Community health workers as change agents in improving equity in birth outcomes in Detroit

Author:

Straughen Jennifer K.ORCID,Clement Jaye,Schultz Lonni,Alexander Gwen,Hill-Ashford Yolanda,Wisdom Kimberlydawn

Abstract

We examined whether pairing pregnant women with community health workers improved pregnancy outcomes among 254 Black women with singleton pregnancies participating in the Women-Inspired Neighborhood (WIN) Network: Detroit using a case-control design. A subset (N = 63) of women were recontacted and asked about program satisfaction, opportunities, and health behaviors. Michigan Vital Statistics records were used to ascertain controls (N = 12,030) and pregnancy and infant health outcomes. Logistic and linear regression were used to examine the association between WIN Network participation and pregnancy and infant health outcomes. The WIN Network participants were less likely than controls to be admitted to the neonatal intensive care unit (odds ratio = 0.55, 95% CI 0.33–0.93) and had a longer gestational length (mean difference = 0.42, 95% CI 0.02–0.81). Community health workers also shaped participants’ view of opportunities to thrive. This study demonstrates that community health workers can improve pregnancy outcomes for Black women.

Funder

Institute for Healthcare Reform

Robert Wood Johnson Foundation

Kresge Foundation

W.K. Kellogg Foundation

PNC Foundation

Jewish Fund

Gail and Lois Warden Endowed Chair on Multicultural Health

Publisher

Public Library of Science (PLoS)

Subject

Multidisciplinary

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