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Related Experiment Videos

Barriers to adolescent prenatal care.

S B Kinsman1, G B Slap

  • 1Craig-Dalsimer Program in Adolescent Medicine, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia.

The Journal of Adolescent Health : Official Publication of the Society for Adolescent Medicine
|March 1, 1992
PubMed
Summary

Over half of adolescent mothers get insufficient prenatal care. This study identified key barriers and developed a model to pinpoint at-risk teens for inadequate care, improving maternal health outcomes.

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Area of Science:

  • Public Health
  • Maternal Health
  • Adolescent Health

Background:

  • Inadequate prenatal care affects over 50% of adolescent mothers.
  • Barriers to care among adolescents are not well understood.
  • Identifying at-risk adolescents is crucial for timely intervention.

Purpose of the Study:

  • To explore barriers to prenatal care from adolescents' perspectives.
  • To develop a predictive model for identifying adolescents at risk of inadequate care.
  • To inform strategies for improving prenatal care access and utilization in adolescent populations.

Main Methods:

  • Structured interviews with 101 pregnant adolescents (under 17) within 48 hours of delivery.
  • Classification into inadequate (n=37) versus intermediate/adequate (n=64) care groups using the Maternal Health Services Index.

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  • Stepwise logistic regression and Receiver Operating Characteristic (ROC) curve analysis to identify predictors and assess model performance.

    • Main Results:

    • Groups differed significantly in 12 variables related to beliefs, pregnancy course, and access to services.
    • Key predictors of inadequate care included negative attitudes toward physicians, perceived low importance of early care, confusion about services, lack of insurance, and later pregnancy recognition.
    • The developed logistic regression model demonstrated strong predictive accuracy (ROC curve area 0.89 +/- 0.04).

    Conclusions:

    • The study successfully identified significant barriers contributing to inadequate prenatal care among adolescents.
    • The developed model effectively differentiates adolescents likely to receive inadequate care.
    • Findings can guide targeted interventions to improve prenatal care access and outcomes for pregnant adolescents.