The Biopsychosocial Model and Perinatal Health Care: Determinants of Perinatal Care in a Community Sample

Insufficient care in the perinatal period is associated with poorer maternal health, poorer perinatal outcomes, infant mortality, and health inequalities. Identifying the sources of and reducing the rates of insufficient care is therefore a major clinical and public health objective. We propose a sp...

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Autores principales:	Zoe T. Duberstein, Jessica Brunner, Lisa S. Panisch, Sanjukta Bandyopadhyay, Carrie Irvine, Jenna A. Macri, Eva Pressman, Loralei L. Thornburg, Ellen Poleshuck, Keisha Bell, Meghan Best, Emily Barrett, Richard K. Miller, Thomas G. O'Connor
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	prenatal care utilization postpartum attendance biopsychosocial maternal-fetal health Psychiatry RC435-571
Acceso en línea:	https://doaj.org/article/b627fc55190b4895a1fe9a49c4c4fe55
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spelling	oai:doaj.org-article:b627fc55190b4895a1fe9a49c4c4fe552021-11-17T05:29:55ZThe Biopsychosocial Model and Perinatal Health Care: Determinants of Perinatal Care in a Community Sample1664-064010.3389/fpsyt.2021.746803https://doaj.org/article/b627fc55190b4895a1fe9a49c4c4fe552021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fpsyt.2021.746803/fullhttps://doaj.org/toc/1664-0640Insufficient care in the perinatal period is associated with poorer maternal health, poorer perinatal outcomes, infant mortality, and health inequalities. Identifying the sources of and reducing the rates of insufficient care is therefore a major clinical and public health objective. We propose a specific application of the biopsychosocial model that conceptualizes prenatal and postpartum care quality as health markers that are influenced by psychological factors and family and social context. Clinic attendance data were abstracted from the electronic medical records of N = 291 participants enrolled in a longitudinal pregnancy cohort study of healthy women who have been followed since the first trimester; the Kotelchuck Index (KI) was calculated as an index of perinatal care utilization. Detailed prenatal psychological, social, and sociodemographic data were collected from self-report questionnaire and interview. Bivariate analyses indicated socio-demographic (e.g., race), psychological (e.g., response to perceived racism, affective symptoms, trauma experience), and social and family context (e.g., social support, family size) significantly influenced pre- and post-natal care utilization. Multivariate logistic regression analyses, adjusting for medical complications, identified social and family context as robust predictors of perinatal care utilization. The findings underscore the need for biopsychosocial models of health care and highlight several potential strategies for improving health care utilization.Zoe T. DubersteinJessica BrunnerLisa S. PanischSanjukta BandyopadhyayCarrie IrvineJenna A. MacriEva PressmanLoralei L. ThornburgEllen PoleshuckEllen PoleshuckKeisha BellKeisha BellMeghan BestEmily BarrettRichard K. MillerThomas G. O'ConnorThomas G. O'ConnorThomas G. O'ConnorThomas G. O'ConnorThomas G. O'ConnorFrontiers Media S.A.articleprenatal care utilizationpostpartumattendancebiopsychosocialmaternal-fetal healthPsychiatryRC435-571ENFrontiers in Psychiatry, Vol 12 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	prenatal care utilization postpartum attendance biopsychosocial maternal-fetal health Psychiatry RC435-571
spellingShingle	prenatal care utilization postpartum attendance biopsychosocial maternal-fetal health Psychiatry RC435-571 Zoe T. Duberstein Jessica Brunner Lisa S. Panisch Sanjukta Bandyopadhyay Carrie Irvine Jenna A. Macri Eva Pressman Loralei L. Thornburg Ellen Poleshuck Ellen Poleshuck Keisha Bell Keisha Bell Meghan Best Emily Barrett Richard K. Miller Thomas G. O'Connor Thomas G. O'Connor Thomas G. O'Connor Thomas G. O'Connor Thomas G. O'Connor The Biopsychosocial Model and Perinatal Health Care: Determinants of Perinatal Care in a Community Sample
description	Insufficient care in the perinatal period is associated with poorer maternal health, poorer perinatal outcomes, infant mortality, and health inequalities. Identifying the sources of and reducing the rates of insufficient care is therefore a major clinical and public health objective. We propose a specific application of the biopsychosocial model that conceptualizes prenatal and postpartum care quality as health markers that are influenced by psychological factors and family and social context. Clinic attendance data were abstracted from the electronic medical records of N = 291 participants enrolled in a longitudinal pregnancy cohort study of healthy women who have been followed since the first trimester; the Kotelchuck Index (KI) was calculated as an index of perinatal care utilization. Detailed prenatal psychological, social, and sociodemographic data were collected from self-report questionnaire and interview. Bivariate analyses indicated socio-demographic (e.g., race), psychological (e.g., response to perceived racism, affective symptoms, trauma experience), and social and family context (e.g., social support, family size) significantly influenced pre- and post-natal care utilization. Multivariate logistic regression analyses, adjusting for medical complications, identified social and family context as robust predictors of perinatal care utilization. The findings underscore the need for biopsychosocial models of health care and highlight several potential strategies for improving health care utilization.
format	article
author	Zoe T. Duberstein Jessica Brunner Lisa S. Panisch Sanjukta Bandyopadhyay Carrie Irvine Jenna A. Macri Eva Pressman Loralei L. Thornburg Ellen Poleshuck Ellen Poleshuck Keisha Bell Keisha Bell Meghan Best Emily Barrett Richard K. Miller Thomas G. O'Connor Thomas G. O'Connor Thomas G. O'Connor Thomas G. O'Connor Thomas G. O'Connor
author_facet	Zoe T. Duberstein Jessica Brunner Lisa S. Panisch Sanjukta Bandyopadhyay Carrie Irvine Jenna A. Macri Eva Pressman Loralei L. Thornburg Ellen Poleshuck Ellen Poleshuck Keisha Bell Keisha Bell Meghan Best Emily Barrett Richard K. Miller Thomas G. O'Connor Thomas G. O'Connor Thomas G. O'Connor Thomas G. O'Connor Thomas G. O'Connor
author_sort	Zoe T. Duberstein
title	The Biopsychosocial Model and Perinatal Health Care: Determinants of Perinatal Care in a Community Sample
title_short	The Biopsychosocial Model and Perinatal Health Care: Determinants of Perinatal Care in a Community Sample
title_full	The Biopsychosocial Model and Perinatal Health Care: Determinants of Perinatal Care in a Community Sample
title_fullStr	The Biopsychosocial Model and Perinatal Health Care: Determinants of Perinatal Care in a Community Sample
title_full_unstemmed	The Biopsychosocial Model and Perinatal Health Care: Determinants of Perinatal Care in a Community Sample
title_sort	biopsychosocial model and perinatal health care: determinants of perinatal care in a community sample
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/b627fc55190b4895a1fe9a49c4c4fe55
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The Biopsychosocial Model and Perinatal Health Care: Determinants of Perinatal Care in a Community Sample

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