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- Title
Sufficiency of Health Information During Pregnancy: What's Missing and for Whom? A Cross-Sectional Analysis Among Veterans.
- Authors
Sheahan, Kate L.; Kroll-Desrosiers, Aimee; Goldstein, Karen M.; Sheahan, Margaret M.; Oumarou, Annie; Mattocks, Kristin
- Abstract
Background: Women Veterans often experience trauma and physical and mental health conditions that increase risk of adverse pregnancy outcomes. Information provision during pregnancy may facilitate improved outcomes. However, little evidence exists about information women Veterans receive during pregnancy, and their perceptions of it. Materials and Methods: We recruited pregnant Veterans from 15 Veterans Affairs medical centers. Through telephone surveys, women (N = 851) provided information about sociodemographic characteristics, military service, health, and pregnancy experiences. We asked postpartum women whether, during pregnancy, they received sufficient information about nine health topics. We calculated a composite score (range: 0–9) that reflected sufficiency of information received. Multivariable logistic regression models identified determinants of perceived sufficiency of information. Results: Mean age was 32.1 years. Most reported being White (56.3%), non-Hispanic (80.3%), married/living with a partner (85.1%), and employed (54.4%). Most (54.6%) had been diagnosed with depression (54.6%); one-quarter reported current depressive symptoms. Mean sufficiency of information score was 6.9. Topics that women most reported they did not receive sufficient information on included, what to expect during delivery (32.3%) and how their spouse/partner might support them during labor (40.3%). History of depression (β = −0.35, p = 0.03), current depressive symptoms (β = −0.66, p = 0.001), military sexual trauma (β = 0.37, p = 0.03), and experience of violence (β = 0.66, p = 0.03) were associated with lower sufficiency of information scores. Conclusion: Results indicate need for enhanced and tailored provision of information for Veterans during pregnancy, particularly among those with experience of trauma, past depression diagnoses, and current depressive symptoms. This may include optimizing care coordination and increasing access to childbirth education classes and doula support.
- Subjects
SOCIAL support; CROSS-sectional method; MULTIPLE regression analysis; VIOLENCE; EXPERIENCE; PSYCHOLOGICAL tests; HEALTH; INFORMATION resources; HEALTH attitudes; QUESTIONNAIRES; DESCRIPTIVE statistics; MENTAL depression; SEX crimes; VETERANS; STATISTICAL models; PRENATAL care; EDINBURGH Postnatal Depression Scale
- Publication
Journal of Women's Health (15409996), 2022, Vol 31, Issue 11, p1557
- ISSN
1540-9996
- Publication type
Article
- DOI
10.1089/jwh.2021.0462