{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,26]],"date-time":"2026-02-26T15:15:23Z","timestamp":1772118923442,"version":"3.50.1"},"reference-count":47,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T00:00:00Z","timestamp":1698624000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["1R01HD098127"],"award-info":[{"award-number":["1R01HD098127"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["P2C CHD050924"],"award-info":[{"award-number":["P2C CHD050924"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["T32HD052468"],"award-info":[{"award-number":["T32HD052468"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Repro Female Child Health"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Research suggests neighbourhood socioeconomic vulnerability is negatively associated with women's likelihood of receiving adequate prenatal care and achieving desired postpartum permanent contraception. Receiving adequate prenatal care is linked to a greater likelihood of achieving desired permanent contraception, and access to such care may be critical for women with Medicaid insurance given that the federally mandated Medicaid sterilization consent form must be signed at least 30 days before the procedure. We examined whether adequacy of prenatal care mediates the relationship between neighbourhood socioeconomic position and postpartum permanent contraception fulfilment, and examined moderation of relationships by insurance type.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This secondary analysis of a retrospective cohort study examined 3012 Medicaid or privately insured individuals whose contraceptive plan at postpartum discharge was permanent contraception. Path analysis estimated relationships between neighbourhood socioeconomic position (economic hardship and inequality, financial strength and educational attainment) and permanent contraception fulfilment by hospital discharge, directly and indirectly through adequacy of prenatal care. Multigroup testing examined moderation by insurance type.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      After adjusting for age, parity, weeks of gestation at delivery, mode of delivery, race, ethnicity, marital status\u00a0and body mass index, having adequate prenatal care predicted achieving desired sterilization at discharge (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      \u2009=\u20090.065, 95% confidence interval [CI]: 0.011, 0.117). Living in neighbourhoods with less economic hardship (indirect effect \u22120.007, 95%\u00a0CI: \u22120.015, \u22120.001), less financial strength (indirect effect \u22120.016, 95%\u00a0CI: \u22120.030, \u22120.002)\u00a0and greater educational attainment (indirect effect 0.012, 95%\u00a0CI: 0.002, 0.023) predicted adequate prenatal care, in turn predicting achievement of permanent contraception by discharge. Insurance status conditioned some of these relationships.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Contact with the healthcare system via prenatal care may be a mechanism by which neighbourhood socioeconomic disadvantage affects permanent contraception fulfilment, particularly for patients with Medicaid. To promote reproductive autonomy and healthcare equity, future inquiry and policy might closely examine how neighbourhood social and economic characteristics interact with Medicaid mandates.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/rfc2.64","type":"journal-article","created":{"date-parts":[[2023,10,30]],"date-time":"2023-10-30T03:03:30Z","timestamp":1698635010000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Neighbourhood socioeconomic position, prenatal care\u00a0and fulfilment of postpartum permanent contraception: Findings from a multisite cohort study"],"prefix":"10.1002","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1561-6863","authenticated-orcid":false,"given":"Kristen A.","family":"Berg","sequence":"first","affiliation":[{"name":"Center for Health Care Research and Policy, Population Health Research Institute MetroHealth Medical System Cleveland Ohio USA"},{"name":"School of Medicine Case Western Reserve University Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brooke W.","family":"Bullington","sequence":"additional","affiliation":[{"name":"Department of Epidemiology, Gillings School of Global Public Health University of North Carolina at Chapel Hill Chapel Hill North Carolina USA"},{"name":"Carolina Population Center University of North Carolina at Chapel Hill Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Douglas D.","family":"Gunzler","sequence":"additional","affiliation":[{"name":"Center for Health Care Research and Policy, Population Health Research Institute MetroHealth Medical System Cleveland Ohio USA"},{"name":"School of Medicine Case Western Reserve University Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emily S.","family":"Miller","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine Warren Alpert Medical School of Brown University Providence Rhode Island USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Margaret","family":"Boozer","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of Alabama at Birmingham Birmingham Alabama USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tania","family":"Serna","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of California San Francisco San Francisco California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer L.","family":"Bailit","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology MetroHealth Medical System Cleveland Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kavita S.","family":"Arora","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of North Carolina Chapel Hill North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,10,30]]},"reference":[{"issue":"388","key":"e_1_2_11_2_1","first-page":"1","article-title":"Current contraceptive status among women aged 15\u201349: United States, 2017\u20132019","author":"Daniels K","year":"2020","journal-title":"NCHS Data Brief"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2013.11.019"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2005.10.014"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2020.04.001"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fertnstert.2010.03.029"},{"key":"e_1_2_11_7_1","unstructured":"GordonS SugarS ChenL PetersC LewND SommersBD.\u00a0Medicaid After Pregnancy: State\u2010Level Implications of Extending Postpartum Coverage. 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