Examining the Causal Impact of Prenatal Home Visiting on Birth Outcomes: A Propensity Score Analysis
| Autor: | Lisa Matthews, Elizabeth R. Anthony, Youngmin Cho, Robert L. Fischer |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Low income
medicine.medical_specialty 030219 obstetrics & reproductive medicine Epidemiology business.industry Public health Causal effect Public Health Environmental and Occupational Health Obstetrics and Gynecology Infant mortality Odds 03 medical and health sciences Low birth weight 0302 clinical medicine Pediatrics Perinatology and Child Health Propensity score matching Life circumstances medicine 030212 general & internal medicine medicine.symptom business Demography |
| Zdroj: | Maternal and Child Health Journal. 25:947-955 |
| ISSN: | 1573-6628 1092-7875 |
| DOI: | 10.1007/s10995-020-03054-7 |
| Popis: | In Ohio, African American babies die at 2.5–3 times the rate of White babies. Preterm birth and low birth weight are the leading causes of infant mortality. Home visiting is an evidence-based strategy for serving low-income pregnant women; however, there are relatively few rigorous studies examining its effect on birth outcomes. This study uses a propensity score technique to estimate the causal effect of participation in home visiting on prematurity and low birth weight among a low-income, predominantly African American sample (N = 26,814). We found that participation in home visiting significantly reduced the odds of experiencing both adverse birth events, with a larger program effect for the low birth weight outcome. Results suggest that selective prevention strategies must be accompanied by universal attempts to improve the health and life circumstances of low income and minority women. |
| Databáze: | OpenAIRE |
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