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An Evaluation of Community-Based Educational Programming for Prevention of Infant Mortality Among African Americans
Sheila Y Abebe1, Jean Marie S Place2, Kalyn M Renbarger1
1School of Nursing, Purdue University, West Lafayette, Indiana, USA.
Insights
A community-based educational program significantly increased knowledge of infant health behaviors among African American (AA) participants. This initiative is vital for reducing infant mortality (IM) disparities.
Area of Science:
- Public Health
- Maternal and Child Health
- Health Disparities
Background:
- Infant mortality (IM) disproportionately affects African American (AA) infants in the US.
- AA infants face higher risks of low birth weight and preterm birth.
- AA women experience barriers to early prenatal care and breastfeeding.
Purpose of the Study:
- To implement and evaluate a community-based educational program targeting health-promoting behaviors in an area with high infant mortality.
- To address critical factors contributing to racial disparities in infant health outcomes.
Main Methods:
- A 32-week community-based educational program was delivered in 2021-2022.
- The program utilized a life course perspective model.
- Four modules focused on breastfeeding, nutrition, safe sleep, and smoking cessation for AA community members.
Main Results:
- Pre- and post-test evaluations demonstrated a significant increase in participant knowledge.
- Knowledge gains were observed across all four educational modules: breastfeeding, nutrition, safe sleep, and smoking cessation.
Conclusions:
- Community-based education is effective in improving knowledge of health-promoting behaviors.
- Expanding the program and addressing care barriers can further reduce infant mortality disparities.
- This approach is crucial for improving African American infant health outcomes.
Introduction:
Infant mortality (IM) remains a critical issue in the United States with disproportionately high rates among African American (AA) infants. IM is the death of an infant before his or her first birthday. Infant mortality rate (IMR) is regarded as an indicator of overall population health. AA infants are more likely to be born with low birth weight or preterm. AA women are less likely to receive prenatal care during the first trimester and less likely to breast feed.
Methods:
In this study, conducted in Indiana county with a high (IMR), we implanted a community-based educational program centered on the life course perspective model. The program provided educational information aimed at addressing health-promoting behaviors in the community. Four education modules covering breastfeeding, nutrition, safe sleep, and smoking cessation were delivered to AA community members over a 32-week period in 2021-2022.
Results:
Pre- and post-test evaluations revealed a significant increase in knowledge on breastfeeding, nutrition, safe sleep, and smoking cessation among participants, affirming the program's effectiveness.
Discussion:
Future programming efforts should expand the program's reach, address care barriers, and explore long-term behavior changes. Community-based education is crucial for reducing racial disparities in IM and improving AA infant health outcomes.
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