Levisohn Ariella, Nsiah-Jefferson Laurie, Dieujuste Colette, Heelan-Fancher Lisa
School of Medicine, Tufts University, Boston, MA 02111, USA.
McCormack Graduate School of Global and Policy Studies, College of Liberal Arts, University of Massachusetts Boston, Boston, MA 02125, USA.
Int J Environ Res Public Health. 2024 Dec 6;21(12):1628. doi: 10.3390/ijerph21121628.
Black birthing people experience lower rates of postpartum follow-up care. The objective of this study was to examine factors associated with postpartum follow-up care and explore suggestions for improving the quality and experience of care during the postpartum period. A survey was conducted among Black birthing people in the Boston area who had delivered an infant within two years of the study. Our survey comprised the Jackson, Hogue, Phillips Contextualized Stress Measure (JHPCSM), the Power as Knowing Participation in Change Tool (PKPCT), and demographic questions. One hundred and twenty-one self-identified Black birthing people completed the survey. One-third of participants did not attend their postpartum appointment. Those with public insurance, an educational level of less than a college degree, or were working outside the home were significantly less likely to have a postpartum follow-up visit. Participants who attended postpartum visits had higher scores on the JHPCSM (lower stress) and PKPCT. Inability to take time off from work, COVID-19 concerns, and lack of childcare were the most frequently reported barriers to attending appointments. There is a need for better institutional and policy support for Black parents in the postpartum period.
黑人分娩者接受产后随访护理的比例较低。本研究的目的是调查与产后随访护理相关的因素，并探索改善产后护理质量和体验的建议。对波士顿地区在研究前两年内分娩过婴儿的黑人分娩者进行了一项调查。我们的调查包括杰克逊、霍格、菲利普斯情境压力量表（JHPCSM）、作为知晓参与变革工具的权力量表（PKPCT）以及人口统计学问题。121名自我认定的黑人分娩者完成了调查。三分之一的参与者没有参加产后预约。有公共保险、教育水平低于大学学历或在外工作的参与者进行产后随访的可能性显著降低。参加产后随访的参与者在JHPCSM（压力较小）和PKPCT上得分较高。无法从工作中抽出时间、对新冠疫情的担忧以及缺乏儿童保育是报告中最常见的阻碍预约就诊的因素。产后需要为黑人父母提供更好的机构和政策支持。
