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Poverty and InequalitySexual and Reproductive HealthFamily, Maternal & Child HealthMethodology

Reproductive health service preferences and perceptions of quality among low-income women: racial, ethnic and language group differences

TitleReproductive health service preferences and perceptions of quality among low-income women: racial, ethnic and language group differences
Publication TypeJournal Article
Year of Publication2008
AuthorsBecker, D, Tsui, AO
JournalPerspectives on sexual and reproductive health
Volume40
Pagination202-211
Date PublishedDec
ISBN Number1538-6341; 1538-6341
Accession Number19067933
KeywordsAdolescent, Adult, African Americans/psychology, Contraceptive Agents, Cross-Sectional Studies, European Continental Ancestry Group/psychology, Female, Healthcare Disparities, Hispanic Americans/psychology, Humans, Language, Logistic Models, Patient Satisfaction/ethnology, Physician-Patient Relations, Poverty, Primary Health Care, Quality of Health Care, Reproductive Health Services/standards, Social Perception, United States, Young Adult
Abstract

CONTEXT: Eliminating racial and ethnic disparities in health care is an important national priority. Despite substantial research documenting such disparities, this topic has received limited attention in the reproductive health field. METHODS: Logistic regression was used to test for group differences in three service delivery preferences and five service quality perceptions among a nationally representative sample of 1,741 low-income black, Latina and white women aged 18-34; the data were collected in 1995 and represent the most recent data available for looking at these issues. RESULTS: English-speaking Latinas and Spanish-speaking Latinas were more likely than whites to prefer a female clinician at their visits (odds ratios, 1.8 and 3.6, respectively) and to highly value clinician continuity (1.7 and 2.2). English-speaking Latinas and blacks were more likely than whites to prefer receiving reproductive health care at a site delivering general health care (1.5 and 1.6). Both groups of Latinas were less likely than whites to give the facility environment or the patient-centeredness at their most recent reproductive health visit the highest rating (0.3-0.5). Blacks were more likely than whites to report ever having been pressured by a clinician to use contraceptives (2.3). CONCLUSIONS: Efforts to reduce racial, ethnic and language group differences in clients' perceptions of reproductive health service quality should focus on improving client-clinician communication, the service environment and contraceptive counseling. Future research should continue to assess group differences and try to determine their underlying causes.