Top

Open Access 08-04-2024 | Prenatal Care | Original Article

Racial and Ethnic Disparities in the Effects of Group Prenatal Care On Identification of Intimate Partner Violence: Findings from a Randomized Controlled Trial of CenteringPregnancy

Authors: Heather Hensman Kettrey, Alyssa J. Davis, Jessica L. Britt, Amy H. Crockett

Published in: Journal of Family Violence

Abstract

Purpose

Intimate Partner Violence (IPV) during pregnancy can have serious consequences for maternal, infant, and child health. Importantly, the risk and consequences of IPV are greater for Black and Hispanic pregnant individuals than for White pregnant individuals. Thus, identification of IPV and referral to services during pregnancy is important, particularly for Black and Hispanic patients. Continuity of care and patient-centered care are thought to be essential for the identification of IPV in healthcare settings. Thus, we proposed that group prenatal care, which involves prenatal care providers delivering health, education, and support services to patients in a group setting, would create an atmosphere that is conducive to the identification of IPV. We specifically expected to see this effect among Black and Hispanic patients because group prenatal care has been hypothesized to increase the quality of the provider-patient relationship and reduce clinical bias against patients of color.

Methods

We conducted a secondary analysis of data from a randomized controlled trial of CenteringPregnancy (N = 523).

Results

We found that group prenatal care does have a significant, positive effect on IPV identification among prenatal care patients, but only for White women. Members of other racial and ethnic groups, who are at increased risk of experiencing IPV and its harmful consequences, do not receive this benefit.

Conclusions

Moving forward, researchers and practitioners should establish whether group prenatal care could be improved by intentionally incorporating a curriculum that directly addresses racial and ethnic disparities in quality of healthcare.

Trial Registration Number and Date

NCT02640638 (Prospectively registered 12/29/2015).

Alhusen, J. L., Bullock, L., Sharps, P., Schminkey, D., Comstock, E., & Campbell, J. (2014). Intimate partner violence during pregnancy and adverse neonatal outcomes in low-income women. Journal of Women’s Health, 23(11), 920–926. https://doi.org/10.1089/jwh.2014.4862.CrossRefPubMedPubMedCentral

Alvarez, C., Fedock, G., Grace, K. T., & Campbell, J. (2016). Provider screening and counseling for intimate Partner violence: A systematic review of practices and influencing factors. Trauma Violence & Abuse, 18(5), 479–495. 10.1177%2F1524838016637080.CrossRef

American College of Obstetricians and Gynecologists. (2012). Intimate partner violence: Committee opinion 518. Obstetrics & Gynecology, 119(2), 412–417. https://doi.org/10.1097/AOG.0b013e318249ff74.CrossRef

American College of Obstetricians and Gynecologists. (2018). ACOG Committee Opinion Number 731. Obstetrics and Gynecology, 131, e104–e108.CrossRef

Asher, H. B. (1983). Causal modeling (2nded.). Sage.

Attanasio, L., & Kozhimannil, K. B. (2015). Patient-reported communication quality and perceived discrimination in maternity care. Medical Care, 53(10), 863–871. https://doi.org/10.1097/MLR.0000000000000411.CrossRefPubMedPubMedCentral

Beydoun, H. A., Beydoun, M. A., Kaufman, J. S., Lo, B., & Zonderman, A. B. (2012). Intimate partner violence against adult women and its association with major depressive disorder, depressive symptoms and postpartum depression: A systematic review and meta-analysis. Social Science & Medicine, 75(6), 959–975. https://doi.org/10.1016/j.socscimed.2012.04.025.CrossRef

Bohn, D. K., Tebben, J. G., & Campbell, J. C. (2004). Influences of income, education, age, and ethnicity on physical abuse before and during pregnancy. Journal of Obstetric Gynecologic & Neonatal Nursing, 33(5), 561–571. https://doi.org/10.1177/0884217504269009.CrossRef

Campbell, J., Matoff-Stepp, S., Velez, M. L., Cox, H. H., & Laughon, K. (2021). Pregnancy-associated deaths from homicide, suicide, and drug overdose: Review of research and the intersection with intimate partner violence. Journal of Women’s Health, 30(2), 236–244. https://doi.org/10.1089/jwh.2020.8875.CrossRefPubMedPubMedCentral

Carter, E. B., Temming, L. A., Akin, J., Fowler, S., Macones, G. A., Colditz, G. A., & Tuuli, M. G. (2016). Group prenatal care compared with traditional prenatal care: A systematic review and meta-analysis. Obstetrics and Gynecology, 128, 551–561.CrossRefPubMed

Carter, E. B., Collaborative, E. W., & Mazzoni, S. E. (2021). A paradigm shift to address racial inequities in perinatal healthcare. American Journal of Obstetrics and Gynecology, 224(4), 359–361. https://doi.org/10.1016/j.ajog.2020.11.040.CrossRefPubMed

Catling, C. J., Medley, N., Foureur, M., Ryan, C., Leap, N., Teate, A., & Homer, C. S. E. (2015). Group versus Conventional Antenatal Care for women. Cochrane Database of Systematic Reviews.

Chen, L., Crockett, A. H., Covington-Kolb, S., Heberlein, E., Zhang, L., & Sun, X. (2017). Centering and racial disparities (CRADLE study): Rationale and design of a randomized controlled trial of CenteringPregnancy and birth outcomes. BMC Pregnancy and Childbirth, 17, 1–13. https://doi.org/10.1186/s12884-017-1295-7.

Chisholm, C. A., Bullock, L., & Ferguson, J. E. (2017). Intimate partner violence and pregnancy: Screening and intervention. American Journal of Obstetrics & Gynecology, 217(2), 145–149. https://doi.org/10.1016/j.ajog.2017.05.043.CrossRef

Crockett, A., Heberlein, E. C., Glasscock, L., Covington-Kolb, S., Shea, K., & Khan, I. A. (2017). Investing in CenteringPregnancy™ group prenatal care reduces newborn hospitalization costs. Women’s Health Issues: Official Publication of the Jacobs Institute of Women’s Health, 27(1), 60–66. https://doi.org/10.1016/j.whi.2016.09.009.CrossRefPubMed

Cunningham, S. D., Grilo, S., Lewis, J. B., Novick, G., Rising, S. S., Tobin, J. N., & Ickovics, J. R. (2017). Group prenatal care attendance: Determinants and relationship with care satisfaction. Maternal and Child Health Journal, 21(4). https://doi.org/10.1007/s10995-016-2161-3.

Donovan, B. M., Spracklen, C. N., Schweizer, M. L., Ryckman, K. K., & Saftlas, A. F. (2016). Intimate partner violence during pregnancy and the risk for adverse infant outcomes: A systematic review and meta-analysis. BJOG: An International Journal of Obstetrics and Gynaecology, 123(8), 1289–1299. https://doi.org/10.1111/1471-0528.13926.CrossRefPubMed

Feder, G. S., Hutson, M., Ramsay, J., & Taket, A. R. (2006). Women exposed to intimate partner violence: Expectations and experiences when they encounter health care professionals: A meta-analysis of qualitative studies. Archives of Internal Medicine, 166(1), 22–37. https://doi.org/10.1001/archinte.166.1.22.CrossRefPubMed

Francis, E., Johnstone, M. B., Covington-Kolb, S., Witrick, B., Griffin, S. F., Sun, X., Crockett, A., & Chen, L. (2019). Group prenatal care attendance and women’s characteristics associated with low attendance: Results from centering and racial disparities (CRADLE study). Maternal and Child Health Journal, 23, 1371–1381. https://doi.org/10.1007/s10995-019-02784-7.CrossRefPubMed

Greely, J. T., Dongarwar, D., Crear, L., Adeyeye, M., Reyna-Carrillo, A., & Salihu, H. M. (2022). Violence against pregnant women and adverse maternal/fetal outcomes in the United States: racial/ethnic disparities. Women & Health, 62(6), 513–521. https://doi.org/10.1080/03630242.2022.2074610.CrossRef

Heberlein, E., Smith, J., Willis, C., Hall, W., Covington-Kolb, S., & Crockett, A. (2020). The effects of CenteringPregnancy group prenatal care on postpartum visit attendance and contraception use. Contraception, 102(1), 46–51. https://doi.org/10.1016/j.contraception.2020.02.010.CrossRefPubMed

Hill, A., Pallitto, C., McCleary-Sills, J., & Garcia-Moreno, C. (2016). A systematic review and meta-analysis of intimate partner violence during pregnancy and selected birth outcomes. International Journal of Gynecology and Obstetrics, 133, 269–276. https://doi.org/10.1016/j.ijgo.2015.10.023.CrossRefPubMed

Howard, L. M., Oram, S., Galley, H., Trevillion, K., & Feder, G. (2013). Domestic violence and perinatal mental disorders: A systematic review and meta-analysis. PLOS Medicine, 10(5), e1001452. https://doi.org/10.1371/journal.pmed.1001452.CrossRefPubMedPubMedCentral

Hu, L., & Bentler, P. M. (1999). Cutoff criteria for fit indexes in covariate structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55. https://doi.org/10.1080/10705519909540118.CrossRef

Hussain, N., Sprague, S., Madden, K., Hussain, F. N., Pindiprolu, B., & Bhandari, M. (2015). A comparison of the types of screening tool administration methods used for the detection of intimate partner violence: A systematic review and meta-analysis. Trauma Violence & Abuse, 16(1), 60–69. https://doi.org/10.1177/1524838013515759.CrossRef

Ickovics, J. R., Kershaw, T. S., Westdahl, C., Magriples, U., Massey, Z., Reynolds, H., & Rising, S. S. (2007). Group prenatal care and perinatal outcomes: A randomized controlled trial. Obstetrics and Gynecology, 110, 330–339.CrossRefPubMed

Ickovics, J. R., Earnshaw, V., Lewis, J. B., Kershaw, T. S., Magriples, U., Stasko, E., & Tobin, J. N. (2016). Cluster randomized controlled trial of group prenatal care: Perinatal outcomes among adolescents in New York City health centers. American Journal of Public Health, 106(2), 359–365. https://doi.org/10.2105/AJPH.2015.302960.CrossRefPubMedPubMedCentral

Johnson, J. D., Asiodu, I. V., McKenzie, C. P., Tucker, C., Tully, K. P., Bryant, K., & Stuebe, A. M. (2019). Racial and ethnic inequities in postpartum pain evaluation and management. Obstetrics & Gynecology, 134(6), 1155–1162. https://doi.org/10.1097/AOG.0000000000003505.CrossRef

Kettrey, H. H., & Steinka-Fry, K. T. (2020). Effects of March of dimes supportive pregnancy care on maternal and infant health across diverse patient populations: A quasi-experimental multi-site pilot study. Prevention Science, 21(3), 293–307. https://doi.org/10.1007/s11121-019-01083-5.CrossRefPubMed

Kivisto, A. J., Mills, S., & Elwood, L. S. (2022). Racial disparities in pregnancy-associated intimate partner homicide. Journal of Interpersonal Violence, 37(13–14), NP10938–NP10961. https://doi.org/10.1177/0886260521990831.CrossRefPubMed

Klima, C., Norr, K., Vonderheid, S., & Handler, A. (2009). Introduction of CenteringPregnancy in a public health clinic. Journal of Midwifery and Women’s Health, 54, 27–34. https://doi.org/10.1016/j.jmwh.2008.05.008.CrossRefPubMed

Kominiarek, M. A., Lewkowitz, A. K., Carter, E., Fowler, S. A., & Simon, M. (2019). Gestational weight gain and group prenatal care: A systematic review and meta-analysis. BMC Pregnancy and Childbirth, 19, 18–33.CrossRefPubMedPubMedCentral

Marton, J., Smith, J. C., Heberlein, E. C., Laboy, A., Britt, J., & Crockett, A. H. (2022). Group prenatal care and emergency room utilization. Medical Care Research and Review, 79(5), 687–700. https://doi.org/10.1177/10775587211059938.CrossRefPubMed

Melendez-Torres, G. J., Dowdell, E. B., Kelley, S. J., & Lewis-O’Connor, A. (2022). Strategies for identification of intimate partner violence in healthcare settings: Overview of reviews and realist synthesis. Journal of Family Violence Advance Online Publication. https://doi.org/10.1007/s10896-022-00463-w.CrossRef

O’Doherty, L., Hegarty, K., Ramsay, J., Davidson, L. L., Feder, G., & Tafft, A. (2015). Screening women for intimate partner violence in healthcare settings. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD007007.pub3. 7.CrossRefPubMedPubMedCentral

Pastor-Moreno, G., Ruiz-Perez, I., Haneres-Montiel, J., & Petrova, D. (2020). Intimate partner violence during pregnancy and risk of fetal and neonatal death: A meta-analysis with socio-economic indicators. American Journal of Obstetrics & Gynecology, 222(1), 123–133e5. https://doi.org/10.1016/j.ajog.2019.07.045.CrossRef

Robinson, K., Garnier-Villarreal, M., & Hanson, L. (2018). Effectiveness of CenteringPregnancy on breastfeeding initiation among African americans: A systematic review and meta-analysis. Journal of Perinatal & Neonatal Nursing, 32, 116–126. https://doi.org/10.1097/JPN.0000000000000307.CrossRef

Román-Gálvaz, R. M., Martín-Peláez, S., Fernández-Félix, B. M., Zamora, J., Khan, K. S., & Bueno-Cavanillas, A. (2021). Worldwide Prevalence of intimate Partner violence in pregnancy: A systematic review and Meta-analysis. Frontiers in Public Health, 9, 1–8. https://doi.org/10.3389/fpubh.2021.738459.CrossRef

Rosseel, Y. (2021). The lavaan tutorial. Ghent University.

Shah, P. S., & Shah, J. (2010). Maternal exposure to domestic violence and pregnancy and birth outcomes: A systematic review and meta-analysis. Journal of Women’s Health, 19(11), 2017–2031. https://doi.org/10.1089/jwh.2010.2051.CrossRefPubMed

Sigurdson, K., Mitchell, B., Liu, J., Morton, C., Gould, J. B., Lee, H. C., & Profit, J. (2019). Racial/ethnic disparities in neonatal intensive care: A systematic review. Pediatrics, 144(2). https://doi.org/10.1542/peds.2018-3114.

Silva, E. P., Lemos, A., Andrade, C. H. S., & Ludermir, A. B. (2018). Intimate partner violence during pregnancy and behavioral problems in children and adolescents: A meta-analysis. Jornal De Pediatria, 94(5), 471–482. https://doi.org/10.1016/j.jped.2018.01.007.CrossRefPubMed

Silverman, J. G., Decker, M. R., Reed, E., & Raj, A. (2006). Intimate partner violence victimization prior to and during pregnancy among women residing in 26 US states: Associations with maternal and neonatal health. American Journal of Obstetrics and Gynecology, 195(1), 140–148. https://doi.org/10.1016/j.ajog.2005.12.052.CrossRefPubMed

Trudnak, T. E., Arboleda, E., Kirby, R. S., & Perrin, K. (2013). Outcomes of Latina women in CenteringPregnancy group prenatal care compared with individual prenatal care. Journal of Midwifery & Women’s Health, 58(4), 396–403. https://doi.org/10.1111/jmwh.12000.CrossRef

US Prevention Services Task Force. (2018). Screening for intimate partner violence, elder abuse, and abuse of vulnerable adults: US Prevention Services Task Force Final Recommendation Statement. Journal of the American Medical Association, 320(16), 1678–1687. https://doi.org/10.1001/jama.2018.14741.CrossRef

World Health Organization. (2013). Responding to intimate Partner violence and sexual violence against women: WHO clinical and policy guidelines. World Health Organization.

Title: Racial and Ethnic Disparities in the Effects of Group Prenatal Care On Identification of Intimate Partner Violence: Findings from a Randomized Controlled Trial of CenteringPregnancy
Authors: Heather Hensman Kettrey
Alyssa J. Davis
Jessica L. Britt
Amy H. Crockett
Publication date: 08-04-2024
Publisher: Springer US
Keyword: Prenatal Care
Published in: Journal of Family Violence
Print ISSN: 0885-7482
Electronic ISSN: 1573-2851
DOI: https://doi.org/10.1007/s10896-024-00695-y

At a glance: The STEP trials

Springer Medicine

Racial and Ethnic Disparities in the Effects of Group Prenatal Care On Identification of Intimate Partner Violence: Findings from a Randomized Controlled Trial of CenteringPregnancy

Abstract

Purpose

Methods

Results

Conclusions

Trial Registration Number and Date

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusions

Trial Registration Number and Date

Please log in to get access to this content