Please use this identifier to cite or link to this item:
Full metadata record
DC FieldValueLanguage
dc.contributor.authorDocherty, Angelaen_UK
dc.contributor.authorBugge, Carolen_UK
dc.contributor.authorWatterson, Andrewen_UK
dc.description.abstractBACKGROUND: Socioeconomically deprived women are at greater risk of adverse pregnancy outcomes. Research tends to focus on access of services. Yet access may not equate with the equity of services for women from different socioeconomic backgrounds. OBJECTIVES: To determine whether pregnant women's perceptions of antenatal provision differed in relation to their socioeconomic deprivation ranking (determined by the Scottish Index of Multiple Deprivation 2006). DESIGN: A longitudinal, qualitative study with comparative antenatal case studies between January 2007 and April 2009. SETTING/PARTICIPANTS: Cases were primigravida women from 'least deprived' (n=9) and 'most deprived' (n=12) geographical areas within one local authority in Scotland. ANALYSIS: Data were analysed using case study replication analysis. RESULTS: There was little difference in access to antenatal services between the 'least' and 'most' deprived groups. Perception of care differed in relation to the level of 'engagement' (defined using constructs of: language and personalization of care; power and relationships; and health literacy). Engagement was evidenced in most of the 'least deprived' cases and almost none of the 'most deprived' cases. Specifically, socioeconomically deprived women described less evidence of personal connection to their own care, effective communication and the opportunity for shared decision making. CONCLUSION:In women from socioeconomically deprived areas, access may be a less useful indicator than engagement when assessing antenatal service quality. As engagement levels may be one method by which to predict and improve health outcomes, a more equitable antenatal service may need to be developed through the early identification of those women at risk of non-engagement.en_UK
dc.relationDocherty A, Bugge C & Watterson A (2012) Engagement: an indicator of difference in the perceptions of antenatal care for pregnant women from diverse socioeconomic backgrounds. Health Expectations, 15 (2), pp. 126-138.
dc.rightsThe publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.en_UK
dc.subjectantenatal careen_UK
dc.subjectcase studyen_UK
dc.subjecthealth inequalitiesen_UK
dc.subjecthealth literacyen_UK
dc.subjectsocioeconomic deprivationen_UK
dc.titleEngagement: an indicator of difference in the perceptions of antenatal care for pregnant women from diverse socioeconomic backgroundsen_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[Docherty_et_al-2012-Health_Expectations.pdf] The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.en_UK
dc.citation.jtitleHealth Expectationsen_UK
dc.type.statusVoR - Version of Recorden_UK
dc.contributor.affiliationOHSU School of Nursing - Monmouth, USAen_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
dc.contributor.affiliationHealth Sciences Research - Stirling - LEGACYen_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorDocherty, Angela|en_UK
local.rioxx.authorBugge, Carol|0000-0002-4071-0803en_UK
local.rioxx.authorWatterson, Andrew|en_UK
local.rioxx.projectInternal Project|University of Stirling|
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

Files in This Item:
File Description SizeFormat 
Docherty_et_al-2012-Health_Expectations.pdfFulltext - Published Version162.7 kBAdobe PDFUnder Embargo until 2999-12-26    Request a copy

This item is protected by original copyright

Items in the Repository are protected by copyright, with all rights reserved, unless otherwise indicated.

The metadata of the records in the Repository are available under the CC0 public domain dedication: No Rights Reserved

If you believe that any material held in STORRE infringes copyright, please contact providing details and we will remove the Work from public display in STORRE and investigate your claim.