Situational and financial barriers to prenatal care in a sample of low-income, inner-city women

Document Type


Peer Reviewed


Publication Date


NLM Title Abbreviation

Public Health Rep

Journal/Book/Conference Title

Public health reports (Washington, D.C.: 1974)

PubMed ID


Start Page


End Page



The relationship between the use of prenatal care and factors that may impede access to care was examined in a sample of low-income, inner-city women. Situational and financial barriers to care were not important correlates of utilization. In unadjusted analyses, only insurance status and employment status were associated with utilization. Of the sociodemographic characteristics studied, only parity was strongly associated with the use of prenatal care. When the apparent associations between utilization and insurance status and utilization and employment were analyzed controlling for parity, the estimated strength and statistical significance of these relationships diminished considerably. Multiparous women who were more likely than primiparous women to be underutilizers were also more likely to be on medical assistance and to be unemployed. These findings suggest that situational and financial barriers are not important correlates of utilization for low-income, adult women living in urban areas where there are accessible clinic facilities and public transportation. Efforts to identify and surmount other kinds of barriers may prove to be a more effective approach to prenatal outreach for women in these circumstances.


Adult, Educational Status, Employment, Female, Health Surveys, Humans, Insurance, Health, Marriage, Maternal Health Services/utilization, Parity, Poverty, Pregnancy, Prenatal Care/economics, Urban Population

Published Article/Book Citation

Public health reports (Washington, D.C.: 1974), 105:3 (1990) pp.264-267.

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