Effect of maternal-child home visitation on pregnancy spacing for first-time Latina mothers.

Abstract:

OBJECTIVES:We examined the impact of a maternal-child home visitation program on birth spacing for first-time Latina mothers, focusing on adolescents and women who identified as Mexican or Puerto Rican. METHODS:This was a retrospective cohort study. One thousand Latina women enrolled in the Pennsylvania Nurse-Family Partnership between January 1, 2003, and December 31, 2007, were matched to nonenrolled Latina women using propensity scores. The primary outcome was the time to second pregnancy that resulted in a live birth (interpregnancy interval). Proportional hazards models and bootstrap methods compared the time to event. RESULTS:Home visitation was associated with a small decrease in the risk of a short interpregnancy interval (≤ 18 months) among Latina women (hazards ratio [HR] = 0.86; 95% confidence interval [CI] = 0.75, 0.99). This effect was driven by outcomes among younger adolescent women (HR = 0.80; 95% CI = 0.65, 0.96). There was also a trend toward significance for women of Mexican heritage (HR = 0.74; 95% CI = 0.49, 1.07), although this effect might be attributed to individual agency performance. CONCLUSIONS:Home visitation using the Nurse-Family Partnership model had measurable effects on birth spacing in Latina women.

journal_name

Am J Public Health

authors

Yun K,Chesnokova A,Matone M,Luan X,Localio AR,Rubin DM

doi

10.2105/AJPH.2013.301505

subject

Has Abstract

pub_date

2014-02-01 00:00:00

pages

S152-8

eissn

0090-0036

issn

1541-0048

journal_volume

104 Suppl 1

pub_type

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