Inequalities in Communicating about Nutrition Information during Prenatal Care: The After-Visit Summary

Autor/inn/en	JaKa, Meghan M.; Henderson, Maren S. G.; Dinh, Jennifer M.; Rivard, Rachael L.; Andersen, Julia; Brown-Robinson, Corinne; Kottke, Thomas E.; Ziegenfuss, Jeanette Y.
Titel	Inequalities in Communicating about Nutrition Information during Prenatal Care: The After-Visit Summary
Quelle	In: American Journal of Health Education, 54 (2023) 4, S.275-281 (7 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (JaKa, Meghan M.) ORCID (Henderson, Maren S. G.) ORCID (Dinh, Jennifer M.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1932-5037
DOI	10.1080/19325037.2023.2209625
Schlagwörter	Nutrition; Prenatal Care; Patients; Individual Characteristics; Race; Language Proficiency; Economic Status; Translation; Web Sites; Information Dissemination; Communication Strategies; Health Education; Minnesota; Wisconsin + Suchen Sie Ihr Suchwort? Ernährung; Pränatale Versorgung; Patient; Personality characteristic; Personality traits; Persönlichkeitsmerkmal; Rasse; Abstammung; Language skill; Language skills; Sprachkompetenz; Web-Design; Informationsverbreitung; Kommunikationsstrategie; Gesundheitsaufklärung; Gesundheitsbildung; Gesundheitserziehung
Abstract	Background: Though prenatal nutrition information is critical, it is not known whether information is shared equitably by patient race, financial security, or English proficiency. Purpose: To evaluate whether delivery or receipt of ChooseYourFish.org nutrition information in the first prenatal visit differed by patient demographics. Methods: Analysis of clinician-document electronic health record (EHR) or patient-reported surveys compared delivery and receipt of fish-related nutrition information in the first prenatal visit. Inferential statistics were used to compare delivery or receipt and race, ethnicity, payor, or interpreter use. Results: EHR analysis (n = 2,329) revealed Medicaid patients who used an interpreter were half as likely to have the fish nutrition message in their after-visit summary compared to those with Medicaid who did not use an interpreter (OR = 0.54, 95% CL: 0.35-0.84). The same was not true for non-Medicaid patients. Survey analysis (n = 52) showed respondents identifying as Black or African American were 25% less likely to report receiving the after-visit summary compared to respondents who identified as white (p < 0.01). Discussion: The results presented here illustrate how nutrition communication in the prenatal period can differ by patient race, financial security, and language. Translation to Health Education Practice: Culturally humble efforts to understand drivers of healthcare communication are needed to eliminate inequalities. A AJHE Self-Study quiz is online for this article via the SHAPE America Online Institute (SAOI) http://portal.shapeamerica.org/trn-Webinars (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01