Travel Time to Hospital for Childbirth: Comparing Calculated Versus Reported Travel Times in France.
Objectives Timely access to health care is critical in obstetrics. Yet obtaining reliable estimates of travel times to hospital for childbirth poses methodological challenges. We compared two measures of travel time, self-reported and calculated, to assess concordance and to identify determinants of...
| Publicado en: | Maternal & Child Health Journal Vol. 22; no. 1; pp. 101 - 111 |
|---|---|
| Autores principales: | , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2018
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=127247525&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 127247525 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Jan2018 vid: 22 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 127247525 127247525 144128990 127247525 10.1007/s10995-017-2359-z 127247525 ppf: 101 ppct: 10 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Travel Time to Hospital for Childbirth: Comparing Calculated Versus Reported Travel Times in France. aug: au: Pilkington, Hugo Prunet, Caroline Blondel, Béatrice Charreire, Hélène Combier, Evelyne Le Vaillant, Marc Amat-Roze, Jeanne-Marie Zeitlin, Jennifer affil: Département de Géographie, Université Paris 8 Vincennes-Saint-Denis, UMR7533 Ladyss, 2 rue de la Liberté, 93526, Saint-Denis, France sug: subj: Time Factors Travel Hospitals Childbirth Health Services Accessibility Geographic Factors Human Comparative Studies France Self Report Surveys Logistic Regression Urban Areas kappa Statistic Rural Areas Odds Ratio Confidence Intervals Gestational Age Pregnancy Female Maps Chi Square Test Wilcoxon Rank Sum Test Kruskal-Wallis Test Multiple Linear Regression Data Analysis Software Variable Funding Source Female ab: Objectives Timely access to health care is critical in obstetrics. Yet obtaining reliable estimates of travel times to hospital for childbirth poses methodological challenges. We compared two measures of travel time, self-reported and calculated, to assess concordance and to identify determinants of long travel time to hospital for childbirth. Methods Data came from the 2010 French National Perinatal Survey, a national representative sample of births (N = 14 681). We compared both travel time measures by maternal, maternity unit and geographic characteristics in rural, peri-urban and urban areas. Logistic regression models were used to study factors associated with reported and calculated times ≥30 min. Cohen's kappa coefficients were also calculated to estimate the agreement between reported and calculated times according to women's characteristics. Results In urban areas, the proportion of women with travel times ≥30 min was higher when reported rather than calculated times were used (11.0 vs. 3.6%). Longer reported times were associated with non-French nationality [adjusted odds ratio (aOR) 1.3 (95% CI 1.0-1.7)] and inadequate prenatal care [aOR 1.5 (95% CI 1.2-2.0)], but not for calculated times. Concordance between the two measures was higher in peri-urban and rural areas (52.4 vs. 52.3% for rural areas). Delivery in a specialised level 2 or 3 maternity unit was a principal determinant of long reported and measured times in peri-urban and rural areas. Conclusions for Practice The level of agreement between reported and calculated times varies according to geographic context. Poor measurement of travel time in urban areas may mask problems in accessibility. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|