Nicholson Wanda K, Brickhouse Bergina, Powe Neil R, Bronner Yvonne
Women's and Children's Health Policy Center, Department of Population and Family Health Sciences, Baltimore, Maryland, USA.
Ethn Dis. 2004 Winter;14(1):13-20.
Our objective was to ascertain the priority of prenatal support services from the perspective of high-risk patients. The relationship between patients' needs, and both knowledge of and intent to use services, was examined, while documenting factors associated with the intent to use available support services.
The authors of this study conducted a cross-sectional survey of 102 African-American women at a university-affiliated, urban-health center. Patients' priority support needs were compared to their knowledge of and intent to use support services using chi-square statistics. Logistic regression was used to determine factors independently associated with patients' intent to use 5 support services (substance abuse counseling, community referrals, health education, nutrition services, and social work services), while adjusting for potential socioeconomic confounding variables, knowledge, and need for services.
Knowledge of existing services was independently associated with patient intent to use one or more support services (odds ratio 3.6; confidence interval 1.4-9.4). With each one-unit increase in parity, a 30% less odds (odds ratio 0.7; confidence interval 0.4-0.9) of using one or more support services occurred.
Physicians should ensure prenatal patients' knowledge of support services at healthcare centers. Multiparity is inversely related to women's intent to use support services, independent of their knowledge of service availability.
我们的目标是从高危患者的角度确定产前支持服务的优先级。研究了患者需求与服务知识及使用意愿之间的关系，同时记录与使用现有支持服务意愿相关的因素。
本研究的作者在一所大学附属的城市健康中心对102名非裔美国女性进行了横断面调查。使用卡方统计将患者的优先支持需求与其对支持服务的了解和使用意愿进行比较。使用逻辑回归来确定与患者使用5种支持服务（药物滥用咨询、社区转诊、健康教育、营养服务和社会工作服务）意愿独立相关的因素，同时对潜在的社会经济混杂变量、知识和服务需求进行调整。
对现有服务的了解与患者使用一种或多种支持服务的意愿独立相关（优势比3.6；置信区间1.4 - 9.4）。每增加一个产次单位，使用一种或多种支持服务的几率降低30%（优势比0.7；置信区间0.4 - 0.9）。
医生应确保产前患者了解医疗保健中心的支持服务。经产与女性使用支持服务的意愿呈负相关，与她们对服务可用性的了解无关。
