title: The role of perceived stress on prenatal care utilization: implications for social work practice.
abstract: Data from the National Institute of Child Health and Human Development/Missouri Maternal and Infant Health Survey on about 2,828 mothers were used to examine the relationship between perceived stress and prenatal care utilization. Major life events that contribute to stress also were examined in relation to adequacy of prenatal care. Women who received inadequate prenatal care were more likely to have reported that they almost always felt stress during pregnancy. Odds ratios were statistically significant for women who were not black and Medicaid recipients but not for black women and women who were not covered by Medicaid. Social work intervention for stress reduction on behalf of pregnant women has the potential to contribute to improved prenatal care utilization, but further analysis of the kinds of stress women experience will enhance social work's ability to target specific interventions.
authors.affiliation: School of Social Work, University of Missouri, Columbia 65211, USA. sablem@missouri.edu
authors.forename: M R
authors.initials: MR
authors.lastname: Sable
authors.forename: D S
authors.initials: DS
authors.lastname: Wilkinson
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008016:Life Change Events; D016015:Logistic Models; D008484:Medicaid; D008923:Missouri / Q000453:epidemiology; D009035:Mothers / Q000523:psychology*; D011247:Pregnancy; D011295:Prenatal Care / Q000706:statistics & numerical data*; D012947:Social Work; D013315:Stress, Psychological / Q000453:epidemiology*; D011795:Surveys and Questionnaires; D014481:United States