Examining the Causal Impact of Prenatal Home Visiting on Birth Outcomes: A Propensity Score Analysis
- 주제(키워드) Birth outcomes , Home visiting , Low birth weight , Preterm birth , Propensity score
- 등재 SSCI, SCOPUS
- 발행기관 Springer
- 발행년도 2021
- URI http://www.dcollection.net/handler/ewha/000000181760
- 본문언어 영어
- Published As http://dx.doi.org/10.1007/s10995-020-03054-7
초록/요약
Objectives: In Ohio, African American babies die at 2.5–3 times the rate of White babies. Preterm birth and low birth weight are the leading causes of infant mortality. Home visiting is an evidence-based strategy for serving low-income pregnant women; however, there are relatively few rigorous studies examining its effect on birth outcomes. Methods: This study uses a propensity score technique to estimate the causal effect of participation in home visiting on prematurity and low birth weight among a low-income, predominantly African American sample (N = 26,814). Results: We found that participation in home visiting significantly reduced the odds of experiencing both adverse birth events, with a larger program effect for the low birth weight outcome. Conclusions for Practice: Results suggest that selective prevention strategies must be accompanied by universal attempts to improve the health and life circumstances of low income and minority women. © 2021, Springer Science+Business Media, LLC, part of Springer Nature.
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