Indiana University-Purdue University Indianapolis (IUPUI) / Advancement of preconception and interconception health is a key element to
improve women’s health as well as pregnancy outcomes. Little is known about the
preconception and interconception health status of rural Midwestern populations in the
United States. The primary objective of this study was to determine the preconception
and interconception health status as well as behaviors of reproductive age women living
in a rural Midwestern area. Secondary objectives were to quantify process measures of
health care access and barriers to care, as well as determine disparities in preconception
and interconception health status among women in this rural area as compared to
statewide estimates. As existing national or state secondary data sources often have
limitations in data derived from areas with low population densities or insufficient sample
sizes to generate reliable estimates, a cross-sectional study was performed using a 34-
item survey. Data were collected from February to May 2019 from 315 non-pregnant
women ages 18-45 years in a rural county in northwestern Ohio. Nearly all women
surveyed had at least one risk factor associated with poor pregnancy outcomes, many of
which were modifiable. Nearly half of all respondents reported at least one barrier to
receipt of health care services. Women in this rural county fared worse for several
preconception and interconception health measures when compared to statewide
estimates derived from Behavioral Risk Factor Surveillance System and Ohio Pregnancy
Assessment Survey data. These findings illustrate the need for continued development of
interventions to improve preconception and interconception health for rural women as well as improved methods to capture and analyze data on important subpopulations at
risk. / 2021-03-09
| Identifer | oai:union.ndltd.org:IUPUI/oai:scholarworks.iupui.edu:1805/22285 |
| Date | 02 1900 |
| Creators | DiPietro Mager, Natalie Ann |
| Contributors | Dixon, Brian E., Turman, Jack E., Zhang, Jianjun, Zollinger, Terrell W. |
| Source Sets | Indiana University-Purdue University Indianapolis |
| Language | en_US |
| Detected Language | English |
| Type | Dissertation |
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