Improving Birth Outcomes Among Low-Income Families: The Effect of a Home Visiting Intervention

Author:

Shin Sunny H.12ORCID,Choi Changyong3

Affiliation:

1. School of Social Work, Virginia Commonwealth University, Richmond, VA, USA

2. Department of Psychiatry, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA

3. Department of Social Welfare, Gachon University, Seongnam, Republic of Korea

Abstract

The American Academy of Pediatrics (AAP) recognizes the benefit of home visiting programs in promoting positive birth outcomes. Despite this recommendation, previous studies have found mixed results with respect to the impact of home visits on birth outcomes. We evaluated the impact of the Comprehensive Health Investment Project (CHIP) home visiting services on improving birth outcomes among low-income families. The present study used a sample of 1,110 children and families to examine how a team-based home visiting program influenced 2 significant birth outcomes, namely, birth weight and preterm birth. Using propensity score matching, the current study found that the home visited group had significantly lower rates of low birth weight compared with a propensity-matched comparison group ( P < .01). Home visiting programs may play an important role in promoting positive birth outcomes, particularly when they are provided during pregnancy.

Funder

Families Forward Virginia

Publisher

SAGE Publications

Subject

Pediatrics, Perinatology and Child Health

Reference14 articles.

1. Centers for Disease Control and Prevention. Stats of the states—preterm births. Published February 9, 2021. Accessed August 17, 2021. https://www.cdc.gov/nchs/pressroom/sosmap/preterm_births/preterm.htm.

2. Centers for Disease Control and Prevention. Stats of the states—low birthweight births. Published February 9, 2021. Accessed August 17, 2021. https://www.cdc.gov/nchs/pressroom/sosmap/lbw_births/lbw.htm.

3. Zupancic JAF. A systematic review of costs associated with preterm birth. In: Preterm Birth: Causes, Consequences, and Prevention. The National Academies Press; 2007. Accessed August 17, 2021. https://www.ncbi.nlm.nih.gov/sites/books/NBK11391/.

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