Abstract:
OBJECTIVE:To determine factors contributing to state infant mortality rates (IMR) and develop an adjusted IMR in the United States for 2001 and 2002. DESIGN/METHODS:Ecologic study of factors contributing to state IMR. State IMR for 2001 and 2002 were obtained from the United States linked death and birth certificate data from the National Center for Health Statistics. Factors investigated using multivariable linear regression included state racial demographics, ethnicity, state population, median income, education, teen birth rate, proportion of obesity, smoking during pregnancy, diabetes, hypertension, cesarean delivery, prenatal care, health insurance, self-report of mental illness, and number of in-vitro fertilization procedures. Final risk adjusted IMR's were standardized and states were compared with the United States adjusted rates. RESULTS:Models for IMR in individual states in 2001 (r2 = 0.66, P < 0.01) and 2002 (r2 = 0.81, P < 0.01) were tested. African-American race, teen birth rate, and smoking during pregnancy remained independently associated with state infant mortality rates for 2001 and 2002. Ninety five percent confidence intervals (CI) were calculated around the regression lines to model the expected IMR. After adjustment, some states maintained a consistent IMR; for instance, Vermont and New Hampshire remained low, while Delaware and Louisiana remained high. However, other states such as Mississippi, which have traditionally high infant mortality rates, remained within the expected 95% CI for IMR after adjustment indicating confounding affected the initial unadjusted rates. CONCLUSIONS:Non-modifiable demographic variables, including the percentage of non-Hispanic African-American and Hispanic populations of the state are major factors contributing to individual variation in state IMR. Race and ethnicity may confound or modify the IMR in states that shifted inside or outside the 95% CI following adjustment. Other factors including smoking during pregnancy and teen birth rate, which are potentially modifiable, significantly contributed to differences in state IMR. State risk adjusted IMR indicate that other factors impact infant mortality after adjustment by race/ethnicity and other risk factors.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Paul DA,Mackley A,Locke RG,Stefano JL,Kroelinger Cdoi
10.1007/s10995-008-0358-9subject
Has Abstractpub_date
2009-05-01 00:00:00pages
343-8issue
3eissn
1092-7875issn
1573-6628journal_volume
13pub_type
杂志文章abstract:OBJECTIVES:While the validity of self-reported smoking habits is generally judged as satisfactory, objective markers of secondhand smoke (SHS) exposure may be more useful in validating the causal links between prenatal SHS and health effects. The cohort study in Krakow provided an opportunity for comparative assessment...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0350-4
更新日期:2009-05-01 00:00:00
abstract:OBJECTIVE:To examine attitudes and knowledge about vaccinations in postpartum mothers. METHODS:This cross-sectional study collected data via written survey to postpartum mothers in a large teaching hospital in Connecticut. We used multivariable analysis to identify mothers who were less trusting with regard to vaccine...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0302-4
更新日期:2008-11-01 00:00:00
abstract:OBJECTIVE:To identify maternal characteristics associated with 24-month postpartum weight retention. METHODS:Data were collected from the 2016 Los Angeles Mommy and Baby (LAMB) Follow-Up Survey, a population-based prospective cohort study that assesses maternal and infant health in Los Angeles County. In 2014, LAMB in...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-03082-3
更新日期:2021-01-01 00:00:00
abstract:OBJECTIVE:The purpose of this study was to assess the knowledge, attitudes, behaviors and training needs of child care providers on infant feeding practices, specifically breastfeeding. METHODS:Needs assessment surveys for child care directors and infant room teachers were developed, tested and mailed to the 277 Color...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0221-4
更新日期:2008-01-01 00:00:00
abstract::African American infants die at higher rates and are at greater risk of adverse birth outcomes than White infants in Milwaukee. Though self-reported experiences of racism have been linked to adverse health outcomes, limited research exists on the impact of racism on women's prenatal care experiences. The purpose of th...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1194-5
更新日期:2013-12-01 00:00:00
abstract:OBJECTIVES:To describe the current unmet major depression and substance use disorder (SUD) treatment needs among reproductive age women METHODS: Data from the 2007 to 2014 National Survey on Drug Use and Health (NSDUH) were analyzed to determine proportions of women ages 18 to 44 years with unmet treatment need for dep...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-02904-8
更新日期:2020-05-01 00:00:00
abstract::The Maternal Mortality Ratio is an important public health indicator that reflects both the quality of a health care system and the role of women within that society. In September 2000 the United Nations Millennium Declaration outlined the eight Millennium Development Goals (MDGs) that set targets to be achieved by 20...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1043-6
更新日期:2013-05-01 00:00:00
abstract::Introduction Postpartum hemorrhage (PPH) is the leading cause of maternal mortality worldwide. The largest barriers to treating PPH are symptom recognition and timely diagnosis. The SAPHE (Signaling a Postpartum Hemorrhage Emergency) Mat was constructed so that each square on the Mat absorbs up to 50 mL of blood. The ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2135-5
更新日期:2017-03-01 00:00:00
abstract::The aim of this paper was to investigate the association between birthweight and prevalence of food allergies using a national sample of US children. Adult report of birthweight and child food allergies were obtained for years 2005-2009 from the National Health Interview Survey (NHIS), a cross-sectional household surv...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-0960-8
更新日期:2013-01-01 00:00:00
abstract::Introduction Hispanics/Latinos are disproportionately affected by obesity in the U.S. Multiple factors place Hispanic/Latino children at risk for overweight, warranting guidance of a socio-ecologic approach to examine causes of obesity. The purpose of this study was to increase understanding of the factors that influe...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-02696-y
更新日期:2019-06-01 00:00:00
abstract:OBJECTIVE:To evaluate the safety and feasibility of a Family First Aid approach whereby women and their families are provided misoprostol in advance to manage postpartum hemorrhage (PPH) in home births. METHODS:A 12-month prospective, pre-post intervention study was conducted from February 2017 to February 2018. Women...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-03047-6
更新日期:2021-01-01 00:00:00
abstract::The objective of this study was to estimate the association between residence in coal mining environments and low birth weight. We conducted a cross-sectional, retrospective analysis of the association between low birth weight and mother's residence in coal mining areas in West Virginia. Birth data were obtained from ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-009-0555-1
更新日期:2011-10-01 00:00:00
abstract::Although postnatal care is one of the major interventions recommended for the reduction of maternal and newborn deaths worldwide, almost two-third (56 %) of women in Nigeria do not receive postnatal care. Attempts to explain this situation have focused on individual and household level factors, but the role of communi...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1323-9
更新日期:2014-05-01 00:00:00
abstract::Objectives Vital to implementation of the World Health Organization (WHO) Safe Childbirth Checklist (SCC), designed to improve delivery of 28 essential birth practices (EBPs), is the availability of safe birth supplies: 22 EBPs on the SCC require one or more supplies. Mapping availability of these supplies can determi...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2642-7
更新日期:2019-02-01 00:00:00
abstract::Introduction There is limited research on the relation between weight misperceptions and health-related quality of life (HRQoL) among U.S. adolescents. Methods Baseline data (n = 1509) collected in 2012 from the Team Up for Healthy Living project were used. Measures included BMI percentiles calculated from measured he...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2106-x
更新日期:2017-01-01 00:00:00
abstract:BACKGROUND:The Department of Health and Human Services (HHS) Advisory Committee on Heritable Disorders in Newborns and Children ("Advisory Committee") makes recommendations to the HHS Secretary regarding addition of new conditions to the national Recommended Uniform Screening Panel for newborns. The Advisory Committee'...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1869-9
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVES:Development of a validated triaging system that can be used by obstetric providers to identify obstetric patients at risk of developing severe morbidity during an admission is urgently required. Maternal Critical Care Working Group (MCCWG) recommended a "level of care" strategy that based patient acuity need...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1808-9
更新日期:2016-01-01 00:00:00
abstract:OBJECTIVE:Children with special health care needs (CSHCN) benefit from a medical home, however, a subset, those children with high intensity needs, have medical and social service issues beyond the capacity of most primary care practices. We describe a novel medical home center that is designed to meet the needs of chi...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0271-7
更新日期:2008-09-01 00:00:00
abstract::Unintended pregnancies can have negative consequences for both mother and child. The focus of this study was to utilize perceived behavioral control measures (PBC; part of the theory of planned behavior) to identify relevant behavioral determinants of birth control use. This study also tested associations between dire...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-014-1658-x
更新日期:2015-07-01 00:00:00
abstract::Identifying the educational and resource needs of new mothers is of paramount importance in developing programs to improve maternal and child health outcomes. The primary purpose of this study was to explore the educational needs of new mothers and identify opportunities to enhance healthcare providers' current educat...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1308-8
更新日期:2014-05-01 00:00:00
abstract::Introduction Since 2001, the Health Resources and Services Administration's Maternal and Child Health Bureau (HRSA MCHB) has funded and directed the National Survey of Children's Health (NSCH) and the National Survey of Children with Special Health Care Needs (NS-CSHCN), unique sources of national and state-level data...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2526-x
更新日期:2018-08-01 00:00:00
abstract::Objectives Obesity before and during pregnancy is associated with adverse effects for mother and child, but little is known about physical activity and consumption patterns among reproductive-aged women. The goal of this study is to identify behaviors of nonpregnant reproductive-aged women associated with normal weigh...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2440-2
更新日期:2018-05-01 00:00:00
abstract:OBJECTIVES:Eating and physical activity patterns may contribute to excessive pregnancy weight gain and postpartum retention that increase the risks of obesity and diabetes for both Latino mothers and their children. Social support is an important health determinant and may affect health-related beliefs and behaviors. T...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-005-0025-3
更新日期:2006-01-01 00:00:00
abstract::Background While there is considerable variability with respect to attendance at the postpartum visit, not much is known about women's preferences with respect to postpartum care. Likewise, there is also limited information on providers' practices regarding the postpartum visit and care including the delivery of contr...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2044-7
更新日期:2016-11-01 00:00:00
abstract::To identify maternal, care provider, and institutional-level risk factors for early term (37-38 weeks) elective repeat cesarean delivery in a population-based cohort. Retrospective cohort study of women in the British Columbia (BC) Perinatal Data Registry, BC, Canada, 2008-2011, with an elective repeat cesarean delive...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1229-6
更新日期:2014-01-01 00:00:00
abstract::Introduction The American Academy of Pediatrics discourages spanking, especially of infants and young toddlers. This study examines the association between maternal immigrant generation and reported spanking of 1-year-old children, and whether this association is impacted by domestic violence (DV). Methods We conducte...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2660-5
更新日期:2019-04-01 00:00:00
abstract:OBJECTIVES:We assessed the impact of caesarean delivery on offspring respiratory and intestinal infection. METHODS:Data were extracted from all live births (n = 429,058) occurring in the Australian state of Queensland between January 2009 and December 2015, and followed for 12 months. Births were categorised as either...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-03065-4
更新日期:2020-11-23 00:00:00
abstract::This paper examines the net effect of women's autonomy on their health seeking behavior in Ethiopia. We hypothesize that women with higher autonomy are more likely to seek health care during pregnancy and delivery than those with lower autonomy. The paper also examines whether the autonomy-health utilization relations...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-009-0535-5
更新日期:2010-11-01 00:00:00
abstract::The National Center for Health Statistics (NCHS) references were used to analyse anthropometric data from the 1999 National Food Consumption Survey (NFCS) of South Africa. Since then, however, The Centers for Disease Control and Prevention (CDC) 2000 reference and the World Health Organization (WHO) 2006 standards wer...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0685-5
更新日期:2011-11-01 00:00:00
abstract:OBJECTIVE:To evaluate the accuracy of computer-matched records for maternal and child health epidemiologic investigations. METHODS:Using Automatch probabilistic record linkage software, we linked electronic records in Georgia for the 2001 Medicaid paid delivery claims and infant deaths of the 2001 birth cohort to 2001...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0377-6
更新日期:2009-07-01 00:00:00