---
title: "Correlates of Postpartum Care Visit Non-Attendance in Low-Income Women: Findings Using the Anderse"
id: "pubmed-42837423"
canonical_url: "https://medichelpline.com/clinical-feed/pubmed-42837423"
content_type: "clinical_feed_article"
specialty: "General"
source_name: "PubMed / NCBI"
source_url: "https://pubmed.ncbi.nlm.nih.gov/42837423/"
doi: "10.1371/journal.pone.0359407"
published_at: "2026-10-06T00:00:00.000Z"
evidence_level: "Journal Article"
license: "CC-BY-NC-4.0 / Informational Use"
---
# Correlates of Postpartum Care Visit Non-Attendance in Low-Income Women: Findings Using the Anderse
## Provenance & Clinical Metadata
- **Canonical URL:** https://medichelpline.com/clinical-feed/pubmed-42837423
- **Specialty:** [General](https://medichelpline.com/clinical-feed/general.md)
- **Primary Source:** PubMed / NCBI
- **Source URL:** [Original Journal Publication](https://pubmed.ncbi.nlm.nih.gov/42837423/)
- **DOI:** [10.1371/journal.pone.0359407](https://doi.org/10.1371%2Fjournal.pone.0359407)
- **Published At:** 2026-10-06T00:00:00.000Z
- **Evidence Rating:** Journal Article
## Executive GIST (TL;DR)
- Timely **postpartum care** is essential to detect and treat pregnancy-related conditions and reduce maternal morbidity and mortality. - The study analyzed data from 671 low-income women enrolled in the South Carolina Midlands Healthy Start Program between 2019 and 2024. - Participants were predominantly non-Hispanic Black (87.5%) and largely low-income, with 90.9% receiving **Medicaid**. - Overall, 27.0% of participants did not attend a postpartum care visit within 12 weeks of delivery. - Using the Andersen Behavioral Model of Health Services Use, multiple logistic regression identified correlates of **postpartum visit non-attendance**. - Compared with non-Hispanic White participants, non-Hispanic Black participants had lower odds of non-attendance (AOR 0.48; 95% CI: 0.25–0.94). - Hispanic participants had substantially lower odds of non-attendance compared with non-Hispanic White participants (AOR 0.12; 95% CI: 0.02–0.66). - Lower educational attainment (high school diploma/GED or less) was associated with higher odds of non-attendance (AOR 1.83; 95% CI: 1.23–2.71). - Lack of partner involvement was associated with increased odds of non-attendance (AOR 1.95; 95% CI: 1.14–3.32). - Frequent experiences of **discrimination**, measured by the Everyday Discrimination Scale, were linked to higher odds of not attending a postpartum visit (AOR 2.79; 95% CI: 1.22–6.38). - The findings point to individual, familial, and contextual factors — including race, education level, partner involvement, and discrimination — as targets to improve postpartum care engagement among underserved women.
## Clinical Analysis & Structured Key Points
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Affiliations Expand ### Affiliations * 1 Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America. * 2 Midlands Healthy Start, Prisma Health, Columbia, South Carolina, United States of America. * PMID: **42837423** * DOI: [ 10.1371/journal.pone.0359407 ](https://doi.org/10.1371/journal.pone.0359407) Item in Clipboard # Correlates of postpartum care visit non-attendance among low-income women: Insights from the Andersen Behavioral Model Adrienne Parkinson et al. PLoS One. 2026. Show details Display options Display options Format Abstract PubMed PMID PLoS One Actions * [ Search in PubMed ](https://pubmed.ncbi.nlm.nih.gov/?term=%22PLoS+One%22%5Bjour%5D&sort=date&sort_order=desc) * [ Search in NLM Catalog ](https://www.ncbi.nlm.nih.gov/nlmcatalog?term=%22PLoS+One%22%5BTitle+Abbreviation%5D) * [ Add to Search ](https://pubmed.ncbi.nlm.nih.gov/42837423/) . 2026 Oct 6;21(10):e0359407. doi: 10.1371/journal.pone.0359407. eCollection 2026. ### Authors [Adrienne Parkinson](https://pubmed.ncbi.nlm.nih.gov/?term=Parkinson+A&cauthor_id=42837423)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42837423/#short-view-affiliation-1 "Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America."), [Jihong Liu](https://pubmed.ncbi.nlm.nih.gov/?term=Liu+J&cauthor_id=42837423)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42837423/#short-view-affiliation-1 "Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America."), [Xingpei Zhao](https://pubmed.ncbi.nlm.nih.gov/?term=Zhao+X&cauthor_id=42837423)[ 1 ](https://pubmed.ncbi.nlm.nih.gov/42837423/#short-view-affiliation-1 "Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America."), [Kimberly Alston](https://pubmed.ncbi.nlm.nih.gov/?term=Alston+K&cauthor_id=42837423)[ 2 ](https://pubmed.ncbi.nlm.nih.gov/42837423/#short-view-affiliation-2 "Midlands Healthy Start, Prisma Health, Columbia, South Carolina, United States of America.") ### Affiliations * 1 Department of Epidemiology and Biostatistics, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America. * 2 Midlands Healthy Start, Prisma Health, Columbia, South Carolina, United States of America. * PMID: **42837423** * DOI: [ 10.1371/journal.pone.0359407 ](https://doi.org/10.1371/journal.pone.0359407) Item in Clipboard Cite Display options Display options Format Abstract PubMed PMID Linked Discoveries ## Abstract Timely postpartum care is critical for the detection and treatment of pregnancy-related conditions and complications, thereby reducing maternal morbidity and mortality. However, attending postpartum care visits can be particularly challenging for low-income individuals. This study examined the correlates of postpartum care visit non-attendance among low-income women using the Andersen Behavioral Model of Health Services Use. Data were analyzed from 671 women enrolled during pregnancy in the South Carolina Midlands Healthy Start Program (2019-2024), a federally-funded program with the aim of improving perinatal outcomes through enhanced care coordination and case management for underserved pregnant and postpartum women. Multiple logistic regression models were used to identify correlates of postpartum visit non-attendance. Participants were predominantly non-Hispanic Black (87.5%) and low-income (90.9% receiving Medicaid). Overall, 27.0% did not attend a postpartum care visit within 12 weeks of delivery. Compared to non-Hispanic White participants, non-Hispanic Black (adjusted odds ratio (AOR): 0.48; 95% confidence interval (CI): 0.25, 0.94) and Hispanic participants (AOR: 0.12; 95% CI: 0.02, 0.66) had lower odds of non-attendance. Participants with a high school diploma/GED or less had higher odds of non-attendance (AOR: 1.83; 95% CI: 1.23, 2.71). Lack of partner involvement (AOR: 1.95; 95% CI: 1.14, 3.32) and frequent experiences of discrimination (AOR: 2.79; 95% CI: 1.22, 6.38) measured using the Everyday Discrimination Scale were also associated with increased odds of non-attendance. This study identified key factors associated with postpartum visit non-attendance among low-income women, including race, education level, partner involvement, and experiences of discrimination. These findings highlight the need to address individual, familial, and contextual factors to improve postpartum care engagement. Copyright: © 2026 Parkinson et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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