Related Experiment Video
Updated: Jun 24, 2025
14:43
A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
Published on: January 12, 2018
11.8K
Neighborhood Racialized Economic Polarization, Home Visiting Coverage, and Adverse Birth Outcomes in a
Xiao Yu1, Lee Anne Roman1, Jennifer E Raffo1
1Department of Obstetrics, Gynecology and Reproductive Biology, Michigan State University College of Human Medicine, Grand Rapids and East Lansing, Michigan.
Summary
Home visiting programs effectively reach deprived neighborhoods and can lessen the negative impacts of neighborhood racialized economic polarization on birth outcomes, particularly for Black individuals.
Area of Science:
- Public Health
- Sociology
- Maternal and Child Health
Background:
- Neighborhood racialized economic polarization, driven by segregation and wealth concentration, creates disparities in neighborhood deprivation.
- Existing research indicates a negative association between neighborhood polarization and adverse birth outcomes.
- The study examines the potential of community-informed home visiting programs to address these disparities.
Purpose of the Study:
- To assess if home visiting programs achieve high service coverage in deprived neighborhoods.
- To determine if participation in home visiting mitigates the adverse effects of neighborhood polarization on birth outcomes.
- To investigate if reductions in preterm birth and low birthweight are greater among Black birthing individuals.
Main Methods:
- Utilized 2016-2019 Michigan statewide data linking birth records, Medicaid claims, and program participation (N=211,412).
- Employed multilevel generalized linear models and mediation analysis to evaluate program coverage and impact.
- Assessed disparities in outcomes for Black birthing individuals.
Main Results:
- Home visiting programs demonstrated higher service coverage in deprived neighborhoods (28.3%) compared to privileged ones (10.4%).
- Program participation was linked to a significant reduction in the negative relationship between neighborhood polarization and preterm birth (6.8%) and low birthweight (5.2%).
- These beneficial effects were more pronounced among Black birthing individuals.
Conclusions:
- Medicaid-sponsored home visiting programs effectively serve deprived areas and can mitigate negative birth outcomes linked to neighborhood polarization.
- The programs show a greater positive impact on reducing disparities for Black individuals.
- Sustained support for home visiting services is crucial for engaging vulnerable populations and reducing birth outcome disparities.
Related Concept Videos
01:52Regression Toward the Mean
6.3K
Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
6.3K
01:30Specialized Care Centers and Settings-II
721
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
721
01:29Documentation in Long-Term and Home Healthcare Setting
880
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
880
01:26Methods Of Healthcare Delivery System
3.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.2K
02:16Stereotype Content Model
14.7K
The Stereotype Content Model (SCM) was first proposed by Susan Fiske and her colleagues (Fiske, Cuddy, Glick & Xu, 2002; see also Fiske, 2012 and Fiske, 2017). The SCM specifies that when someone encounters a new group, they will stereotype them based on two metrics: warmth—or that group’s perceived intent, and how likely they are to provide help or inflict harm—and competence—or their ability to carry out that objective. Depending on the warmth-competence...
14.7K
02:12Relationship Formation
40.0K
What do you think is the single most influential factor in determining with whom you become friends and whom you form romantic relationships? You might be surprised to learn that the answer is simple: the people with whom you have the most contact. This most important factor is proximity. You are more likely to be friends with people you have regular contact with. For example, there are decades of research that shows that you are more likely to become friends with people who live in your dorm,...
40.0K