Birth Weight Outcomes for Non-Hispanic Black Women in a Home Visiting Program in Rural Mississippi: Observations from the Field

2020 ◽  
pp. 81-89
Author(s):  
Chris N. King ◽  
Anna C. Church ◽  
Wesley L. James ◽  
Rhonda G. Okoth ◽  
Karen C. Matthews
Keyword(s):  
Birth Weight ◽  
Black Women ◽  
Home Visiting ◽  
Weight Outcomes ◽  
Home Visiting Program

Baby Steps: A Post-Discharge Home Visiting Program By Neonatology Fellows

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement 3) ◽  
pp. 489A-489A
Author(s):  
Janice E. Hobbs ◽  
Jacky M. Jennings ◽  
Megan Tschudy ◽  
Brenda Hussey-Gardner ◽  
Renee Boss
Keyword(s):  
Home Visiting ◽  
Post Discharge ◽  
Discharge Home ◽  
Home Visiting Program

scholarly journals Mass incarceration and public health: the association between black jail incarceration and adverse birth outcomes among black women in Louisiana

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lauren Dyer ◽  
Rachel Hardeman ◽  
Dovile Vilda ◽  
Katherine Theall ◽  
Maeve Wallace
Keyword(s):  
Birth Weight ◽  
Preterm Birth ◽  
Black Women ◽  
Low Birth Weight ◽  
Racial Disparities ◽  
Population Health ◽  
Birth Outcomes ◽  
Mass Incarceration ◽  
Interquartile Range ◽  
Adverse Birth Outcomes

Abstract Background A growing body of evidence is beginning to highlight how mass incarceration shapes inequalities in population health. Non-Hispanic blacks are disproportionately affected by incarceration and criminal law enforcement, an enduring legacy of a racially-biased criminal justice system with broad health implications for black families and communities. Louisiana has consistently maintained one of the highest rates of black incarceration in the nation. Concurrently, large racial disparities in population health persist. Methods We conducted a cross-sectional analysis of all births among non-Hispanic black women in Louisiana in 2014 to identify associations between parish-level (county equivalent) prevalence of jail incarceration within the black population and adverse birth outcomes (N = 23,954). We fit a log-Poisson model with generalized estimating equations to approximate the relative risk of preterm birth and low birth weight associated with an interquartile range increase in incarceration, controlling for confounders. In sensitivity analyses, we additionally adjusted for the parish-level index crime prevalence and analyzed regression models wherein white incarceration was used to predict the risk of adverse birth outcomes in order to quantify the degree to which mass incarceration may harm health above and beyond living in a high crime area. Results There was a significant 3% higher risk of preterm birth among black women associated with an interquartile range increase in the parish-level incarceration prevalence of black individuals, independent of other factors. Adjusting for the prevalence of index crimes did not substantively change the results of the models. Conclusion Due to the positive significant associations between the prevalence of black individuals incarcerated in Louisiana jails and estimated risk of preterm birth, mass incarceration may be an underlying cause of the persistent inequities in reproductive health outcomes experienced by black women in Louisiana. Not only are there economic and social impacts stemming from mass incarceration, but there may also be implications for population health and health inequities, including the persistence of racial disparities in preterm birth and low birth weight.

Sustained benefits of a preschool home visiting program: Child outcomes in fifth grade

2021 ◽  
Vol 56 ◽  
pp. 260-271
Author(s):  
Karen L. Bierman ◽  
Brenda S. Heinrichs ◽  
Janet A. Welsh ◽  
Robert L. Nix
Keyword(s):  
Home Visiting ◽  
Child Outcomes ◽  
Fifth Grade ◽  
Home Visiting Program

scholarly journals Feasibility of a Digital Intervention to Promote Healthy Weight Management among Postpartum African American/Black Women

2021 ◽  
Vol 18 (4) ◽  
pp. 2178
Author(s):  
Melissa A. Napolitano ◽  
Cherise B. Harrington ◽  
Loral Patchen ◽  
Lindsey P. Ellis ◽  
Tony Ma ◽  
...  
Keyword(s):  
Physical Activity ◽  
African American ◽  
Black Women ◽  
Vegetable Intake ◽  
Vigorous Physical Activity ◽  
Future Research ◽  
Healthy Weight ◽  
Weight Outcomes ◽  
Postpartum Weight ◽  
American Black

The study aim was to implement and evaluate the feasibility of a culturally informed (“BeFAB”) app for African American/Black women to address postpartum weight. Women (n = 136; mean age = 27.8 ± 5.4; mean BMI = 32.5 ± 4.3) were recruited from postpartum units, and randomly assigned to receive BeFAB (n = 65) or usual care (n = 71) for 12 weeks. App content included didactic lessons delivered via a virtual coach, app-based messages, goal setting and tracking, and edutainment videos. Feasibility outcomes included recruitment, retention and engagement, and self-reported acceptability. Behavioral (i.e., diet, physical activity), psychosocial (i.e., stress, coping, support, self-efficacy) and weight outcomes were also examined. Recruitment goals were met, but attrition was high, with 56% retention at 12 weeks. Approximately half of participants accessed the app and set a goal ≥one time, but <10% reported achieving a nutrition or activity goal. Among study completers, ≥60% found the app content at least somewhat helpful. Within-group changes for BeFAB among completers were found for increased moderate-to-vigorous physical activity and decreased fruit/vegetable intake and weight. Findings indicate initial feasibility of recruiting postpartum women to participate in a digital healthy body weight program but limited use, reflecting low acceptability and challenges in engagement and retention. Future research is needed on strategies to engage and retain participants in postpartum interventions.

A randomized controlled trial of a home-visiting intervention on cognition and behavior in term low birth weight infants

2003 ◽  
Vol 143 (5) ◽  
pp. 634-639 ◽  
Author(s):  
Julie Meeks Gardner ◽  
Susan P Walker ◽  
Christine A Powell ◽  
Sally Grantham-McGregor
Keyword(s):  
Randomized Controlled Trial ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Home Visiting ◽  
Controlled Trial ◽  
Low Birth Weight Infants ◽  
Randomized Controlled ◽  
And Behavior

scholarly journals Improving Adolescent Parenting: Results From a Randomized Controlled Trial of a Home Visiting Program for Young Families

2016 ◽  
Vol 106 (2) ◽  
pp. 342-349 ◽  
Author(s):  
Francine Jacobs ◽  
M. Ann Easterbrooks ◽  
Jessica Goldberg ◽  
Jayanthi Mistry ◽  
Erin Bumgarner ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Home Visiting ◽  
Controlled Trial ◽  
Adolescent Parenting ◽  
Randomized Controlled ◽  
Home Visiting Program

scholarly journals A randomized controlled trial testing the efficacy of a Nurse Home Visiting Program for Pregnant Adolescents

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniel Fatori ◽  
Pedro Fonseca Zuccolo ◽  
Elizabeth Shephard ◽  
Helena Brentani ◽  
Alicia Matijasevich ◽  
...  
Keyword(s):  
Child Development ◽  
Home Environment ◽  
Adolescent Mothers ◽  
Home Visiting ◽  
Controlled Trial ◽  
Effect Sizes ◽  
Randomized Controlled ◽  
Nurse Home Visiting ◽  
Standardized Effect Sizes ◽  
Home Visiting Program

AbstractTo test the efficacy of a nurse home visiting program (HVP) on child development, maternal and environmental outcomes in the first years of life. We conducted a randomized controlled trial to test the efficacy of Primeiros Laços, a nurse HVP for adolescent mothers living in a poor urban area of São Paulo, Brazil. Eighty adolescent mothers were included and randomized to receive either Primeiros Laços (intervention group, n = 40) or healthcare as usual (control group, n = 40). Primeiros Laços is a home visiting intervention delivered by trained nurses that starts during the first 16 weeks of pregnancy and continues to the child’s age of 24 months. Participants were assessed by blind interviewers at 8–16 weeks of pregnancy (baseline), 30 weeks of pregnancy, and 3, 6, 12, and 24 months of child’s age. We assessed oscillatory power in the mid-range alpha frequency via electroencephalography when the children were aged 6 months. Child development was measured by the Bayley Scales of Infant Development Third Edition (BSID-III). Weight and length were measured by trained professionals and anthropometric indexes were calculated. The home environment and maternal interaction with the child was measured by the Home Observation and Measurement of the Environment. Generalized estimating equation models were used to examine intervention effects on the trajectories of outcomes. Standardized effect sizes (Cohen’s d) were calculated using marginal means from endpoint assessments of all outcomes. The trial was registered at clinicaltrial.gov: NCT02807818. Our analyses showed significant positive effects of the intervention on child expressive language development (coefficient = 0.89, 95% CI [0.18, 1.61], p = 0.014), maternal emotional/verbal responsivity (coefficient = 0.97, 95% CI [0.37, 1.58], p = 0.002), and opportunities for variety in daily stimulation (coefficient = 0.37, 95% CI [0.09, 0.66], p = 0.009). Standardized effect sizes of the intervention were small to moderate. Primeiros Laços is a promising intervention to promote child development and to improve the home environment of low-income adolescent mothers. However, considering the limitations of our study, future studies should be conducted to assess Primeiros Laços potential to benefit this population.Clinical Trial Registration: The study was registered at clinicaltrial.gov (Registration date: 21/06/2016 and Registration number: NCT02807818).

Very Low Birth Weight Outcomes

PEDIATRICS ◽  
1992 ◽  
Vol 89 (2) ◽  
pp. 357-357
Author(s):  
HELEN HARRISON
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Intensive Care ◽  
Very Low Birth Weight ◽  
Meta Analysis ◽  
Low Birth Weight Infants ◽  
Randomized Controlled Clinical Trials ◽  
Weight Outcomes ◽  
Term Evaluation

To the Editor.— The authors of the National Institute of Child Health and Human Development report on neonatal care1 found "important" variations among neonatal intensive care units in philosophies of treatment, methods of treatment, and short-term outcomes. In a recent meta-analysis of follow-up studies,2 researchers document a similarly haphazard approach to the long-term evaluation of very low birth weight survivors. Until randomized controlled clinical trials validate the safety and efficacy of neonatal therapies, and until long-term outcomes are assessed accurately, the treatment of very low birth weight infants should be declared experimental.

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