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Improved birth weight for black infants: Outcomes of a healthy start program

Author

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  • Kothari, C.L.
  • Zielinski, R.
  • James, A.
  • Charoth, R.M.
  • Del Carmen Sweezy, L.

Abstract

Objectives. We determined whether participation in Healthy Babies Healthy Start (HBHS), a maternal health program emphasizing racial equity and delivering services through case management home visitation, was associated with improved birth outcomes for Black women relative to White women. Methods. We used a matched-comparison posttest-only design in which we selected the comparison group using propensity score matching. Study data were generated through secondary analysis of Michigan state- and Kalamazoo County-level birth certificate records for 2008 to 2010. We completed statistical analyses, stratified by race, using a repeated-measures generalized linear model. Results. Despite their smoking rate being double that of their matched counterparts, Black HBHS participants delivered higher birth-weight infants than did Black nonparticipants (P =.05). White HBHS participants had significantly more prenatal care than did White nonparticipants, but they had similar birth outcomes (P= .7 for birth weight; P =.55 for gestation). Conclusions. HBHS participation is associated with increased birth weights among Black women but not among White women, suggesting differential program gains for Black women.

Suggested Citation

  • Kothari, C.L. & Zielinski, R. & James, A. & Charoth, R.M. & Del Carmen Sweezy, L., 2014. "Improved birth weight for black infants: Outcomes of a healthy start program," American Journal of Public Health, American Public Health Association, vol. 104(S1), pages 96-104.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2013.301359_5
    DOI: 10.2105/AJPH.2013.301359
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    Cited by:

    1. Benjamin Sosnaud, 2022. "Reconceptualizing Measures of Black–White Disparity in Infant Mortality in U.S. Counties," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 41(4), pages 1779-1808, August.
    2. Lauren A Taylor & Annabel Xulin Tan & Caitlin E Coyle & Chima Ndumele & Erika Rogan & Maureen Canavan & Leslie A Curry & Elizabeth H Bradley, 2016. "Leveraging the Social Determinants of Health: What Works?," PLOS ONE, Public Library of Science, vol. 11(8), pages 1-20, August.

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