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“You Learn to Go Last”: Perceptions of Prenatal Care Experiences among African-American Women with Limited Incomes

Overview of attention for article published in Maternal and Child Health Journal, November 2012
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  • In the top 25% of all research outputs scored by Altmetric
  • High Attention Score compared to outputs of the same age (83rd percentile)
  • Good Attention Score compared to outputs of the same age and source (74th percentile)

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9 X users
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1 Google+ user

Citations

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84 Dimensions

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192 Mendeley
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Title
“You Learn to Go Last”: Perceptions of Prenatal Care Experiences among African-American Women with Limited Incomes
Published in
Maternal and Child Health Journal, November 2012
DOI 10.1007/s10995-012-1194-5
Pubmed ID
Authors

Trina C. Salm Ward, Mary Mazul, Emmanuel M. Ngui, Farrin D. Bridgewater, Amy E. Harley

Abstract

African American infants die at higher rates and are at greater risk of adverse birth outcomes than White infants in Milwaukee. Though self-reported experiences of racism have been linked to adverse health outcomes, limited research exists on the impact of racism on women's prenatal care experiences. The purpose of this study was to examine the experiences of racial discrimination during prenatal care from the perspectives of African American women in a low income Milwaukee neighborhood. Transcripts from six focus groups with twenty-nine women and two individual interviews were analyzed to identify important emergent themes. Validity was maintained using an audit trail, peer debriefing, and two individual member validation sessions. Participants identified three areas of perceived discrimination based on: (1) insurance or income status, (2) race, and (3) lifetime experiences of racial discrimination. Women described being treated differently by support staff and providers based on type of insurance (public versus private), including perceiving a lower quality of care at clinics that accepted public insurance. While some described personally-mediated racism, the majority of women described experiences that fit within a definition of institutionalized racism-in which the system was designed in a way that worked against their attempts to get quality prenatal care. Women also described lifetime experiences of racial discrimination. Our findings suggest that African American women with limited incomes perceive many provider practices and personal interactions during prenatal care as discriminatory. Future studies could explore the relationship between perceptions of discrimination and utilization of prenatal care.

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X Demographics

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 192 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 <1%
Unknown 191 99%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 33 17%
Student > Master 25 13%
Researcher 20 10%
Student > Doctoral Student 19 10%
Student > Bachelor 12 6%
Other 31 16%
Unknown 52 27%
Readers by discipline Count As %
Social Sciences 34 18%
Nursing and Health Professions 32 17%
Medicine and Dentistry 31 16%
Psychology 14 7%
Engineering 3 2%
Other 15 8%
Unknown 63 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 7. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 23 December 2019.
All research outputs
#4,469,784
of 23,906,448 outputs
Outputs from Maternal and Child Health Journal
#451
of 2,039 outputs
Outputs of similar age
#44,070
of 282,535 outputs
Outputs of similar age from Maternal and Child Health Journal
#8
of 35 outputs
Altmetric has tracked 23,906,448 research outputs across all sources so far. Compared to these this one has done well and is in the 80th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 2,039 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 10.2. This one has done well, scoring higher than 76% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 282,535 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 83% of its contemporaries.
We're also able to compare this research output to 35 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 74% of its contemporaries.