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Holland ML, Condon EM, Rinne GR, Good MM, Bleicher S, Li C, Taylor RM, Sadler LS. Birth-Related Outcomes for Second Children Following Home Visiting Program Enrollment for New Parents of First Children. Matern Child Health J 2022; 26:941-952. [PMID: 34982339 PMCID: PMC8724643 DOI: 10.1007/s10995-021-03365-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/09/2021] [Indexed: 11/10/2022]
Abstract
Introduction Home visiting (HV) programs aim to promote child and family health through perinatal intervention. HV may benefit second children through improving subsequent pregnancy and birth outcomes. However, HV impacts on birth outcomes of second children have not been examined in a naturalistic setting. Methods Using data from Connecticut Nurturing Families Network (NFN) home visiting program of families enrolled from 2005 to 2015, we compared birth-related outcomes (birthweight, preterm birth, Cesarean section delivery, prenatal care utilization) of second children (n = 1758) to demographically similar propensity-score-matched families that were not enrolled in NFN (n = 5200). We examined whether the effects of NFN differed by maternal age, race and ethnicity, or visit attendance pattern. Results There was no program effect for the full sample. The effect of NFN did not differ by maternal age or visit attendance pattern but did differ by maternal race and ethnicity. Black women in NFN were more likely to receive adequate prenatal care during their second pregnancy (OR 1.05; 95% CI 1.01, 1.09) and Hispanic women in NFN were less likely to deliver by Cesarean section for their second birth (OR 0.97; 95% CI 0.94, 0.99), compared to Black and Hispanic women in the comparison group respectively. There was a protective program effect on prematurity of the second child (OR 0.92; 95% CI 0.85, 0.996) for women with a preterm first birth. Discussion These findings suggest that benefits of HV extend to subsequent birth-related outcomes for women from marginalized racial/ethnic groups. HV may help buffer some harmful social determinants of health. Supplementary Information The online version contains supplementary material available at 10.1007/s10995-021-03365-3.
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Affiliation(s)
- Margaret L Holland
- Yale Child Study Center, 230 South Frontage Rd, New Haven, CT, 06519, USA. .,Yale School of Nursing, 400 West Campus Drive, Orange, CT, 06477, USA.
| | - Eileen M Condon
- Yale School of Nursing, 400 West Campus Drive, Orange, CT, 06477, USA.,School of Nursing, University of Connecticut, 231 Glenbrook Road, Storrs, CT, 06269, USA
| | - Gabrielle R Rinne
- Department of Psychology, University of California, Los Angeles, CA, 90095, USA
| | | | - Sarah Bleicher
- Yale School of Nursing, 400 West Campus Drive, Orange, CT, 06477, USA.,Beth Israel Deaconess Medical Center, 330 Brookline Ave, Boston, MA, 02215, USA
| | - Connie Li
- Yale School of Public Health, 60 College Street, New Haven, CT, 06510, USA.,Kaiser Permanente, Oakland, CA, 94612, USA
| | - Rose M Taylor
- School of Education and Social Policy, Northwestern University, Evanston, IL, 60208, USA
| | - Lois S Sadler
- Yale Child Study Center, 230 South Frontage Rd, New Haven, CT, 06519, USA.,Yale School of Nursing, 400 West Campus Drive, Orange, CT, 06477, USA
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