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The Impact of a Changing Client Risk Profile on Nurse Family Partnership's Preterm Birth Outcomes
Başlık:
The Impact of a Changing Client Risk Profile on Nurse Family Partnership's Preterm Birth Outcomes
Yazar:
Sainer, Shannon Kathleen, author.
ISBN:
9780438003170
Yazar Ek Girişi:
Fiziksel Tanımlama:
1 electronic resource (64 pages)
Genel Not:
Source: Masters Abstracts International, Volume: 57-06M(E).
Advisors: Marcelo Coca Perraillon Committee members: Richard Lindrooth; William Thorland.
Özet:
Preterm births (prior to 37 weeks gestation) result in costly medical care and intervention services due to long-term medical, developmental, academic, and social challenges. The Nurse-Family Partnership (NFP) is a nurse-home visiting program with evidence from multiple randomized control trials and quasi-experimental design studies to reduce preterm births. The program's impact is greatest among those at highest risk of preterm birth: young mothers, black and Hispanic women, smokers, and those without a high school degree. Historically, NFP has served a greater proportion of low-income mothers with these risk factors. However, the characteristics of NFP clients are changing over time, raising concerns that the NFP effectiveness on preterm births would be less than expected. The objective of this study is to assess the impact of demographic changes on NFP effectiveness. Data comes the National Vital Statistics birth records and NFP Data Warehouse from 2009--2016. Over this period, there were significant reductions in the proportion of births to teens, women without a high school degree, and unmarried mothers among NFP women and the general low-income population. NFP women, however, were significantly more likely to smoke during pregnancy, be younger, and be Latina or non-Hispanic Black than low-income mothers nationally. The contribution of differences in the proportion of high risk mothers between the NFP and the general low-income population and the contribution of other factors for explaining the NFP effect on preterm births was assessed using the Oaxaca-Blinder decomposition technique. The results show that the NFP reduces the probability of preterm birth by 2.1 percentage points. The Oaxaca-Blinder decomposition of this effect shows that most of the difference is explained by the NFP program rather than differences in the characteristics of NFP clients compared to the low-income population. Thus, demographic changes are unlikely to affect the program effectiveness.
Notlar:
School code: 1639
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Yer Numarası | Demirbaş Numarası | Shelf Location | Lokasyon / Statüsü / İade Tarihi |
---|---|---|---|
XX(692658.1) | 692658-1001 | Proquest E-Tez Koleksiyonu | Arıyor... |
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