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Abstract
Maternal Zika virus infection (ZIKV) has serious health consequences for unborn offspring. Knowledge about prevention is critical to reducing risk, yet what women in the high-risk US-Mexico border region know about protecting themselves and their babies from ZIKV is mostly unknown. This study aimed to assess knowledge of ZIKV among pregnant and inter-conception women and to identify sources of information that might address knowledge gaps. Clients in five federally-funded, border region Healthy Start programs (N = 326) were interviewed in late 2016 about their knowledge of ZIKV prevention methods and whether they believed themselves or their babies to be at risk. Sources of information about ZIKV and demographic characteristics were also measured. Chi square tests identified important associations between variables; adjusted odds ratios (AOR) and 95% confidence intervals for knowledge and beliefs were calculated. Among the 305 women aware of ZIKV, 69.5% could name two ways to prevent infection. Only 16.1% of women named using condoms or abstaining from sex as a prevention method. While 75.3% heard about ZIKV first from TV/radio, just 9.5% found the information helpful. Women who received helpful information from health care providers had greater odds of knowing two prevention methods (AOR = 2.0; 1.1-3.7), when to test for ZIKV (AOR = 5.2; 2.1-13.2), and how long to delay pregnancy after infection in a male partner (AOR = 1.9; 1.1-3.2). Those who said web-based and social media sources were helpful had greater odds of knowing when to test for ZIKV (AOR = 2.8; 1.3-6.3). Results can inform messaging for safe pregnancy and ZIKV prevention.
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Affiliation(s)
- Jill A McDonald
- Department of Public Health Sciences, College of Health and Social Services, New Mexico State University, PO Box 30001, Las Cruces, NM, 88003-8001, USA.
| | | | - Bridget Acquah-Baidoo
- Department of Public Health Sciences, College of Health and Social Services, New Mexico State University, PO Box 30001, Las Cruces, NM, 88003-8001, USA
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Selchau K, Babuca M, Bower K, Castro Y, Coakley E, Flores A, Garcia JO, Reyes MLF, Rojas Y, Rubin J, Samuels D, Shattuck L. First Trimester Prenatal Care Initiation Among Hispanic Women Along the U.S.-Mexico Border. Matern Child Health J 2018; 21:11-18. [PMID: 29196858 PMCID: PMC5736790 DOI: 10.1007/s10995-017-2374-0] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Background First trimester prenatal care (FTPNC) is associated with improved birth outcomes. U.S.-Mexico border Hispanic women have lower FTPNC than non-border or non-Hispanic women. This study aimed to identify (1) what demographic, knowledge and care-seeking factors influence FTPNC among Hispanic women in border counties served by five Healthy Start sites, and (2) what FTPNC barriers may be unique to this target population. Healthy Starts work to eliminate disparities in perinatal health in areas with high poverty and poor birth outcomes. Methods 403 Hispanic women of reproductive age in border communities of California, Arizona, New Mexico and Texas were surveyed on knowledge and behaviors related to prenatal care (PNC) and basic demographic information. Chi square analyses and logistic regressions were used to identify important relationships. Results Chi square analyses revealed that primiparous women were significantly less likely to start FTPNC than multiparous women (χ2 = 6.8372, p = 0.0089). Women with accurate knowledge about FTPNC were more likely to obtain FTPNC (χ2 = 29.280, p < .001) and more likely to have seen a doctor within the past year (χ2 = 5.550, p = .018). Logistic regression confirmed that multiparity was associated with FTPNC and also that living in Texas was negatively associated with FTPNC (R2 = 0.066, F(9,340) = 2.662, p = .005). Among 27 women with non-FTPNC, barriers included late pregnancy recognition (n = 19) and no medical insurance (n = 5). Conclusions This study supports research that first time pregnancies have lower FTPNC, and demonstrated a strong association between delayed PNC and late pregnancy recognition. Strengthened investments in preconception planning could improve FTPNC in this population.
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Affiliation(s)
- Katherine Selchau
- California Border Healthy Start+ Project, Project Concern International (PCI) U.S. & Border Programs, 4305 University Ave, Suite 345, San Diego, CA, 92105, USA.
| | - Maricela Babuca
- Santa Cruz County Healthy Start, Mariposa Community Health Center, 1852 N. Mastick Way, Nogales, AZ, 85621, USA
| | - Kara Bower
- Ben Archer Health Center, Welcome Baby Program, 1600 Thorpe Rd, Las Cruces, NM, 88012, USA
| | - Yara Castro
- Santa Cruz County Healthy Start, Mariposa Community Health Center, 1852 N. Mastick Way, Nogales, AZ, 85621, USA
| | | | - Araceli Flores
- BCFS Health and Human Services, Healthy Start Laredo, 7019 Village Blvd., Suite 205, Laredo, TX, 78041, USA
| | - Jonah O Garcia
- La Clinica De Familia, Healthy Start Program, 575 South Alameda Blvd., Las Cruces, NM, 88005, USA
| | - Maria Lourdes F Reyes
- PCI, California Border Healthy Start+, 4305 University Ave, Suite 345, San Diego, CA, 92105, USA
| | - Yvonne Rojas
- La Clinica De Familia, Healthy Start Program, 575 South Alameda Blvd., Las Cruces, NM, 88005, USA
| | - Jason Rubin
- PCI, 5151 Murphy Canyon Road, Suite 320, San Diego, CA, 92123, USA
| | | | - Laura Shattuck
- La Clinica De Familia, Healthy Start Program, 575 South Alameda Blvd., Las Cruces, NM, 88005, USA
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Selchau K, Babuca M, Bower K, Castro Y, Flores A, Garcia JO, Reyes MLF, Rojas Y, Shattuck L. Voces de la frontera/Voices from the Border: Using Case Studies of Pregnancy, Birth and Parenting along the U.S.-Mexico Border to Identify Shared Measures of Success. Matern Child Health J 2017; 21:19-24. [PMID: 29198049 PMCID: PMC5736768 DOI: 10.1007/s10995-017-2375-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Purpose This research analyzes the cases of five women living along the U.S.-Mexico border who overcame challenges during pregnancy or parenting with the support of a federally funded Healthy Start program, designed to eliminate disparities in perinatal health in disadvantaged communities with the poorest birth outcomes. Study objectives were to: (1) identify common factors that affect healthy maternal and child outcomes for Healthy Start participants; and (2) identify a shared definition of what success looks like for Healthy Start participants and opportunities for further study. Description Five border Healthy Start sites (CA, AZ, NM, and TX) contributed case stories from participants who had overcome access barriers to achieve positive pregnancy, birth or parenting outcomes. Case studies were collected using review of successful participant cases and non-structured interviews by Healthy Start staff, and analyzed using participatory methods and thematic analysis. Assessment Common barriers were: lack of insurance; isolation or unsupportive family relationships; timidness and lack of self-advocacy. Healthy Start programs have been successful in securing supportive relationships through the community health worker model; reducing isolation; obtaining insurance access and a medical home; building self-advocacy skills; and supporting participants to pursue their goals. Conclusion Identified barriers are in line with available literature on health care access and provide a U.S.-Mexico border-specific view. The Healthy Start model is effective at helping women to overcome barriers. Learning from this research may contribute to development of shared measures for more impactful evaluation of Healthy Start and similar programs.
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Affiliation(s)
- Katherine Selchau
- PCI U.S. & Border Programs, California Border Healthy Start+, Project Concern International (PCI), 4305 University Ave, Ste., 345, San Diego, CA, 92105, USA.
| | - Maricela Babuca
- Santa Cruz County Healthy Start, Mariposa Community Health Center, 1852 N. Mastick Way, Nogales, AZ, 85621, USA
| | - Kara Bower
- Welcome Baby Program, Ben Archer Health Center, 1600 Thorpe Rd, Las Cruces, NM, 88012, USA
| | - Yara Castro
- Santa Cruz County Healthy Start, Mariposa Community Health Center, 1852 N. Mastick Way, Nogales, AZ, 85621, USA
| | - Araceli Flores
- Healthy Start Laredo, BCFS Health and Human Services, 7019 Village Blvd., Suite 205, Laredo, TX, 78041, USA
| | - Jonah O Garcia
- Healthy Start Program, La Clinica de Familia, 575 South Alameda Blvd., Las Cruces, NM, 88005, USA
| | - Maria Lourdes F Reyes
- California Border Healthy Start+, Project Concern International (PCI), 4305 University Ave, Ste. 345, San Diego, CA, 92105, USA
| | - Yvonne Rojas
- Healthy Start Program, La Clinica de Familia, 575 South Alameda Blvd., Las Cruces, NM, 88005, USA
| | - Laura Shattuck
- Healthy Start Program, La Clinica de Familia, 575 South Alameda Blvd., Las Cruces, NM, 88005, USA
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