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African American women and prenatal care: perceptions of patient-provider interaction

Chin Hwa Y Dahlem1, Antonia M Villarruel2, David L Ronis2

  • 1University of Michigan, School of Nursing, Ann Arbor, USA ginayi@umich.edu.

Western Journal of Nursing Research
|May 20, 2014
PubMed

Poor patient-provider interaction among racial/ethnic minorities is associated with disparities in health care. In this descriptive, cross-sectional study, we examine African American women's perspectives and experiences of patient-provider interaction (communication and perceived discrimination) during their initial prenatal visit and their influences on perceptions of care received and prenatal health behaviors. Pregnant African American women (n = 204) and their providers (n = 21) completed a pre- and postvisit questionnaire at the initial prenatal visit. Women were also interviewed face to face at the subsequent return visit. Women perceived high quality patient-provider communication (PPC) and perceived low discrimination in their interaction with providers. Multiple regression analyses showed that PPC had a positive effect on trust in provider (p < .001) and on prenatal care satisfaction (p < .001) but not on adherence to selected prenatal health behaviors. Findings suggest that quality PPC improves the prenatal care experience for African American women.

Keywords:
African Americanpatient–provider communicationprenatal caresatisfactiontrust

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