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Published on: January 12, 2018
A Community-Based Home Visitation Program's Impact on Birth Outcomes.
Yuqing Guo1, Pamela Pimentel, Jared Lessard
1Yuqing Guo is an Assistant Professor, University of California Irvine, Program in Nursing Science, Irvine, CA. The author can be reached via e-mail at gyuqing@uci.edu Pamela Pimentel is the Chief Executive Officer, MOMS Orange County, Santa Ana, CA. Jared Lessard is a Postdoctoral Fellow, Research Institute on Addictions, University at Buffalo, NY. Julie Rousseau is an Assistant Clinical Professor, University of California Irvine, Program in Nursing Science, Irvine, CA. Jung-Ah Lee is an Assistant Professor, University of California Irvine, Program in Nursing Science, Irvine, CA. Yvette Bojorquez is the Chief Program Officer, MOMS Orange County, Santa Ana, CA. Michele Silva is the Chief Development Officer, MOMS Orange County, Santa Ana, CA. Ellen Olshansky is a Professor, University of California Irvine, Program in Nursing Science, Irvine, CA.
Prenatal home visits through MOMS Orange County improved birth outcomes, including higher birthweight and gestational age. Health education topics within these visits partially explained these positive effects.
Area of Science:
- Public Health
- Maternal and Child Health
- Health Disparities
Background:
- MOMS Orange County is a home visitation program designed to reduce birth outcome disparities in a Hispanic community.
- The program utilizes trained paraprofessionals supervised by registered nurses.
Purpose of the Study:
- To evaluate the impact of MOMS Orange County on birth outcomes.
- To investigate if the range of prenatal health education topics mediates the link between home visits and birth outcomes.
Main Methods:
- Retrospective cohort study of 2,027 participants.
- Data collected by home visitors during prenatal and postnatal visits.
- Regression models adjusted for 10 covariates to assess associations.
Main Results:
- Increased prenatal home visits correlated with higher birthweight and gestational age.
- The breadth of health education topics partially mediated the relationship between home visits and birthweight.
- Similar mediation effects were observed for gestational age.
Conclusions:
- The MOMS Orange County program shows promise for improving birth outcomes in underserved populations.
- Further rigorous research is recommended to validate these findings and the program model.
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