NIH-DC Initiative to Reduce Infant Mortality in Minority Populations in Washington, DC: History and Lessons Learned

Kiely, Michele; Davis, Maurice; Thornberry, Jutta; Joseph, Jill G.

doi:10.1007/s10995-011-0843-4

Cited by 5 publications

(4 citation statements)

References 53 publications

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“…In addition, activities in the District of Columbia aimed at increasing prenatal care and child immunizations, preventing child injuries, and reducing alcohol use during pregnancy that were targeted toward the African American population may have contributed to the improved SUID rates. 30…”

Section: Discussionmentioning

confidence: 99%

National and State Trends in Sudden Unexpected Infant Death: 1990–2015

2018

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Section: Discussionmentioning

confidence: 99%

National and State Trends in Sudden Unexpected Infant Death: 1990–2015

2018

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“…Interventions that include partners and/or family that promote reproductive health knowledge and communication may benefit African American women’s reproductive and prenatal health (Lu et al, 2010). Kiely and colleagues note that a major theme that came from the Project DC-HOPE was supporting and involving women’s family in the intervention (Kiely, Davis, Thornberry, & Joseph, 2011). This is particularly relevant to reproductive health.…”

Section: Discussionmentioning

confidence: 99%

“…Women were not followed to understand challenges they faced in completing the follow-up assessment or attending the minimum number of intervention sessions. To learn more about strengths and limitations of Project DC-HOPE as well as lessons learned, refer to El-Khorazaty and colleagues (2008), Kiely and colleagues (2011 & 2013), and Thornberry and colleagues (2010).…”

Section: Discussionmentioning

confidence: 99%

Reproductive Health Knowledge among African American Women Enrolled in a Clinic-Based Randomized Controlled Trial to Reduce Psychosocial and Behavioral Risk: Project DC-HOPE

Backonja

Robledo

Wallace

et al. 2016

Women's Health Issues

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Background Washington, D.C. has among the highest rates of sexually transmitted infections (STIs) and unintended pregnancy in the United States. Increasing women’s reproductive health knowledge may help address these reproductive health issues. This analysis assessed whether high-risk pregnant African American women in Washington, D.C. who participated in an intervention to reduce behavioral and psychosocial risks had greater reproductive health knowledge than women receiving usual care. Methods Project DC-HOPE was a randomized controlled trial that included pregnant African American women in Washington, D.C., recruited during prenatal care. Women in the intervention group were provided reproductive health education and received tailored counseling sessions to address their psychosocial and behavioral risk(s) (cigarette smoking, environmental tobacco smoke exposure, depression, and intimate partner violence). Women in the control group received usual prenatal care. Participants completed a 10-item reproductive knowledge assessment at baseline (n=1,044) and postpartum (n=830). Differences in total reproductive health knowledge scores at baseline and postpartum between groups were examined via chi-squared tests. Differences in postpartum mean total score by group were assessed via multiple linear regression. Results Women in both groups and at both time points scored approximately 50% on the knowledge assessments. At postpartum, women in the intervention group had higher total scores compared to women receiving usual care (mean 5.40 [SD 1.60] vs. 5.03 [SD 1.53] out of 10, respectively; p<0.001). Conclusions While intervention participants increased reproductive health knowledge, overall scores remained low. Development of interventions designed to impart accurate, individually tailored information to women may promote reproductive health knowledge among high-risk pregnant African American women residing in Washington, D.C.

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“…Racial discrimination has been found to be associated with low birth weight in babies of urban women of color (Earnshaw et al, 2013). Risk factors for poor perinatal outcomes for minority populations include perceived racial discrimination, poverty, inadequate housing, lack of social support, and late or no prenatal care (Kiely, Davis, Thornberry, & Joseph, 2011).…”

Section: Disparate Riskmentioning

confidence: 99%

Addressing Health Concerns of Pregnant African American Women Using the Lens of Complexity Theory

Sims

2014

Creative Nursing

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Pregnant African American women are at higher risk for multiple complex health issues, including depression, than their European American counterparts (Canady, Bullen, Holzman, Broman, & Tian, 2008; Martin et al, 2011; Mathews & MacDorman, 2007; Orr, Blazer, & James, 2006; Segre, Losch, & O'Hara, 2006). Various strategies must be used to address depression through preventive care and promotion of access to appropriate mental health services. Nurses and other health care providers need to examine the relationships between the multifactorial problems to improve the health and well-being of pregnant African American women and their unborn children. This article presents a case study demonstrating the use of complexity science theory to understand and prevent poor health outcomes for pregnant African American women with depression and their unborn children.

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NIH-DC Initiative to Reduce Infant Mortality in Minority Populations in Washington, DC: History and Lessons Learned

Cited by 5 publications

References 53 publications

National and State Trends in Sudden Unexpected Infant Death: 1990–2015

National and State Trends in Sudden Unexpected Infant Death: 1990–2015

Reproductive Health Knowledge among African American Women Enrolled in a Clinic-Based Randomized Controlled Trial to Reduce Psychosocial and Behavioral Risk: Project DC-HOPE

Addressing Health Concerns of Pregnant African American Women Using the Lens of Complexity Theory

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