Evidence map›Paper›PMID 32654015›Full record

ArticleMaternal and child health journal2020

Evaluating the Health Outcomes of the Healthy Women Healthy Babies Program in Delaware.

Khaleel S Hussaini, Mawuna D Gardesey, George Yocher, David A Paul

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Article in Maternal and child health journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Khaleel S HussainiDelaware Department of Health and Social Services, Division of Public Health, 417 Federal Street, Dover, DE, 19901, USA. khaleel.hussaini@delaware.gov.
Mawuna D GardeseyDelaware Department of Health and Social Services, Division of Public Health, Center for Family Health Research and Epidemiology, 417 Federal Street, Dover, DE, 19901, USA.
George YocherDelaware Department of Health and Social Services, Division of Public Health, Center for Family Health Research and Epidemiology, 417 Federal Street, Dover, DE, 19901, USA.
David A PaulDepartment of Pediatrics, ChristianaCare, Newark, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe Delaware Healthy Women Healthy Babies Program (HWHB) was developed in response to increasing rates of infant mortality (IMR) and widening racial disparity. The primary aim of this study was to examine birth outcomes of enrolled and non-enrolled black and Hispanic women in the program whose payer was Medicaid.

methodsWe utilized a retrospective cohort of linked birth certificate and HWHB program participant data during 2011-2015. Our primary outcome variables (dependent variables) of interest included cigarette use, low birth weight, preterm birth and neonatal mortality. We utilized inverse probability of treatment weighting (IPTW) and estimated crude odds ratios (COR) and adjusted odds ratio (AOR) with 95% confidence intervals (CI) using IPTW as a weight variable.

resultsHWHB enrolled women were 10% less likely to smoke during pregnancy COR 0.89 (95% CI 0.82-0.96); were 9% less likely to deliver a low birth weight infant (AOR 0.91; 95% CI 0.84-0.99; p = 0.023); were 15% less likely to deliver a preterm infant (AOR 0.85; 0.78-0.92; p < .0001) as compared with non-HWHB women. Infants delivered by HWHB enrolled women had 27% less likelihood (AOR 0.73; 95% CI 0.54-0.98; p = 0.035) of experiencing a neonatal death (i.e., < 28 days) as compared with infants of non-enrolled HWHB women.

conclusionThe primary goal of this evaluation was to assess the effectiveness of the HWHB program on modifiable risk factors of IMR among HWHB enrolled and non-enrolled women. We found that HWHB program is a promising practice in improving the outcomes of infants born to participating black and Hispanic mothers.

Indexed as

Infant, Low Birth WeightAdultBlack or African AmericanCohort StudiesDelawareFemaleHispanic or LatinoHumansInfantInfant MortalityInfant, NewbornInfant, PrematureMedicaidMothersOutcome Assessment, Health CarePregnancyEvaluationHealthy women healthy babiesInfant mortalityIPTWLBWPreterm

Identifiers

PMID32654015

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