Kalmuss D, Fennelly K
Columbia University.
Fam Plann Perspect. 1990 Sep-Oct;22(5):215-8, 231.
Postpartum in-hospital interviews with 496 low-income women in New York City revealed that attitudinal and motivational barriers as well as financial obstacles are significant impediments to timely initiation of prenatal care. The two most common reasons cited by these women in explaining why they had obtained prenatal care late or not at all were motivational items: "feeling depressed and not up to going for care" and "needing time and energy to deal with other problems." In logistic regression analyses, receipt of late or no prenatal care was significantly associated with the latter motivational barrier, along with the cost of care, having no health insurance, being Hispanic, being a substance abuser and holding negative attitudes toward the use of prenatal care.
对纽约市496名低收入女性进行的产后住院访谈显示，态度和动机障碍以及经济障碍是及时开始产前护理的重大阻碍。这些女性在解释为何很晚才开始或根本没有接受产前护理时，最常提到的两个原因是动机方面的：“感到沮丧，不想去接受护理”以及“需要时间和精力来处理其他问题”。在逻辑回归分析中，很晚才接受或根本没有接受产前护理与后一种动机障碍显著相关，同时还与护理费用、没有医疗保险、是西班牙裔、是药物滥用者以及对使用产前护理持负面态度有关。
