Preterm Birth Prevention in Appalachia: Restructuring Prenatal Care to Address Rural Health Disparities and Establish Perinatal Health Equity

Anna Hansen; Mairead E. Moloney; Jing Li; Niraj R. Chavan

doi:10.1089/heq.2020.0064

Preterm Birth Prevention in Appalachia: Restructuring Prenatal Care to Address Rural Health Disparities and Establish Perinatal Health Equity

Anna Hansen, Mairead E. Moloney, Jing Li, Niraj R. Chavan

Research output: Contribution to journal › Review article › peer-review

Abstract

Purpose: This perspective piece reflects off previously published qualitative work to explore (1) themes surrounding equitable prenatal care in Appalachia and (2) strategies to restructure care delivery in a population with disparate rates of preterm birth (PTB). Methods: This study reflects in-depth interviews with 22 Appalachian women who experienced PTB and 14 obstetric providers. Results: Our findings underscore the need for greater cultural humility in prenatal care, heightened awareness of social determinants of health, and strategic planning to establish equity in birth outcomes. Conclusion: Prenatal care must undergo a paradigm shift to include a comprehensive discussion of cultural humility, social disparities, and health equity.

Original language	English
Pages (from-to)	203-209
Number of pages	7
Journal	Health Equity
Volume	5
Issue number	1
DOIs	https://doi.org/10.1089/heq.2020.0064
State	Published - Apr 1 2021

Bibliographical note

Publisher Copyright:
© Anna Hansen et al., 2021; Published by Mary Ann Liebert, Inc. 2021.

Keywords

perinatal health
preterm birth
rural health

ASJC Scopus subject areas

Health(social science)
Health Policy
Public Health, Environmental and Occupational Health
Health Information Management

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1089/heq.2020.0064

Cite this

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title = "Preterm Birth Prevention in Appalachia: Restructuring Prenatal Care to Address Rural Health Disparities and Establish Perinatal Health Equity",

abstract = "Purpose: This perspective piece reflects off previously published qualitative work to explore (1) themes surrounding equitable prenatal care in Appalachia and (2) strategies to restructure care delivery in a population with disparate rates of preterm birth (PTB). Methods: This study reflects in-depth interviews with 22 Appalachian women who experienced PTB and 14 obstetric providers. Results: Our findings underscore the need for greater cultural humility in prenatal care, heightened awareness of social determinants of health, and strategic planning to establish equity in birth outcomes. Conclusion: Prenatal care must undergo a paradigm shift to include a comprehensive discussion of cultural humility, social disparities, and health equity.",

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doi = "10.1089/heq.2020.0064",

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T2 - Restructuring Prenatal Care to Address Rural Health Disparities and Establish Perinatal Health Equity

AU - Hansen, Anna

AU - Moloney, Mairead E.

AU - Li, Jing

AU - Chavan, Niraj R.

N1 - Publisher Copyright: © Anna Hansen et al., 2021; Published by Mary Ann Liebert, Inc. 2021.

PY - 2021/4/1

Y1 - 2021/4/1

N2 - Purpose: This perspective piece reflects off previously published qualitative work to explore (1) themes surrounding equitable prenatal care in Appalachia and (2) strategies to restructure care delivery in a population with disparate rates of preterm birth (PTB). Methods: This study reflects in-depth interviews with 22 Appalachian women who experienced PTB and 14 obstetric providers. Results: Our findings underscore the need for greater cultural humility in prenatal care, heightened awareness of social determinants of health, and strategic planning to establish equity in birth outcomes. Conclusion: Prenatal care must undergo a paradigm shift to include a comprehensive discussion of cultural humility, social disparities, and health equity.

AB - Purpose: This perspective piece reflects off previously published qualitative work to explore (1) themes surrounding equitable prenatal care in Appalachia and (2) strategies to restructure care delivery in a population with disparate rates of preterm birth (PTB). Methods: This study reflects in-depth interviews with 22 Appalachian women who experienced PTB and 14 obstetric providers. Results: Our findings underscore the need for greater cultural humility in prenatal care, heightened awareness of social determinants of health, and strategic planning to establish equity in birth outcomes. Conclusion: Prenatal care must undergo a paradigm shift to include a comprehensive discussion of cultural humility, social disparities, and health equity.

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Preterm Birth Prevention in Appalachia: Restructuring Prenatal Care to Address Rural Health Disparities and Establish Perinatal Health Equity

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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