title: Barriers to prenatal care for homeless pregnant women.
abstract: OBJECTIVE
  The purpose of this study was to explore and describe the barriers to prenatal care for homeless pregnant women.
  
  
  METHODS
  A descriptive survey with written questionnaires.
  
  
  METHODS
  About 183 pregnant homeless women live in Northeast Florida in any given month. More than 250 surveys were distributed to homeless pregnant women via agencies that provide shelter and/or services to homeless people in Northeast Florida. Forty-seven surveys were returned, representing 25.7% of the estimated population.
  
  
  METHODS
  Barriers to prenatal care were measured using Melnyk's Barriers Scale, a 27-item Likert-type scale.
  
  
  RESULTS
  Of the respondents, 75.61% perceived barriers to prenatal care. Site-related factors were the most significant, followed by provider/client relationship, inconvenience, fear, and cost.
  
  
  CONCLUSIONS
  Although prenatal care is available to all pregnant women in Northeast Florida, barriers to accessing this care for homeless pregnant women are significant and need to be addressed by health care providers and administrators. Additional qualitative study of these issues is warranted.
authors.affiliation: University of North Florida, School of Nursing, Jacksonville 32224-2673, USA. kbloom@unf.edu
authors.forename: Kathaleen C
authors.initials: KC
authors.lastname: Bloom
authors.forename: Michele S
authors.initials: MS
authors.lastname: Bednarzyk
authors.forename: Deanna L
authors.initials: DL
authors.lastname: Devitt
authors.forename: Rebecca A
authors.initials: RA
authors.lastname: Renault
authors.forename: Veronica
authors.initials: V
authors.lastname: Teaman
authors.forename: Donna M
authors.initials: DM
authors.lastname: Van Loock
mesh_terms: D000293:Adolescent; D000328:Adult; D001294:Attitude to Health; D002648:Child; D005239:Fear; D005260:Female; D005431:Florida; D005865:Gestational Age; D019538:Health Care Surveys; D006297:Health Services Accessibility / Q000592:standards*; D006703:Ill-Housed Persons / Q000523:psychology* / Q000706:statistics & numerical data; D006801:Humans; D020380:Needs Assessment; D015404:Nursing Methodology Research; D011247:Pregnancy; D037841:Pregnant People / Q000523:psychology*; D011295:Prenatal Care / Q000592:standards* / Q000706:statistics & numerical data; D011369:Professional-Patient Relations; D036301:Qualitative Research; D011795:Surveys and Questionnaires