Exploring Group Composition among Young, Urban Women of Color in Prenatal Care: Implications for Satisfaction, Engagement, and Group Attendance
Valerie A. Earnshaw, Lisa Rosenthal, Shayna D. Cunningham, Trace Kershaw, Jessica Lewis, Sharon Schindler Rising, Emily Stasko, Jonathan Tobin, Jeannette R. Ickovics and James K Lewis
Life Sciences & Biomedicine Public, Environmental & Occupational Health Science & Technology Social Sciences Women's Studies
Purpose: Group models of prenatal care continue to grow in popularity. However, little is known about how group composition (similarity or diversity between members of groups) relates to care-related outcomes. The current investigation aimed to explore associations between prenatal care group composition with patient satisfaction, engagement, and group attendance among young, urban women of color.
Methods: Data were drawn from two studies conducted in New Haven and Atlanta (2001-2004; n = 557) and NewYork City (2008-2011; n = 375) designed to evaluate group prenatal care among young, urban women of color. Women aged 14 to 25 were assigned to group prenatal care and completed surveys during their second and third trimesters of pregnancy. Group attendance was recorded. Data were merged and analyzed guided by the Group Actor-Partner Interdependence Model using multilevel regression. Analyses explored composition in terms of age, race, ethnicity, and language.
Main Findings: Women in groups with others more diverse in age reported greater patient engagement and, in turn, attended more group sessions, b(se) = -0.01(0.01); p = .04.
Conclusion: The composition of prenatal care groups seems to be associated with young women's engagement in care, ultimately relating to the number of group prenatal care sessions they attend. Creating groups diverse in age may be particularly beneficial for young, urban women of color, who have unique pregnancy needs and experiences. Future research is needed to test the generalizability of these exploratory findings. Copyright (C) 2016 by the Jacobs Institute of Women's Health. Published by Elsevier Inc.
Exploring Group Composition among Young, Urban Women of Color in Prenatal Care: Implications for Satisfaction, Engagement, and Group Attendance
Creators
Valerie A. Earnshaw - Harvard University
Lisa Rosenthal - Pace University
Shayna D. Cunningham - Yale University
Trace Kershaw - Yale University
Jessica Lewis - Yale University
Sharon Schindler Rising - Centering Healthcare Institute, Boston, Massachusetts
Emily Stasko - Drexel University
Jonathan Tobin - Albert Einstein College of Medicine
Jeannette R. Ickovics - Yale University
James K Lewis - Engineering Management [Historical]
Publication Details
Women's health issues, v 26(1)
Publisher
Elsevier
Number of pages
6
Grant note
K12HS022986 / AGENCY FOR HEALTHCARE RESEARCH AND QUALITY; United States Department of Health & Human Services; Agency for Healthcare Research & Quality
R01 MH/HD61175; R01 MH074399; R01 MH07394; T32 MH020031 / National Institute of Mental Health (NIMH); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
T32MH020031 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH)
K12 HS022986 / Agency for Healthcare Research and Quality (AHRQ); United States Department of Health & Human Services; Agency for Healthcare Research & Quality
Resource Type
Journal article
Language
English
Academic Unit
Construction Management
Web of Science ID
WOS:000368262500002
Scopus ID
2-s2.0-84958593161
Other Identifier
991019173644604721
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