Participation in Prenatal Care in the Paso del Norte Border Region: The Influence of Acculturation

Authors

  • Judith T. Fullerton CNM, PhD,

    Corresponding authorSearch for more papers by this author
    • Judith Fullerton, CNM, PhD, FACNM, Professor (retired), University of Texas at El Paso (UTEP) currently serves as Senior Technical Advisor for Monitoring and Evaluation, Project Concern International, and provides international consultation for MCH and measurement issues.

  • Julia Bader PhD,

    Search for more papers by this author
    • Julia Bader, PhD, is staff statistician at the Statistical Consulting Laboratory, UTEP. She provides consultation for research design and data analysis at UTEP, in the El Paso region and in various international settings.

  • Carlene Nelson CNM, PhD,

    Search for more papers by this author
    • Carlene Nelson, CNM, PhD, is Director of Nurse-Midwifery Services and Assistant Clinical Professor in the Department of Obstetrics and Gynecology, Texas Tech University Health Sciences Center (TTUHSC), El Paso, TX.

  • Rachel Shannon CNM, MSN

    Search for more papers by this author
    • Rachel Shannon, CNM, MSN, is Lecturer, Department of Obstetrics and Gynecology, TTUSHC, El Paso, TX.


Judith Fullerton, CNM, PhD, FACNM, 7717 Canyon Point Lane, San Diego, CA 92126. E-mail: jfullerton@san.rr.com

Abstract

Women who resided on the El Paso, Texas/Juarez, Mexico border (the Paso del Norte region) were surveyed to determine the barriers and facilitators to receiving early and adequate prenatal care. Postpartum interviews and medical chart abstractions were conducted among 493 Hispanic women. Primary facilitators were all factors that made prenatal care services more accessible to women and a priority among other issues competing for time and resources. The factors reported by these women as barriers to timely entry and sustaining enrollment in prenatal care were related to the availability of social support networks and affiliation with the Mexican/Hispanic culture (acculturation).

Ancillary