Objective

To identify possible discriminatory factors that lead to prenatal care dissatisfaction and disengagement from prenatal care among young, expecting couples with a focus on exploring the experiences of Black and Latinx participants.

Methods

A total of 296 young adolescent couples were recruited. Each couple consisted of an expecting female (ExpF) and an expecting male (ExpM). Participants were asked to give responses to a survey, and data was collected at 3 different time points.

Participants

The sample consisted of 296 expecting young couples.

Setting

Participants were recruited from obstetrics and gynecology clinics and ultrasound clinics from 4 university-affiliated hospitals in southern Connecticut.

Outcome Measures

The main outcome measure was prenatal care satisfaction. The secondary outcome was number of prenatal care visits that were attended by each member of the couple dyad. Both of these outcomes were assessed to evaluate whether discriminatory factors that participants experienced in healthcare had an effect on each outcome.

Results

A total of 51 males (17.5%) and 36 females (12.4%) reported a perception of experiencing discrimination in the healthcare system a few times a year or more. Those who believed that race contributed to discrimination in the healthcare system were 2.45 times more likely to have an unpleasant prenatal visit (P = .018). Those who believed that age contributed to discrimination in the healthcare system were 2.74 times more likely to have an unpleasant prenatal visit (P = .001). Participants who believed that physical appearance contributed to discrimination in the healthcare system were 2.83 times more likely to have an unpleasant prenatal visit (P = .01).

Conclusion

Black and Latinx young expecting couples are not exempt from discriminatory experiences during prenatal care. Recommendations for quality improvement in prenatal healthcare settings include implementation of standard evaluative measures specific to personal treatment and supportiveness of the medical team.

中文翻译：

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影响青少年和年轻成年夫妇产前护理满意度和出勤率的感知歧视因素。

客观的

确定可能导致产前护理不满和年轻、预期夫妇不参与产前护理的可能歧视因素，重点是探索黑人和拉丁裔参与者的经历。

方法

共招募了 296 对年轻的青少年夫妇。每对夫妇由一个怀孕的女性 (ExpF) 和一个怀孕的男性 (ExpM) 组成。参与者被要求对调查做出回应，并在 3 个不同的时间点收集数据。

参与者

样本包括 296 对年轻夫妇。

环境

参与者是从康涅狄格州南部 4 所大学附属医院的妇产科诊所和超声诊所招募的。

结果措施

主要结局指标是产前护理满意度。次要结果是夫妻双方每个成员参加的产前保健就诊次数。对这两个结果进行了评估，以评估参与者在医疗保健中经历的歧视因素是否对每个结果产生影响。

结果

共有 51 名男性 (17.5%) 和 36 名女性 (12.4%) 报告说，他们认为在医疗保健系统中经历过几次或更多次的歧视。那些认为种族导致医疗保健系统歧视的人进行不愉快的产前检查的可能性是其他人的 2.45 倍 ( P  = .018)。那些认为年龄导致医疗保健系统歧视的人进行不愉快的产前检查的可能性是其他人的 2.74 倍 ( P  = .001)。认为外貌导致医疗保健系统歧视的参与者进行不愉快的产前检查的可能性是其他人的 2.83 倍 ( P  = .01)。

结论

黑人和拉丁裔年轻准夫妇在产前护理期间也不能免于歧视。产前保健环境质量改进的建议包括实施针对个人治疗和医疗团队支持的标准评估措施。