| Characteristics, access, utilization, satisfaction, and outcomes of healthy start participants in eight sites. | |
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MedLine Citation:
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PMID: 19590941 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To describe the characteristics, access, utilization, satisfaction, and outcomes of Healthy Start participants in eight selected sites, a survey of Healthy Start participants with infants ages 6-12-months-old at time of interview was conducted between October 2006 and January 2007. The response rate was 66% (n = 646), ranging from 37% in one site to >70% in seven sites. Healthy Start participants' outcomes were compared to two national benchmarks. Healthy Start participants reported that they were satisfied with the program (>90% on five measures). Level of unmet need was 6% or less for most services, except for dental appointments (11%), housing (13%), and child care (11%). Infants had significantly better access to medical care than did their mothers, with higher rates of insurance coverage, medical homes, and checkups, and fewer unmet needs for health care. Healthy Start participants' rates of ever breastfeeding (72%) and putting infants to sleep on their backs (70%) were at or near the Healthy People 2010 objectives, and considerably higher than rates among low-income mothers in the ECLS. The high rate of health education (>90%) may have contributed to these outcomes. Elimination of smoking among Healthy Start participants (46%) fell short of the Healthy People 2010 objective (99%). The low-birth weight (LBW) rate among Black Healthy Start participants (14%) was three times higher than the rate for Whites and Hispanics (5% each). Overall, the LBW rate in the eight sites (7.5%) was similar to the rate for low-income mothers in the ECLS, but both rates were above the Healthy People 2010 objective (5%). Challenges remain in reducing disparities in maternal and child health outcomes. Further attention to risk factors associated with LBW (especially smoking) may help close the gaps. The life course theory suggests that improved outcomes may require longer-term investments. Healthy Start's emerging focus on interconception care has the potential to address longer-term needs of participants. |
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Authors:
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Margo Rosenbach; So O'Neil; Benjamin Cook; Lisa Trebino; Deborah Klein Walker |
Publication Detail:
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Type: Journal Article; Research Support, U.S. Gov't, P.H.S. Date: 2009-07-10 |
Journal Detail:
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Title: Maternal and child health journal Volume: 14 ISSN: 1573-6628 ISO Abbreviation: Matern Child Health J Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-19 Completed Date: 2010-12-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9715672 Medline TA: Matern Child Health J Country: United States |
Other Details:
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Languages: eng Pagination: 666-79 Citation Subset: IM |
Affiliation:
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Mathematica Policy Research, Inc, Cambridge, MA, 02139, USA. mrosenbach@mathematica-mpr.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Child Health Services / organization & administration, utilization* Consumer Satisfaction Female Health Services Accessibility / organization & administration, statistics & numerical data* Health Status Healthy People Programs / organization & administration*, utilization Humans Infant Infant Mortality Infant, Newborn Male Mothers Outcome Assessment (Health Care) Perinatal Care / organization & administration*, utilization Postpartum Period Pregnancy Program Evaluation Socioeconomic Factors United States Young Adult |
| Comments/Corrections | |
Comment In:
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Matern Child Health J. 2010 Sep;14(5):649-53
[PMID:
20582457
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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