1
|
Kivisto AJ, Mills S, Elwood LS. Racial Disparities in Pregnancy-associated Intimate Partner Homicide. JOURNAL OF INTERPERSONAL VIOLENCE 2022; 37:NP10938-NP10961. [PMID: 33527866 DOI: 10.1177/0886260521990831] [Citation(s) in RCA: 18] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/12/2023]
Abstract
Pregnancy-associated femicide accounts for a mortality burden at least as high as any of the leading specific obstetric causes of maternal mortality, and intimate partners are the most common perpetrators of these homicides. This study examined pregnancy-associated and non-pregnancy-associated intimate partner homicide (IPH) victimization among racial/ethnic minority women relative to their non-minority counterparts using several sources of state-level data from 2003 through 2017. Data regarding partner homicide victimization came from the National Violent Death Reporting System, natality data were obtained from the Centers for Disease Control and Prevention's National Center for Health Statistics, and relevant sociodemographic information was obtained from the U.S. Census Bureau. Findings indicated that pregnancy and racial/ethnic minority status were each associated with increased risk for partner homicide victimization. Although rates of non-pregnancy-associated IPH victimization were similar between Black and White women, significant differences emerged when limited to pregnancy-associated IPH such that Black women evidenced pregnancy-associated IPH rates more than threefold higher than that observed among White and Hispanic women. Relatedly, the largest intraracial discrepancies between pregnant and non-pregnant women emerged among Black women, who experienced pregnancy-associated IPH victimization at a rate 8.1 times greater than their non-pregnant peers. These findings indicate that the racial disparities in IPH victimization in the United States observed in prior research might be driven primarily by the pronounced differences among the pregnant subset of these populations.
Collapse
|
2
|
Henderson V, Madrigal JM, Handler A. A mixed methods study: Midlife African American women's knowledge, beliefs, and barriers to well-woman visit, flu vaccine, and mammogram use. J Women Aging 2020; 32:292-313. [PMID: 30466373 PMCID: PMC6531362 DOI: 10.1080/08952841.2018.1549433] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
African American women (AAW) are particularly at risk for deleterious health outcomes that might be mitigated through increased preventive care use. A mixed methods study that examined relationships between knowledge of, beliefs about, and barriers to well-woman visits, flu vaccines, and mammograms was conducted with midlife AAW who participated in an online survey (n = 124) and in-depth interviews (n = 19). Findings showed that greater knowledge of preventive service recommendations and positive patient-provider relationships were associated with greater preventive service use. Flu vaccines were significantly underused. Study implications inform strategies to increase preventive care utilization among AAW and increase capacities to improve health disparities.
Collapse
Affiliation(s)
- Vida Henderson
- University of Illinois Cancer Center, 818 S Wolcott Ave. MC 709,
Chicago, Illinois 60612
| | - Jessica M. Madrigal
- University of Illinois School of Public Health, 1603 W. Taylor St.,
Chicago, Illinois 60612,
| | - Arden Handler
- University of Illinois School of Public Health, 1603 W. Taylor
St,.Chicago, Illinois 60612,
| |
Collapse
|
3
|
Gibbs S, Harvey SM, Bui L, Oakley L, Luck J, Yoon J. Evaluating the effect of Medicaid expansion on access to preventive reproductive care for women in Oregon. Prev Med 2020; 130:105899. [PMID: 31730946 DOI: 10.1016/j.ypmed.2019.105899] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2019] [Revised: 11/05/2019] [Accepted: 11/11/2019] [Indexed: 10/25/2022]
Abstract
We evaluated the effect of the Affordable Care Act (ACA) Medicaid expansion on receipt of preventive reproductive services for women in Oregon. First, we compared service receipt among continuing Medicaid enrollees pre- and post-ACA. We then compared receipt among new post-ACA Medicaid enrollees to receipt by continuing enrollees after ACA implementation. Using Medicaid enrollment and claims data, we identified well-woman visits, contraceptive counseling, contraceptive services, sexually transmitted infection (STI) screening, and cervical cancer screening among women ages 15-44 in years when not pregnant. For pre-ACA enrollees, we assessed pre-ACA receipt in 2011-2013 (n = 83,719) and post-ACA receipt in 2014-2016 (n = 103,225). For post-ACA enrollees we similarly assessed post-ACA service receipt (n = 73,945) and compared this to service receipt by pre-ACA enrollees during 2014-2016. We estimated logistic regression models to compare service receipt over time and between enrollment groups. Among pre-ACA enrollees we found lower receipt of all services post-ACA. Adjusted declines ranged from 7.0 percentage points (95% CI: -7.5, -6.4) for cervical cancer screening to 0.4 percentage points [-0.6, -0.2] for STI screening. In 2014-2016, post-ACA enrollees differed significantly from pre-ACA enrollees in receipt of all services, but all differences were <2 percentage points. Despite small declines in receipt of several preventive reproductive services among prior enrollees, the ACA resulted in Medicaid financing of these services for a large number of newly enrolled low-income women in Oregon, which may eventually lead to population-level improvements in reproductive health. These findings among women in Oregon could inform Medicaid coverage efforts in other states.
Collapse
Affiliation(s)
- Susannah Gibbs
- College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, United States of America.
| | - S Marie Harvey
- College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, United States of America
| | - Linh Bui
- College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, United States of America
| | - Lisa Oakley
- College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, United States of America
| | - Jeff Luck
- College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, United States of America
| | - Jangho Yoon
- College of Public Health and Human Sciences, Oregon State University, Corvallis, OR, United States of America
| |
Collapse
|
4
|
Norris AL, Rich C, Krieger N, Guthrie KM, Kaplan C, Carey KB, Carey MP. Sexual risk behavior and substance use among young, diverse women seeking care at a reproductive health clinic. BMC Womens Health 2019; 19:15. [PMID: 30665343 PMCID: PMC6341714 DOI: 10.1186/s12905-019-0709-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2018] [Accepted: 01/02/2019] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND To describe sexual risk behavior, alcohol (and other substance) use, and perceived health promotion needs among young adult women seeking care from an urban reproductive health care clinic in the Northeastern United States, and to examine if these needs differ by race and ethnicity. METHODS Women 18-29 years old presenting for a routine medical visit were invited to participate. Of 486 eligible women, 466 (96%) agreed to participate and completed a brief survey on a tablet computer. Most of the sample (53%) identified as non-Hispanic White. One-quarter (25%) identified as Hispanic/Latina. A smaller proportion of women identified as African American (19%). RESULTS One-third (31%) of women reported a history of sexually transmitted infection (STI), and women reported infrequent condom use with recent sexual partners. Regarding behavioral health needs, nearly three-quarters of women (72%) reported regular alcohol use, approximately one-third had used marijuana (37%) or tobacco (33%) in the last month, and 19% reported clinically significant depressive symptoms in the last two weeks. Women reported moderate-to-strong interest in receiving information about relationships and sexual health; however, the majority were not interested in information about their substance use. Hispanic and African-American women were more likely to report STI history despite reporting fewer sexual partners than non-Hispanic White women. Minority women also reported significantly less alcohol and cigarette use, but more water pipe tobacco use, and reported significantly greater interest in interventions to promote sexual health. Hispanic women also evidenced significantly elevated rates of depressive symptoms, with 26% of Hispanic women reporting a clinically significant level of depressive symptoms. CONCLUSIONS Reproductive health centers are opportune settings to address a broad range of healthcare needs, including sexual health, substance use, and mental health. These centers engage a diverse group of women, which is important given observed disparities in health outcomes based on race/ethnicity. Young women, particularly racial and ethnic minority women, report the most interest in services addressing sexual and relationship health.
Collapse
Affiliation(s)
- Alyssa L. Norris
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Coro West, Suite 309, 164 Summit Ave, Providence, RI 02906 USA
- Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI 02906 USA
| | - Carla Rich
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Coro West, Suite 309, 164 Summit Ave, Providence, RI 02906 USA
| | - Naomi Krieger
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Coro West, Suite 309, 164 Summit Ave, Providence, RI 02906 USA
| | - Kate M. Guthrie
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Coro West, Suite 309, 164 Summit Ave, Providence, RI 02906 USA
- Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI 02906 USA
| | - Clair Kaplan
- Department of Clinical Research, Planned Parenthood of Southern New England, 345 Whitney Avenue, New Haven, CT 06511 USA
- Center for Interdisciplinary Research on AIDS, Yale University, 135 College Street, Suite 200, New Haven, CT 06510 USA
| | - Kate B. Carey
- Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 S. Main Street, Providence, RI 02903 USA
- Center for Alcohol and Addiction Studies, Brown University, 121 S. Main Street, Box G-S121-5, Providence, RI 02912 USA
| | - Michael P. Carey
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Coro West, Suite 309, 164 Summit Ave, Providence, RI 02906 USA
- Department of Psychiatry and Human Behavior, Alpert School of Medicine, Brown University, Providence, RI 02906 USA
- Department of Behavioral and Social Sciences, Brown University School of Public Health, 121 S. Main Street, Providence, RI 02903 USA
| |
Collapse
|
5
|
Handler A, Henderson V, Johnson R, Turino C, Gordon M, Franck M, Peacock N, Pecha D. The Well-Woman Project: Listening to Women's Voices. Health Equity 2018; 2:395-403. [PMID: 30623168 PMCID: PMC6323588 DOI: 10.1089/heq.2018.0031] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Purpose: The U.S. Affordable Care Act (ACA) of 2010 included the Well-Woman Visit (WWV) as one of the preventive services, which must be covered without cost sharing. Despite concerted efforts to increase access to the WWV, data from the early years of the ACA demonstrated ongoing barriers, including insufficient consumer and provider awareness of the ACA's no cost-sharing provision for preventive services. As such, 2 years after full implementation of the ACA, the Well-Woman Project (WWP) used qualitative methods to learn about women's perceptions of the WWV and barriers that affect their ability to be healthy and seek well-woman care. Methods: Women's voices were captured by Listening Sessions in eight cities and through stories from women across the United States posted to a WWP Website, or reported over a WWP toll-free phone line. Thematic analysis of Listening Sessions and stories was conducted using Dedoose software. Results: In 2016, Listening Sessions (17) were held with 156 women; in addition, stories were collected from 102 women across the United States. Women are aware of the importance of preventive care, but report multiple barriers to seeking such care. However, they are able to articulate a variety of system and policy strategies that mitigate the complexity of navigating the health care system; help women prioritize their health and accessing health care; promote positive relationships with providers; empower women to advocate for themselves and others; promote positive mental health as well as access to safe environments, healthy food, and social support systems; decrease barriers related to lack of transportation and childcare; and support the provision of trauma informed care in the health care delivery system. Conclusion: To improve women's health status and reduce inequities, making the preventive well-care visit available without cost-sharing is necessary, but not a sufficient strategy.
Collapse
Affiliation(s)
- Arden Handler
- Community Health Sciences, University of Illinois School of Public Health, Chicago, Illinois
| | - Vida Henderson
- Cancer Center, University of Illinois, Chicago, Illinois
| | - Regan Johnson
- CityMatCH, University of Nebraska Medical Center, Omaha, Nebraska
| | - Cristina Turino
- CountyCare, Cook County Health and Hospitals System, Chicago, Illinois
| | - Megan Gordon
- Community Health Sciences, University of Illinois School of Public Health, Chicago, Illinois
| | - Megan Franck
- Department of Epidemiology, University of Illinois School of Public Health, Chicago, Illinois
| | - Nadine Peacock
- Community Health Sciences, University of Illinois School of Public Health, Chicago, Illinois
| | - Denise Pecha
- CityMatCH, University of Nebraska Medical Center, Omaha, Nebraska
| |
Collapse
|
6
|
Thompson EL, Vázquez-Otero C, Vamos CA, Marhefka SL, Kline NS, Daley EM. Rethinking Preconception Care: A Critical, Women's Health Perspective. Matern Child Health J 2017; 21:1147-1155. [PMID: 28078529 DOI: 10.1007/s10995-016-2213-8] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Objectives Preconception care aims to provide care to reproductive aged individuals in order to improve pregnancy and birth outcomes. Given that preconception care is a public health priority, it is important to evaluate the evolution of this health paradigm and the promotion of preconception messages that are obtained by the public. We identified online preconception health messages, which were critically assessed through a women's health perspective. Methods We searched for "preconception care" on three major search engines. Websites were included if they were U.S.-based, provided content in English, and mentioned preconception care. Blogs and journal articles were excluded. The final sample included 52 websites. Using a content analysis approach, we assessed the presence of gender bias and identified other emergent themes. Results The majority of websites focused on preconception care for women only (67%). The recommendations centered on: (1) health behaviors for women (e.g., folic acid, drinking, smoking); (2) visiting healthcare providers; and (3) evaluating medical risks. Moreover, most content implied that women desired, or should desire, pregnancy. Overall, the messages used biomedical language and rarely mentioned other important health topics, such as social support and violence. Conclusions The primary messages presented on preconception care websites emphasized biomedical aspects of women's health. The current context of preconception care medicalizes this pre-pregnancy period by defining it as a biomedical condition requiring lifestyle changes and interventions. Additionally, the biases presented in these messages assumed women want and are capable of pregnancies and excluded an integral factor for heteronormative reproduction-men.
Collapse
Affiliation(s)
- Erika L Thompson
- Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA. .,The Chiles Center, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA.
| | - Coralia Vázquez-Otero
- Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA
| | - Cheryl A Vamos
- Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA.,The Chiles Center, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA
| | - Stephanie L Marhefka
- Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA.,The Chiles Center, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA
| | - Nolan S Kline
- Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA.,Department of Anthropology, Rollins College, 1000 Holt Avenue, Winter Park, FL, 32789, USA
| | - Ellen M Daley
- Department of Community and Family Health, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA.,The Chiles Center, College of Public Health, University of South Florida, 13201 Bruce B. Downs Blvd. MDC 56, Tampa, FL, 33612, USA
| |
Collapse
|
7
|
Prevalence and Correlates of Having a Regular Physician among Women Presenting for Induced Abortion. Womens Health Issues 2016; 26:517-22. [DOI: 10.1016/j.whi.2016.03.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/29/2015] [Revised: 03/30/2016] [Accepted: 03/31/2016] [Indexed: 11/19/2022]
|
8
|
Mueller ER, Damaser MS, Mallampalli MP, Losada L. Women's Urological Health as a Priority to the Woman Well Visit. Womens Health Issues 2016; 26:476-7. [PMID: 27448751 DOI: 10.1016/j.whi.2016.03.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2016] [Accepted: 03/10/2016] [Indexed: 11/24/2022]
Affiliation(s)
- Elizabeth R Mueller
- Departments of Urology & Obstetrics/Gynecology Loyola University Chicago, Stritch School of Medicine/Loyola University Medical Center, Maywood, Il
| | - Margot S Damaser
- Biomedical Engineering Department and Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH; Research Service, Louis Stokes Cleveland Dept of Veterans Affairs Medical Center, Cleveland, OH
| | - Monica P Mallampalli
- Vice President, Scientific Affairs, Society for Women's Health Research, Washington D.C
| | - Liliana Losada
- Associate Director, Scientific Affairs, Society for Women's Health Research, Washington D.C
| |
Collapse
|
9
|
Reply to the Letter to the Editor by Mueller et al. Womens Health Issues 2016; 26:478. [DOI: 10.1016/j.whi.2016.04.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/15/2016] [Accepted: 04/18/2016] [Indexed: 11/19/2022]
|