Routine Healthcare Utilization Among Reproductive-Age Women Residing in a Rural Maternity Care Desert.
It is important that women of reproductive age have access to and use routine health services to improve birth outcomes. While it is estimated that more than 5 million women in over 1000 counties across the United States live in maternity care deserts, to date there have been no published studies ch...
| Publicado en: | Journal of Community Health Vol. 46; no. 1; pp. 108 - 117 |
|---|---|
| Autores principales: | , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
2021
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=147998789&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 147998789 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00945145 JCH jtl: Journal of Community Health issn: 00945145 maglogo: N pubinfo: dt: 2021 vid: 46 iid: 1 pid: 237 pub: Springer Nature artinfo: ui: 147998789 10.1007/s10900-020-00852-6 ppf: 108 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P size: 667KB tig: atl: Routine Healthcare Utilization Among Reproductive-Age Women Residing in a Rural Maternity Care Desert. aug: au: DiPietro Mager, Natalie A. Zollinger, Terrell W. Turman, Jack E. Zhang, Jianjun Dixon, Brian E. affil: Department of Epidemiology, Indiana University Richard M. Fairbanks School of Public Health, 1050 Wishard Blvd., 46202, Indianapolis, IN, USA Department of Pharmacy Practice, Ohio Northern University Rudolph H. Raabe College of Pharmacy, 525 S. Main St, 45810, Ada, OH, USA Department of Social and Behavioral Sciences, Indiana University Richard M. Fairbanks School of Public Health, 1050 Wishard Blvd., 46202, Indianapolis, IN, USA Indiana University Melvin and Bren Simon Comprehensive Cancer Center, 535 Barnhill Dr, 46202, Indianapolis, IN, USA Center for Biomedical Informatics, Regenstrief Institute, Inc., 1101 West Tenth Street, 46202, Indianapolis, IN, USA su: Health services accessibility Insurance Rural conditions Women's health Cross-sectional method Confidence intervals Maternal health services Medical care use Descriptive statistics Odds ratio Pregnancy outcomes sug: subj: Health services accessibility Insurance Rural conditions Women's health Cross-sectional method Third Party Administration of Insurance and Pension Funds All Other Insurance Related Activities Other Insurance Funds Confidence intervals Maternal health services Medical care use Descriptive statistics Odds ratio Pregnancy outcomes keyword: Access to care Rural health Access to care Rural health ab: It is important that women of reproductive age have access to and use routine health services to improve birth outcomes. While it is estimated that more than 5 million women in over 1000 counties across the United States live in maternity care deserts, to date there have been no published studies characterizing access and barriers to routine healthcare utilization in these areas. Therefore, a cross-sectional study was conducted in a rural county in northwest Ohio with 315 women ages 18–45 years. Health insurance coverage, usual source of care, length of time since routine check-up, and barriers to receipt of health services were assessed via a self-reported, anonymous survey. Over one-tenth (11.3%) of participants reported having no health insurance coverage. A total of 14.4% reported having no usual source of care and 22.8% reported not having a routine check-up in the past year. Just over one-half (53.0%) of participants reported having at least one barrier to accessing health care. In a logistic regression analysis, having a routine check-up in the past year was inversely associated with number of barriers (OR 0.73, 95% CI 0.56–0.95; p = 0.019); women who reported more barriers were less likely to report receipt of preventive care in the past year. The results of this study reveal that many reproductive-age women living in a maternity care desert face challenges in accessing health services. Policies and programs need to be developed and implemented to close these gaps and maximize opportunities for optimal health. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|