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Accession Number:
AD1012983
Title:
The SMILE Program: Does Timing and Dosing of Nurse Home Visits Matter in Reducing Adverse Birth Outcomes for African American Women
Descriptive Note:
Technical Report
Corporate Author:
Uniformed Services University Of The Health Sciences Bethesda United States
Report Date:
2013-03-13
Pagination or Media Count:
38.0
Abstract:
Statement of Problem. Program evaluation is vital to examining the effectiveness of existing public health programs in the area of infant mortality. Despite considerable progress in reducing infant mortality in the United States, African Americans experience nearly twice the rate of infant mortality than their Caucasian counterparts for the past decade. Low birth weightLBW and preterm delivery are the two leading causes of infant mortality and this disparity. Methods. Participants were 384 African AmericanBlack women with singleton pregnancies enrolled in the Start More Infants Living Equally Healthy SMILE program, a program targeting high-risk African AmericanBlack women in Montgomery County, MD. Health outcomes at birth i.e., LBW, prematurity, and birth anomalies were examined in relation to the week of entry, trimester of enrollment, and frequency of nurse home visits.Statement of Problem. Program evaluation is vital to examining the effectiveness of existing public health programs in the area of infant mortality. Despite considerable progress in reducing infant mortality in the United States, African Americans experience nearly twice the rate of infant mortality than their Caucasian counterparts for the past decade. Low birth weightLBW and preterm delivery are the two leading causes of infant mortality and this disparity. Methods. Participants were 384 African AmericanBlack women with singleton pregnancies enrolled in the Start More Infants Living Equally Healthy SMILE program, a program targeting high-risk African AmericanBlack women in Montgomery County, MD. Health outcomes at birth i.e., LBW, prematurity, and birth anomalies were examined in relation to the week of entry, trimester of enrollment, and frequency of nurse home visits.
Distribution Statement:
APPROVED FOR PUBLIC RELEASE