Impact of pre-conception health care: evaluation of a social determinants focused intervention. Livingood, W. C., Brady, C., Pierce, K., Atrash, H., Hou, T., & Bryant, T. Maternal and Child Health Journal, 14(3):382--391, May, 2010. doi abstract bibtex The purpose of this study was to evaluate the outcomes of the social determinants component of a multiple determinants model of pre- and inter-conception care. Health department vital statistics and infectious disease data on birth and factors influencing birth outcomes were analyzed for participants in a program designed to mitigate the effects of social class and stress in contrast to a matched comparison group and other relevant populations. The program showed promising results related to reducing infant mortality and reducing other high-risk factors for poor birth outcomes, including low birth weight and sexually transmitted disease. Social determinant interventions, designed to mitigate the impact of social class and stress, should be considered with efforts to reduce infant mortality, particularly the disparities associated with infant mortality. Additional research should be conducted to refine replicable social determinant focused interventions and confirm and generalize these results.
@article{livingood_impact_2010,
title = {Impact of pre-conception health care: evaluation of a social determinants focused intervention},
volume = {14},
issn = {1573-6628},
shorttitle = {Impact of pre-conception health care},
doi = {10.1007/s10995-009-0471-4},
abstract = {The purpose of this study was to evaluate the outcomes of the social determinants component of a multiple determinants model of pre- and inter-conception care. Health department vital statistics and infectious disease data on birth and factors influencing birth outcomes were analyzed for participants in a program designed to mitigate the effects of social class and stress in contrast to a matched comparison group and other relevant populations. The program showed promising results related to reducing infant mortality and reducing other high-risk factors for poor birth outcomes, including low birth weight and sexually transmitted disease. Social determinant interventions, designed to mitigate the impact of social class and stress, should be considered with efforts to reduce infant mortality, particularly the disparities associated with infant mortality. Additional research should be conducted to refine replicable social determinant focused interventions and confirm and generalize these results.},
language = {eng},
number = {3},
journal = {Maternal and Child Health Journal},
author = {Livingood, William C. and Brady, Carol and Pierce, Kimberly and Atrash, Hani and Hou, Tao and Bryant, Thomas},
month = may,
year = {2010},
pmid = {19662521},
keywords = {African Americans, Birth Weight, Case Management, Chi-Square Distribution, Female, Florida, Health Status Disparities, Healthcare Disparities, Humans, Infant Mortality, Infant, Newborn, Models, Organizational, Organizational Objectives, Preconception Care, Pregnancy, Pregnancy Outcome, Program Evaluation, Retrospective Studies, Sexually Transmitted Diseases, Social Class, Socioeconomic Factors, Stress, Psychological},
pages = {382--391}
}
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