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Characteristics, access, utilization, satisfaction, and outcomes of healthy start participants in eight sites.

Byline: Margo Rosenbach (1), So O'Neil (1), Benjamin Cook (2), Lisa Trebino (1), Deborah Klein Walker (3) Keywords: Healthy start; Infant mortality; Disparities; Interconception care Abstract: To describe the characteristics, access, utilization, satisfaction, and outcomes of Healthy Start participa... Full description

Journal Title: Maternal and child health journal September 2010, Vol.14(5), pp.666-679
Main Author: Rosenbach, Margo
Other Authors: O'Neil, So , Cook, Benjamin , Trebino, Lisa , Walker, Deborah Klein
Format: Electronic Article Electronic Article
Language: English
Subjects:
ID: E-ISSN: 1573-6628 ; DOI: 10.1007/s10995-009-0474-1
Link: http://search.proquest.com/docview/748966282/?pq-origsite=primo
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title: Characteristics, access, utilization, satisfaction, and outcomes of healthy start participants in eight sites.
format: Article
creator:
  • Rosenbach, Margo
  • O'Neil, So
  • Cook, Benjamin
  • Trebino, Lisa
  • Walker, Deborah Klein
subjects:
  • Adult–Organization & Administration
  • Child Health Services–Statistics & Numerical Data
  • Consumer Behavior–Organization & Administration
  • Female–Statistics & Numerical Data
  • Health Services Accessibility–Organization & Administration
  • Health Status–Statistics & Numerical Data
  • Healthy People Programs–Organization & Administration
  • Humans–Statistics & Numerical Data
  • Infant–Statistics & Numerical Data
  • Infant Mortality–Statistics & Numerical Data
  • Infant, Newborn–Statistics & Numerical Data
  • Male–Statistics & Numerical Data
  • Mothers–Statistics & Numerical Data
  • Outcome Assessment (Health Care)–Statistics & Numerical Data
  • Perinatal Care–Statistics & Numerical Data
  • Postpartum Period–Statistics & Numerical Data
  • Pregnancy–Statistics & Numerical Data
  • Program Evaluation–Statistics & Numerical Data
  • Socioeconomic Factors–Statistics & Numerical Data
  • United States–Statistics & Numerical Data
  • Young Adult–Statistics & Numerical Data
ispartof: Maternal and child health journal, September 2010, Vol.14(5), pp.666-679
description: Byline: Margo Rosenbach (1), So O'Neil (1), Benjamin Cook (2), Lisa Trebino (1), Deborah Klein Walker (3) Keywords: Healthy start; Infant mortality; Disparities; Interconception care Abstract: 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. Author Affiliation: (1) Mathematica Policy Research, Inc, 955 Massachusetts Avenue, Suite 801, Cambridge, MA, 02139, USA (2) Cambridge Health Alliance, Cambridge, MA, USA (3) Abt Associates, Inc, Cambridge, MA, USA Article History: Registration Date: 12/05/2009 Received Date: 06/02
language: eng
source:
identifier: E-ISSN: 1573-6628 ; DOI: 10.1007/s10995-009-0474-1
fulltext: fulltext
issn:
  • 15736628
  • 1573-6628
url: Link


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descriptionByline: Margo Rosenbach (1), So O'Neil (1), Benjamin Cook (2), Lisa Trebino (1), Deborah Klein Walker (3) Keywords: Healthy start; Infant mortality; Disparities; Interconception care Abstract: 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. Author Affiliation: (1) Mathematica Policy Research, Inc, 955 Massachusetts Avenue, Suite 801, Cambridge, MA, 02139, USA (2) Cambridge Health Alliance, Cambridge, MA, USA (3) Abt Associates, Inc, Cambridge, MA, USA Article History: Registration Date: 12/05/2009 Received Date: 06/02/2008 Accepted Date: 12/05/2009 Online Date: 10/07/2009 Article note: This work was performed while Dr. Benjamin Cook was a researcher at Mathematica Policy Research, Inc.
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