pregnancy compared to those women who did not report a referral. These results demonstrate that vulnerable pregnant women referred for dental care by their prenatal provider will indeed seek and utilize dental care when offered. This dental referral program may serve as a model for improving the utilization of dental care among this population.

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