Perinatal periods of risk analysis of infant mortality in Jackson County, Missouri
| Autor: | Jinwen Cai, V. James Guillory, Larry D. Jones, Rex Archer, Gerald L. Hoff, Paula S. Livingston |
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| Rok vydání: | 2007 |
| Předmět: |
Gerontology
Risk analysis medicine.medical_specialty Psychological intervention Prenatal care Perinatal periods Risk Assessment White People Pregnancy Residence Characteristics Risk Factors Infant Mortality Medicine Humans Missouri Geography business.industry Health Policy Public health Smoking Public Health Environmental and Occupational Health Infant Newborn Urban Health Infant Prenatal Care Infant Low Birth Weight Health Surveys Infant mortality Black or African American Parity Logistic Models Socioeconomic Factors Medical risk Initial phase Infant Care Fetal Mortality Female business Public Health Administration Demography |
| Zdroj: | Journal of public health management and practice : JPHMP. 13(3) |
| ISSN: | 1078-4659 |
| Popis: | The perinatal periods of risk (PPOR) methodology provides an easy-to-use analytical approach to infant mortality that helps focus community initiatives for improving maternal and infant health. Because few analyses have been published, many public health practitioners may be unfamiliar with PPOR. This article demonstrates the application of PPOR analysis using infant mortality in Jackson County, Missouri. While the PPOR consists of two phases, this analysis was restricted to the initial phase of the overall process. The second phase builds on the initial findings and prioritizes the contributing factors of fetal/infant mortality so that targeted interventions can be developed. For Jackson County, the PPOR analysis found that racial and geographic disparities existed and, for very low-birth-weight infants, different interventions strategies may be needed on the basis of race. In addition, a mother who experienced a fetal or infant death was more likely to have had a medical risk factor, to have smoked cigarettes, to have started prenatal care after the first trimester or received no prenatal care, and to have been nulliparous. |
| Databáze: | OpenAIRE |
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