scholarly journals Psychosocial status and prenatal care of unintended pregnancies among low-income women

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Alanna M. Cruz-Bendezú ◽  
Grace V. Lovell ◽  
Brianna Roche ◽  
Meghan Perkins ◽  
Tiffany L. Blake-Lamb ◽  
...  
Keyword(s):  
Prenatal Care ◽  
Low Income ◽  
First Trimester ◽  
The United States ◽  
Self Report ◽  
Electronic Health Record Data ◽  
Prenatal Visit ◽  
Current Stress ◽  
Unintended Pregnancies ◽  
Low Income Women

Abstract Background Nearly half of all pregnancies in the United States are reported as unintended and rates are highest among women of low socioeconomic status. The purpose of this study was to examine the associations between unintended pregnancies and maternal mental health and timing of prenatal care among low-income women. Methods In this cross-sectional study, 870 women, whom were participating in the First 1000 Days program in three community health centers in the Boston area, were enrolled at their first prenatal visit from August 2016 – September 2017. We assessed pregnancy intention by self-report using the Pregnancy Risk Assessment Monitoring System. We used self-reported survey information and electronic health record data to assess the following outcomes: current stress, current depression, and timing of initial prenatal visit. We used multivariable logistic regression models to examine associations and adjusted for sociodemographic factors. Results Women were a mean (SD) age of 29.3 (6.1), and 39.2% reported that their pregnancy was unintended. 50.6% of women were Hispanic, 28.4% were White, 10.1% were Black, and 10.9% were other races. 78.9% of women reported an annual household income <$50,000. Overall, 26.7% of women reported current stress, 8.2% reported current depression, and 18.3% of women initiated prenatal care after their first trimester. In multivariable analyses, women with unintended pregnancies had higher odds of experiencing current stress (OR: 1.72; 95% CI: 1.22, 2.41), current depression (OR: 1.83; 95% CI: 1.04, 3.20), and initiation of prenatal care post-first trimester (OR: 1.84; 95% CI: 1.23, 2.74). Conclusions Unintended pregnancies were associated with current stress and depression, and delayed prenatal care in this sample of low-income women suggesting the importance of identifying high-risk women and tailoring interventions to support women’s needs. Trial registration ClinicalTrials.gov (NCT03191591; Retrospectively registered on June 19, 2017).

Breast-Feeding Rates Among Black Urban Low-Income Women: Effect of Prenatal Education

PEDIATRICS ◽  
1990 ◽  
Vol 86 (5) ◽  
pp. 741-746 ◽  
Author(s):  
Naomi Kistin ◽  
Dessa Benton ◽  
Sita Rao ◽  
Myrtis Sullivan
Keyword(s):  
Breast Feeding ◽  
Low Income ◽  
Study Groups ◽  
The United States ◽  
Control Group ◽  
Feeding Rates ◽  
Prenatal Education ◽  
Breast Feed ◽  
Low Income Women ◽  
Breast Fed

Many factors are associated with low breast-feeding rates among black low-income women. This study examines whether, despite such factors, health professionals' prenatal education of black poor women is assoicated with increased breast-feeding rates. Black women born in the United States who attended a midwives prenatal clinic (N = 159) were randomly assigned to two types of prenatal education or were followed up in a control group. All women were interviewed on entry into the study and after delivery of their infants. Women assigned to group classes attended at least one session discussing myths, problems, and benefits of breast-feeding. Women assigned to individual prenatal counseling spoke with a pediatrician or nurse practitioner, who discussed breast-feeding topics similar to those covered in the classes. Women in the control group received no additional prenatal education. The three study groups had significantly different percentages of women who breast-fed (controls 22%, classes 46%, individual sessions 53%). Higher percentages of women in the study groups carried out their prenatal plans to breast-feed (controls 50%, classes 86%, individual sessions 62%) or breast-fed despite prenatal plans to bottle-feed (controls 10%, classes 26%, individual sessions 48%). After multivariable analysis controlling for age, prenatal pians to breast-feed, prior breast-feeding experience, perceived support for breast-feeding, education, gravidity, and employment plans, women in intervention groups had a higher likelihood of breast-feeding than control subjects. These findings suggest that an increase in relatively simple, not-too-time-consuming educational efforts in institutions and offices serving black low-income women might yield significant narrowing of the gap in breast-feeding rates between white affluent women and black low-income women.

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 Culinary Education Programs for Children in Low-Income Households: A Scoping Review

Children ◽  
2020 ◽  
Vol 7 (5) ◽  
pp. 47
Author(s):  
Priscilla P. Li ◽  
Guisela Mackey ◽  
Chishinga Callender ◽  
Jayna M. Dave ◽  
Norma Olvera ◽  
...  
Keyword(s):  
Scoping Review ◽  
Low Income ◽  
Cognitive Theory ◽  
Underserved Populations ◽  
The United States ◽  
Self Report ◽  
Education Programs ◽  
Culinary Education ◽  
Low Income Families ◽  
Leader Training

Child obesity in the United States is at an all-time high, particularly among underserved populations. Home-cooked meals are associated with lower rates of obesity. Helping children develop culinary skills has been associated with improved nutrition. The purpose of this study is to report results from a scoping review of culinary education interventions with children from low-income families. Three databases and hand searches of relevant articles were examined. Retained articles met inclusionary criteria. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines were followed, as appropriate. A data extraction template was developed. Data were independently extracted and verified. Only nine out of 370 articles met the inclusionary criteria and were included in the review. Most interventions were school-based, used a quasi-experimental design, and recruited minority children. Children-only was the primary intervention focus. Primary outcomes were mostly psychosocial from child self-report. Most interventions focused on children only and were guided by Social Cognitive Theory. Most reported stakeholder involvement; however, type and degree varied. All had an in-person component; only one used technology. Few reported training program leaders. Culinary education programs for children from low-income families could benefit from a broader theoretical grounding, program leader training, and greater parental involvement.

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