Author ORCID Identifier

Robert L. Fischer

Document Type

Article

Publication Date

2-22-2021

Abstract

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.

Keywords

home visiting, birth outcomes, preterm birth, low birth weight, propensity score

Publication Title

Maternal and Child Health Journal

Volume

25

Issue

6

First Page

947

Last Page

955

Rights

© Springer Science+Business Media, LLC, part of Springer Nature 2021. For articles published within the Springer Nature group of companies that have been archived into academic repositories such as this one, where a Springer Nature company holds copyright, or an exclusive license to publish, users may view, print, copy, download and text and data-mine the content, for the purposes of academic research, subject always to the full conditions of use. Any further use is subject to permission from Springer Nature. The conditions of use are not intended to override, should any national law grant further rights to any user. See full conditions of use.

Comments

This version of the article has been accepted for publication, after peer review (when applicable) and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The Version of Record is available online at: 10.1007/s10995-020-03054-7

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