Peer-Reviewed Publication
Matern Child Health J2026August 6, 2026Journal Article

Associations Between Virtual Prenatal Care Utilization, Social Determinants of Health, and Stressful Life Events: A Multistate Analysis of U.S. Women, 2020-2021.

Don E Willis1,2,3, Pearl A McElfish4,5, Clare C Brown6, Jennifer A Andersen4,5, George C Pro6, James P Selig7, Cari A Bogulski8
1School of Human Environmental Sciences, Dale Bumpers College of Agricultural, Food and Life Sciences, University of Arkansas, 118 Home Economics Building, Fayetteville, AR, 72701, USA. dewillis@uark.edu.
2College of Medicine, University of Arkansas for Medical Sciences, Springdale, AR, USA. dewillis@uark.edu.
3Institute for Community Health Innovation, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA. dewillis@uark.edu.
4College of Medicine, University of Arkansas for Medical Sciences, Springdale, AR, USA.
5Institute for Community Health Innovation, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA.
6Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences, Little Rock, AR, USA.
7Fay W. Boozman College of Public Health, University of Arkansas for Medical Sciences Northwest, Springdale, AR, USA.
8College of Medicine, University of Arkansas for Medical Sciences Northwest, Fayetteville, AR, USA.

Abstract

OBJECTIVES: To examine associations between virtual prenatal care utilization, social determinants of health, and stressful life events. METHODS: We analyzed cross-sectional pooled survey data (N = 11,966) from phase 8 of the Pregnancy Risk Assessment Monitoring System for women who gave birth in 2020 or 2021 and received prenatal care. RESULTS: A third (35%) of women utilized virtual rather tha…

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