206723 Evaluating the role of financial support on prenatal care utilization: A meta-analytic approach

Wednesday, November 11, 2009

Lisa Bradford, PhD , Department of Communication, University of Wisconsin-Milwaukee, Milwaukee, WI
Mary K. Madsen, PhD, RN , College of Health Sciences, University of Wisconsin-Milwaukee, Milwaukee, WA
E. Racquel Racadio, BS , Department of Population Health, Medical College of Wisconsin, Milwaukee, WI
Mike Allen, PhD , Department of Communication, University of Wisconsin-Milwaukee, Milwaukee, WI
Abby Krempasky, student , College of Health Sciences, University of Wisconsin-Milwaukee, Milwaukee, WA
Prenatal care has been promoted in the United States as a significant factor in reducing negative birth outcomes since the early 1900s (Brown, 1988). During the 1990s, prenatal care usage enjoyed a modest, but steady increase (Martin, et al., 2006). However, this increase may have reached a plateau. In both 2004 and 2005 no significant increases were reported (CDC, 2007). Further, data clearly show racial and ethnic disparities in the percentages of women receiving prenatal care. Historically, younger women (particularly adolescents) and Black women have been at greater risk for obtaining inadequate or no prenatal care. Statistics for 2003 show that 89 percent of Non-Hispanic White women began their prenatal care during the first trimester as compared with 76 percent of Non-Hispanic Black women (U.S. Department of Health, 2005). A number of financial and psychosocial barriers have been identified in individual studies that may prevent women from receiving adequate prenatal care. This paper will specifically report results of a meta-analytic study evaluating the role of financial support and prenatal care utilization across studies published between 1985 and 2007 for women in the U.S. and for some at-risk sub populations. A preliminary analysis run on a portion of available data in the study indicated that reducing financial barriers to prenatal care through insurance or other state/federal aid results in a 56% increase in prenatal care utilization (average r = .225, k = 48, N = 3,612,000). These results are timely in this era of diminishing financial resources for public programs.

Learning Objectives:
To evaluate the role of financial support on prenatal care utilization in the United States using a meta-analytic approach

Keywords: Access to Care, Maternal and Child Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am part of a research team that has been collecting data on barriers to prenatal care for the past 6 years. Below are listed some of the previous presentations & publications from our team: Bradford,L., Racadio, E. R., Madsen, M. K., Allen, M., & Krempasky, A. (2009, May). Psychosocial barriers for prenatal care: A meta-analytic approach. Fanning, M., Madsen, M. K., & Bradford, L. (2006). Obstacles to adequate prenatal care among African American adolescents: The perspective of health professionals. Proceedings of the 42nd MBAA International Conference, Business and Health Administration Association. (Ed: P.G. Fitzpatrick) Madsen, M. K., Kowalik, J. L, Smuckler, N., Garber, H., Casey, M.K. & Bradford, L. (2002). Focus groups to determine barriers to prenatal care adequacy among African American adolescents. Clinical Research and Regulatory Affairs, 19(4), 351-365. Opyd, H., Racadio, E. R., Bradford, L., Madsen, M. K., & Allen, M. (2008, April). Prenatal care and birth outcomes for African American (Black) Adolescent Mothers. Panel Presentation at the MBAA International Annual Conference, Business and Health Administration Division, Chicago, IL
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.