Addressing perinatal disparities using community‐based participatory research: data into action

Masho, Saba W.; Varner, Sara B.; Singleton, Rose; Bradford, Judith; Chapman, Derek A.; Svikis, Dace S.

doi:10.1002/jcop.20432

Cited by 9 publications

(6 citation statements)

References 30 publications

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“…However, imprisonment has also been associated with improved birth outcomes, such as a decreased risk of low birth weight, when incarcerated women were compared to a similarly disadvantaged control group [22]. Improving maternal preconception health, including preventing substance use such as smoking, illicit drugs and alcohol, has been suggested as the most effective way to prevent poor pregnancy outcomes [23]. It is important to explore history of incarceration in relation to substance use because prisons and jails can provide access to offer preventive services to high risk women in the preconception and interconception periods.…”

Section: Introductionmentioning

confidence: 99%

Least Explored Factors Associated with Prenatal Smoking

Masho

Bishop

Varner

et al. 2012

Matern Child Health J

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Objectives Poor pregnancy and birth outcomes are major problems in the United States, and maternal smoking during pregnancy has been identified as one of the most preventable risk factors associated with these outcomes. This study examines less explored risk factors of smoking among underserved African American pregnant women. Methods A cross-sectional survey was conducted at an outpatient obstetrics-gynecology clinic of an inner-city university hospital in Virginia from March 2009 through January 2011 in which pregnant women (N=902) were interviewed at their first prenatal care visit. Survey questions included items related to women’s sociodemographic characteristics as well as their pregnancy history; criminal history; receipt of social services; child protective services involvement; insurance status; and history of substance abuse, domestic violence, and depression. Multiple logistic regression was conducted to calculate odds ratios and 95% confidence intervals depicting the relationship between these factors and smoking during pregnancy. Results The analysis reported that maternal age [OR= 1.08, 95%CI=1.05–1.12], less than high school education [OR=4.30, 95%CI=2.27–8.14], unemployed [OR=2.33, 95%CI=1.35–4.04], criminal history [OR=1.66, 95%CI=1.05–2.63], receipt of social services [OR=2.26, 95%CI=1.35–3.79] alcohol use [OR=2.73, 95%CI=1.65–4.51] and illicit drug use [OR=1.97, 95%CI=1.04–3.74] during pregnancy were statistically significant risk factors associated with smoking during pregnancy. Conclusions In addition to the well known risk factors, public health professionals should be aware that criminal history and receipt of social services are important factors associated with smoking during pregnancy. Social service providers such as WIC and prisons and jails may offer a unique opportunity for education and cessation interventions during the preconception or interconception period.

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Section: Introductionmentioning

confidence: 99%

Least Explored Factors Associated with Prenatal Smoking

Masho

Bishop

Varner

et al. 2012

Matern Child Health J

Self Cite

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“…Maternal race of African-American is one of the major risk factor for adverse birth outcomes and these racial disparities have been thoroughly investigated by epidemiologic studies (March of Dimes, 2013; Spong et al, 2011; Alio et al, 2010; Collins et al, 1998; Masho et al, 2011; Papacek et al, 2002). Despite a multitude of research, the exact reason for the disparity of birth outcomes remains unclear.…”

Section: Discussionmentioning

confidence: 99%

“…Public health programs should also recognize the spatial impact that influences adverse birth incomes and its differential effect on African American mothers. Furthermore, poverty is a factor that requires multisectoral collaborations (Masho et al, 2011). It is important and timely to create forums bringing together different sectors such as housing authorities, urban planners, public transportation, education and health to address the issue of preterm birth in urban settings.…”

Section: Discussionmentioning

confidence: 99%

Multilevel factors influencing preterm birth in an urban setting

Masho

Munn

Archer

2014

Urban, Planning and Transport Research

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“…This approach allowed the implementation of community-based participatory research, by “equitably involving all partners in the research process” with the “aim of combining knowledge with action” (Community Health Scholars Program website, as cited in Katz 2004 ). These types of strategies not only serve to inform and educate stakeholders, but also assist in engaging the community in their own health (Masho et al 2010 ). Such efforts are consistent with emerging environmental efforts to promote and evaluate change at the community level (Fagan et al 2010 ).…”

Section: Discussionmentioning

confidence: 99%

Using Surveillance Data to Inform Community Action: The Effect of Alcohol Sale Restrictions on Intentional Injury-related Ambulance Pickups

et al. 2013

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Youth violence disproportionately affects inner city, urban minority communities in the USA. This article illustrates the use of surveillance data to inform and evaluate community action directed at this serious problem. Community efforts in response to surveillance data indicating high rates of violence surrounding convenience stores with unrestricted alcohol beverage licenses provided a natural experiment to examine the impact of imposing licensing restrictions on intentional injury rates. Rates of ambulance pickups for intentional injuries in the 15- to 24-year-old population in five census tracts where alcoholic beverage sales were restricted were compared to five census tracts with similar demographic characteristics near stores where restrictions were not instituted. Time periods included an 18-month baseline period, a 6-month period during which restrictions were in effect in the intervention communities, and an 18-month period following lifting of this restriction resulting from legal action by store owners. The monthly average rate of ambulance pickups for violent injuries showed a significantly greater baseline-to-intervention phase decrease in the intervention communities (i.e., from 19.6 to 0 per 1,000) than in the control communities (i.e., 7.4 to 3.3 per 1,000). This rate subsequently increased to 11.4 in the intervention communities after the restriction was removed. This study illustrates the potential value of surveillance data for guiding community mobilization efforts and for evaluating the impact of such efforts. It also demonstrates the potential impact of restricting inexpensive, single-serve alcoholic beverages on rates of violence.

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Addressing perinatal disparities using community‐based participatory research: data into action

Cited by 9 publications

References 30 publications

Least Explored Factors Associated with Prenatal Smoking

Least Explored Factors Associated with Prenatal Smoking

Multilevel factors influencing preterm birth in an urban setting

Using Surveillance Data to Inform Community Action: The Effect of Alcohol Sale Restrictions on Intentional Injury-related Ambulance Pickups

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