Abstract
Objectives
The purpose of this study was to explore socio-ecological influences affecting the daily lives of urban, pregnant Puerto Rican women and factors negatively influencing their health seeking behaviors related to prenatal care.
Methods
Qualitative, descriptive methods were used including individual interviews and focus groups to obtain maximum understanding of the women’s lives. The interviews and focus groups were conducted using a semi-structured interview guide based on various components of the study’s conceptual framework. Content analytic strategies included rigorous and systematic processes to increase trustworthiness: training, supervision, audits, electronic technologies, and ongoing input of the research team.
Results
Factors on all levels of the study’s conceptual framework compound the effects of stressors and restrictions on the lives of urban, childbearing Puerto Rican woman. The intersectionality of issues for Puerto Rican women can either mitigate or heighten the pressure on their daily lives.
Conclusions
This initial research sets the groundwork for further studies, such as narrative analysis, to better understand how to build appropriate and relevant interventions. Uncovering the women’s stories gives them the opportunity to be a critical part of cross-sector partnerships towards the development of sustainable interventions.
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Acknowledgements
We would like to thank Dr. Arleen Ayala-Crespo, M.D. for her support of our research at every point in the process. In addition, we would like to express special gratitude to Stephanie Corley Logan RN and the entire OB clinic who were instrumental in recruitment: Minerva (Minnie) Santos, Mary Dearry RN, Laura Kerrin RN, Stephanie Palmer, and Jacqueline Rivera. Your support and belief in the importance of our work contributed to its success. Thank you from all of us at Team Latina.
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Maldonado, L.T., Ayala-Crespo, A., Walsh, M.M. et al. Ecological Systems Affecting Urban Childbearing Puerto Rican Women in the City of Philadelphia. Matern Child Health J 25, 929–937 (2021). https://doi.org/10.1007/s10995-021-03121-7
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DOI: https://doi.org/10.1007/s10995-021-03121-7