| Variation in pregnancy outcomes following statewide implementation of a prenatal home visitation program. | |
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MedLine Citation:
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PMID: 21041588 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: To examine, following statewide dissemination, the influence of an evidence-based home visitation program for first-time mothers on reductions of subsequent pregnancies across time and different locations. DESIGN: Retrospective cohort study. SETTING: Replication sites for the Nurse-Family Partnership (17 urban sites and 6 rural sites) across the Commonwealth of Pennsylvania between January 1, 2000, and December 31, 2007. PARTICIPANTS: A total of 3844 Nurse-Family Partnership clients matched by propensity score to 10 938 local-area controls. Main Exposure Program enrollment. Main Outcome Measure Time to second pregnancy resulting in a live birth within 2 years of the first infant's birth. RESULTS: There were no program effects on time to first pregnancy in the early years of the program (2000-2003), but clients whose first infants were born after 2003 had fewer second pregnancies compared with controls (hazard ratio = 0.87; 95% confidence interval, 0.80-0.96). This benefit occurred principally among mothers who were aged 18 years or younger (hazard ratio = 0.73, 95% confidence interval, 0.61-0.89) and was twice as strong among mothers aged 18 years or younger from rural locations (hazard ratio = 0.40; 95% confidence interval, 0.22-0.73) compared with those from urban locations (hazard ratio = 0.79; 95% confidence interval, 0.65-0.95). CONCLUSIONS: Program effects on pregnancy planning emerged after an implementation period of 3 years in both urban and rural locations, but they were particularly strong in rural locations and among younger mothers. |
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Authors:
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David M Rubin; Amanda L R O'Reilly; Xianqun Luan; Dingwei Dai; A Russell Localio; Cindy W Christian |
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Publication Detail:
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Type: Journal Article Date: 2010-11-01 |
Journal Detail:
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Title: Archives of pediatrics & adolescent medicine Volume: 165 ISSN: 1538-3628 ISO Abbreviation: Arch Pediatr Adolesc Med Publication Date: 2011 Mar |
Date Detail:
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Created Date: 2011-03-08 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9422751 Medline TA: Arch Pediatr Adolesc Med Country: United States |
Other Details:
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Languages: eng Pagination: 198-204 Citation Subset: AIM; IM |
Affiliation:
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MSCE, Division of General Pediatrics, Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, CHOP North, Room 1533, Philadelphia, PA 19104-4399. rubin@email.chop.edu. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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