The role of perceived barriers in the use of a comprehensive prenatal care program

Abstract

This study focused on the use of community-based networks for prenatal care by black women in three high-risk communities in Chicago. We examined factors associated with use of network affiliated medical providers among 177 women. Sociodemographic factors and health status measures had no effect on network affiliated provider use. However, perceived barriers to care differentiated those who used affiliated providers from those who used alternative sources for care. Out of ten possible barriers, the odds ratios for job demands, travel time to providers and child care were significantly different from one. Implications for program modifications and expansion are discussed.