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Prenatal care experience and infant ...

Cox, Suzanne Morrison.

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Prenatal care experience and infant health outcomes among low-income women in eight states, 1996--2003.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Prenatal care experience and infant health outcomes among low-income women in eight states, 1996--2003./
Author:	Cox, Suzanne Morrison.
Description:	196 p.
Notes:	Source: Dissertation Abstracts International, Volume: 71-02, Section: B, page: 0956.
Contained By:	Dissertation Abstracts International71-02B.
Subject:	Health Sciences, Public Health. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3394323
ISBN:	9781109615807

Prenatal care experience and infant health outcomes among low-income women in eight states, 1996--2003.
Cox, Suzanne Morrison.

Prenatal care experience and infant health outcomes among low-income women in eight states, 1996--2003. - 196 p.

Source: Dissertation Abstracts International, Volume: 71-02, Section: B, page: 0956.

Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 2009.

A study of the relationship between low-income mothers' prenatal care (PNC) site, and associated factors, and their infants' outcomes was carried out using a sample of women from eight states. The sample of 45,277 women was derived from the Pregnancy Assessment Monitoring System, which includes information from a random sample of birth certificates and linked postpartum follow-back survey data. Characteristics of the sample, where they received PNC, and their PNC experiences were summarized for the time period, 1996 to 2003. The unique methodological contribution of this study is the development of a Prenatal Care Experience Index, which is a composite variable that allows for the simultaneous measurement of receipt of health promotion advice and PNC utilization, stratified by participation in the Special Supplementary Nutrition Program for Women, Infants, and Children (WIC), resulting in an eight category variable.

ISBN: 9781109615807Subjects--Topical Terms:

1017659
Health Sciences, Public Health.

Prenatal care experience and infant health outcomes among low-income women in eight states, 1996--2003.
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100 1 $a Cox, Suzanne Morrison. $3 1679035
245 1 0 $a Prenatal care experience and infant health outcomes among low-income women in eight states, 1996--2003.
300 $a 196 p.
500 $a Source: Dissertation Abstracts International, Volume: 71-02, Section: B, page: 0956.
500 $a Adviser: Arden Handler.
502 $a Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 2009.
520 $a A study of the relationship between low-income mothers' prenatal care (PNC) site, and associated factors, and their infants' outcomes was carried out using a sample of women from eight states. The sample of 45,277 women was derived from the Pregnancy Assessment Monitoring System, which includes information from a random sample of birth certificates and linked postpartum follow-back survey data. Characteristics of the sample, where they received PNC, and their PNC experiences were summarized for the time period, 1996 to 2003. The unique methodological contribution of this study is the development of a Prenatal Care Experience Index, which is a composite variable that allows for the simultaneous measurement of receipt of health promotion advice and PNC utilization, stratified by participation in the Special Supplementary Nutrition Program for Women, Infants, and Children (WIC), resulting in an eight category variable.
520 $a Overall, there was not an increased risk for adverse outcomes among low-income women receiving care at either public or private PNC sites; although infants of women that received PNC at hospital clinics had a slightly increased risk of adverse outcomes including very low birth weight (<1500 grams), low birth weight (<2500 grams), and very preterm birth (<32 weeks gestational age). Insufficient prenatal care delivery including inadequate communication of health promotion advice and/or failure to participate in WIC was significantly associated with adverse outcomes among infants including: very low birth weight, low birth weight, very preterm birth, and preterm birth (<37 weeks gestational age).
520 $a Women who received PNC at publicly funded sites were more likely to report receiving adequate health promotion advice and were more likely to participate in WIC than women at other PNC sites. Women who received care at privately funded sites were more likely to start their PNC early and get the recommended number of visits compared to other PNC sites. However, adequate care utilization was not significantly protective against adverse outcomes. The findings support policy and funding decisions which ensure that regardless of site of care, the content of care for low-income women includes adequate health promotion as well as referral to the WIC program.
590 $a School code: 0806.
650 4 $a Health Sciences, Public Health. $3 1017659
650 4 $a Health Sciences, Epidemiology. $3 1019544
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710 2 $a University of Illinois at Chicago, Health Sciences Center. $3 1021703
773 0 $t Dissertation Abstracts International $g 71-02B.
790 1 0 $a Handler, Arden, $e advisor
790 $a 0806
791 $a Ph.D.
792 $a 2009
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3394323