Structural and Socio-cultural Barriers to Prenatal Care in a US Marshallese Community

Maternal and Child Health Journal
Britni L AyersPearl Anna McElfish

Abstract

Objectives Pacific Islanders are disproportionately burdened by poorer perinatal health outcomes with higher rates of pre-term births, low birth weight babies, infant mortality, and inadequate or no prenatal care. The aim of this study is to examine Marshallese mothers' beliefs, perceptions, and experiences of prenatal care and to identify potential barriers. Methods Three focus groups were conducted with Marshallese mothers, who were 18 years or older, and living in Arkansas. Focus groups focused on mothers' beliefs, perceptions, and experiences of prenatal care. A thematic qualitative analysis was conducted to identify salient themes within the data. Results The results demonstrated that negotiating health insurance, transportation, and language barriers were all major structural barriers that constrain prenatal care. The social-cultural barriers that emerged included a lack of understanding of the importance of seeking early and consistent prenatal care, as well as how to navigate the healthcare process. The more complicated challenges that emerged were the feelings of shame and embarrassment due to the perception of their age or being unmarried during pregnancy not being acceptable in American culture. Furthermore, the part...Continue Reading

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Citations

Jun 8, 2018·Annals of Human Biology·Pearl A McElfishBritni L Ayers
Aug 10, 2019·International Journal of Qualitative Studies on Health and Well-being·Katarina PatrikssonHelena Wigert
Jun 12, 2019·Journal of Transcultural Nursing : Official Journal of the Transcultural Nursing Society·Britni L AyersPearl A McElfish
Jul 27, 2020·Asian/Pacific Island Nursing Journal·Connie K Y Nguyen-TruongJennifer I Nevers
Jun 23, 2019·Maternal and Child Health Journal·Wendy N NembhardPearl A McElfish

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