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Biomedical subjects

J B Stanford

Publications and source records attributed to J B Stanford.

14 recordsLinked to original sources
PubMed1995

Validating a model developed to predict prenatal care utilization.

BACKGROUND: Many pregnant women in the United States do not obtain adequate prenatal care. While it is essential to provide women with access to prenatal care, access alone is insufficient to guarantee that all women will receive adequate prenatal care. Previous research has identified a number of personal and cultural barriers to prenatal care. We have integrated these barriers into an explanatory model called the Social Pregnancy Interaction Model, the centerpiece of which is the concept of a "social pregnancy identity," as distinct from the physiologic reality of pregnancy. The purpose of this study was to validate the dimensions of this model. METHODS: Based on previous qualitative work, a questionnaire was developed. It was administered by interview to a convenience sample of 287 pregnant women receiving prenatal care in 11 practices in central Missouri. Item analysis and factor analysis were used to define scales and validate the relationships predicted by the model. RESULTS: With some modifications, the following dimensions of the model were confirmed as distinct and significant: awareness of pregnancy, acceptance of pregnancy, self-care, communication with family, communication with partner, social attitudes toward prenatal care, and attitudes toward the health care provider. CONCLUSIONS: The model has potential for predicting the utilization of prenatal care. The results also suggest that a woman's relationship with her prenatal care provider is important to obtaining adequate prenatal care.

Adolescent↗
PubMed1994

Interest in natural family planning among female family practice patients.

OBJECTIVE: Although modern methods of natural family planning (NFP) are effective both to avoid and to achieve pregnancy, relatively few women use these methods. It is not known whether this is due primarily to lack of interest or to other factors. We therefore explored the level of interest in NFP among female family practice patients. METHODS: We mailed information about NFP to 400 female patients between ages 21 and 42 and conducted follow-up interviews by telephone. We excluded 162 women for whom we could not obtain accurate addresses or phone numbers, 68 women we could not reach by telephone, 67 women who were not currently at risk of pregnancy, and 15 women for other reasons. Twenty-eight women refused to participate in the study. Sixty women completed telephone interviews. RESULTS: Forty-three percent of respondents (n = 60) were interested in learning more about NFP, 24% said they were likely to use NFP to avoid pregnancy, and 32% were likely to use NFP to achieve pregnancy. Younger women and women who were Christian but not Catholic and not of a major Protestant denomination were more interested in NFP. CONCLUSION: Some female family practice patients are interested in learning and using NFP.

Adult↗
PubMedDate not supplied

Rural patients' interests in preventive medical care.

A number of national studies have reported patients' interests in preventive medical care, but rural populations have not been well studied. We surveyed patients from a major clinic in rural central Minnesota to determine their interests in preventive medical care and their physicians' perceptions of those interests. Of 270 patients who responded to a questionnaire, 63-93 percent agreed that physicians should perform a wide variety of primary and secondary preventive medical services, such as periodic health examinations and counseling about smoking, exercise, and diet. Study physicians recommended most preventive medical services at least as often as did their patients, but physicians consistently underestimated patients' wishes for these services. Our results indicate that this rural clinic population is interested in a broad range of preventive medical services, which was not fully appreciated by the physicians.

Adolescent↗