IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v15y2018i7p1383-d155600.html
   My bibliography  Save this article

Conditions and Dynamics That Impact Maternal Health Literacy among High Risk Prenatal-Interconceptional Women

Author

Listed:
  • Suzanne D. Thomas

    (CSRA Nursing Associates, PC, 300 Gardners Mill Court, Augusta, GA 30907, USA)

  • Sandra C. Mobley

    (Department of Obstetrics & Gynecology, Medical College of Georgia, Augusta University, Augusta, GA 30912, USA)

  • Jodi L. Hudgins

    (Education and Networking, Enterprise Community Healthy Start, Augusta University, Augusta, GA 30912, USA)

  • Donald E. Sutherland

    (Enterprise Community Healthy Start, The Perinatal Center, Augusta University, Augusta, GA 30912, USA)

  • Sandra B. Inglett

    (Enterprise Community Healthy Start, College of Nursing, Augusta University, EC-5338, 987 St. Sebastian Way, Augusta, GA 30912, USA)

  • Brittany L. Ange

    (Department of Population Health, Division of Biostatistics and Data Science, Augusta University, Augusta, GA 30912, USA)

Abstract

The purpose of the study was to describe conditions and dynamics in the lives of high-risk, low-income, Southern United States prenatal-interconceptional women ( n = 37) in a home visiting program that promoted maternal health literacy progression. In the Life Course Health Development (LCHD) Model, conditions were risk and protective factors that impacted health. Dynamics drove the complex, epigenetic relationships between risk and protective factors. Maternal health literacy promotion helped participants address conditions and dynamics to create positive life changes. This research was a retrospective, mixed methods study of women’s service records documenting care from prenatal admission to 24 months post-delivery. The Life Skills Progression Instrument (LSP) was scored to measure maternal health literacy progression. Ethnographic content analysis of visit notes triangulated with quantitative data enabled specificity of critical data elements. Subsequently, a complementary focus group was conducted with the Registered Nurse Case Managers (RNCM). Severe social conditions included devastating poverty, low educational achievement, transient housing, unstable relationships, incarceration, lack of continuous health insurance, and shortage of health care providers. Dynamics included severe psycho-social stressors, domestic violence, lack of employment, low income, low self-esteem and self-expectations, and social/family restraints upon women’s intended positive changes. An important protective factor was the consistent, stable, evidence-informed relationship with the RNCM. Findings from the focus group discussion supported content analysis results.

Suggested Citation

  • Suzanne D. Thomas & Sandra C. Mobley & Jodi L. Hudgins & Donald E. Sutherland & Sandra B. Inglett & Brittany L. Ange, 2018. "Conditions and Dynamics That Impact Maternal Health Literacy among High Risk Prenatal-Interconceptional Women," IJERPH, MDPI, vol. 15(7), pages 1-16, July.
    • Handle: RePEc:gam:jijerp:v:15:y:2018:i:7:p:1383-:d:155600
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/15/7/1383/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/1660-4601/15/7/1383/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Olds, D.L. & Henderson Jr., C.R. & Tatelbaum, R. & Chamberlin, R., 1988. "Improving the life-course development of socially disadvantaged mothers: A randomized trial of nurse home visitation," American Journal of Public Health, American Public Health Association, vol. 78(11), pages 1436-1445.
    2. Barak, Adi & Spielberger, Julie & Gitlow, Elissa, 2014. "The challenge of relationships and fidelity: Home visitors' perspectives," Children and Youth Services Review, Elsevier, vol. 42(C), pages 50-58.
    3. Kotelchuck, M., 1994. "An evaluation of the Kessner Adequacy of Prenatal Care Index and a proposed Adequacy of Prenatal Care Utilization Index," American Journal of Public Health, American Public Health Association, vol. 84(9), pages 1414-1420.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Liesbeth de Wit & Pania Karnaki & Archontoula Dalma & Peter Csizmadia & Charlotte Salter & Andrea de Winter & Louise Meijering, 2020. "Health Literacy in the Everyday Lives of Older Adults in Greece, Hungary, and the Netherlands," IJERPH, MDPI, vol. 17(7), pages 1-16, April.
    2. Alexander Testa & Dylan B. Jackson, 2020. "Incarceration Exposure and Barriers to Prenatal Care in the United States: Findings from the Pregnancy Risk Assessment Monitoring System," IJERPH, MDPI, vol. 17(19), pages 1-14, October.
    3. Don Nutbeam & Diane Levin-Zamir & Gill Rowlands, 2018. "Health Literacy in Context," IJERPH, MDPI, vol. 15(12), pages 1-3, November.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Michael A Schillaci & Howard Waitzkin & E Ann Carson & Sandra J Romain, 2010. "Prenatal Care Utilization for Mothers from Low-Income Areas of New Mexico, 1989–1999," PLOS ONE, Public Library of Science, vol. 5(9), pages 1-4, September.
    2. Petra Persson & Maya Rossin-Slater, 2018. "Family Ruptures, Stress, and the Mental Health of the Next Generation," American Economic Review, American Economic Association, vol. 108(4-5), pages 1214-1252, April.
    3. Sandner, Malte, 2019. "Effects of early childhood intervention on fertility and maternal employment: Evidence from a randomized controlled trial," Journal of Health Economics, Elsevier, vol. 63(C), pages 159-181.
    4. Maxime Eslier & Catherine Deneux-Tharaux & Priscille Sauvegrain & Thomas Schmitz & Dominique Luton & Laurent Mandelbrot & Candice Estellat & Elie Azria, 2020. "Association between Migrant Women’s Legal Status and Prenatal Care Utilization in the PreCARE Cohort," IJERPH, MDPI, vol. 17(19), pages 1-14, September.
    5. Tim Bersak & Lyudmyla Sonchak‐Ardan, 2022. "Prenatal care: Mechanisms and impacts on infant health and health care utilization," Contemporary Economic Policy, Western Economic Association International, vol. 40(1), pages 48-65, January.
    6. Helen Lee & Sarah Shea Crowne & Melanie Estarziau & Keith Kranker & Charles Michalopoulos & Anne Warren & Tod Mijanovich & Jill H. Filene & Anne Duggan & Virginia Knox, "undated". "The Effects of Home Visiting on Prenatal Health, Birth Outcomes, and Health Care Use in the First Year of Life: Final Implementation and Impact Findings from the Mother and Infant Home Visiting Progra," Mathematica Policy Research Reports a9626a8d90bf4f01811d0c9d7, Mathematica Policy Research.
    7. Peter David Brandon, 2001. "State Intervention In Imperfect Families," Rationality and Society, , vol. 13(3), pages 285-303, August.
    8. Daniel Powers, 2013. "Paradox Revisited: A Further Investigation of Racial/Ethnic Differences in Infant Mortality by Maternal Age," Demography, Springer;Population Association of America (PAA), vol. 50(2), pages 495-520, April.
    9. Robert Kaestner & Lisa Dubay & Genevieve Kenney, 2002. "Medicaid Managed Care and Infant Health: A National Evaluation," NBER Working Papers 8936, National Bureau of Economic Research, Inc.
    10. Samuel H. Fishman & S. Philip Morgan & Robert A. Hummer, 2018. "Smoking and Variation in the Hispanic Paradox: A Comparison of Low Birthweight Across 33 US States," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 37(5), pages 795-824, October.
    11. repec:mpr:mprres:3021 is not listed on IDEAS
    12. Jackson, Dylan B. & Vaughn, Michael G., 2018. "Maternal medical risks during pregnancy and childhood externalizing behavior," Social Science & Medicine, Elsevier, vol. 207(C), pages 19-24.
    13. Joyce, Theodore, 1999. "Impact of augmented prenatal care on birth outcomes of Medicaid recipients in New York City," Journal of Health Economics, Elsevier, vol. 18(1), pages 31-67, January.
    14. Ana I. Balsa & Patricia Triunfo, 2012. "The Effectiveness of Prenatal Care in a Low Income Population: A Panel Data Approach," Documentos de Trabajo/Working Papers 1204, Facultad de Ciencias Empresariales y Economia. Universidad de Montevideo..
    15. Markowitz, Sara & Adams, E. Kathleen & Lewitt, Mary Jane & Dunlop, Anne L., 2017. "Competitive effects of scope of practice restrictions: Public health or public harm?," Journal of Health Economics, Elsevier, vol. 55(C), pages 201-218.
    16. Goldberg, Jessica & Bumgarner, Erin & Jacobs, Francine, 2016. "Measuring program- and individual-level fidelity in a home visiting program for adolescent parents," Evaluation and Program Planning, Elsevier, vol. 55(C), pages 163-173.
    17. Aparna Lhila & Kosali Simon, 2008. "Prenatal health investment decisions: Does the child’s sex matter?," Demography, Springer;Population Association of America (PAA), vol. 45(4), pages 885-905, November.
    18. Thorsen, Maggie L. & Thorsen, Andreas & McGarvey, Ronald, 2019. "Operational efficiency, patient composition and regional context of U.S. health centers: Associations with access to early prenatal care and low birth weight," Social Science & Medicine, Elsevier, vol. 226(C), pages 143-152.
    19. Sandner, Malte, 2018. "Modellprojekt für benachteiligte Familien: Intensive Begleitung hilft Müttern und Kindern (Pilot project for disadvantaged families: Intensive home visiting helps mothers and children)," IAB-Kurzbericht 201806, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany].
    20. Williams, Gabriela & Tonmyr, Lil & Jack, Susan M. & Fallon, Barbara & MacMillan, Harriet L., 2011. "Determinants of maltreatment substantiation in a sample of infants involved with the child welfare system," Children and Youth Services Review, Elsevier, vol. 33(8), pages 1345-1353, August.
    21. Yang, Tse-Chuan & Shoff, Carla & Noah, Aggie J. & Black, Nyesha & Sparks, Corey S., 2014. "Racial segregation and maternal smoking during pregnancy: A multilevel analysis using the racial segregation interaction index," Social Science & Medicine, Elsevier, vol. 107(C), pages 26-36.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:15:y:2018:i:7:p:1383-:d:155600. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.