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Cited by 8Maternal and Neonatal HealthcareGlobal Maternal and Child HealthReproductive Health and Contraception

Taking the pulse of progress toward preconception health: Preliminary assessment of a national OMH program for infant mortality prevention

Schiavo, Renata, Gonzalez-Flores, Matilde, Ramesh, Radhika, Estrada-Portales, Isabel·2011·Journal of Communication in Healthcare
DOI 10.1179/175380611x13082296179352
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Abstract

Infant mortality rates in the United States continue to be more than twice as high among African-Americans as Caucasians. The United States ranks 37th of 191 countries in infant mortality, well behind most industrialized and many developing countries. Preconception care has long been identified as a key intervention to improve birth outcomes. In 2007, the Office of Minority Health (OMH) of the Department of Health and Human Services (DHHS) launched a national program, A Healthy Baby Begins with You, to raise awareness about the disproportionately high infant mortality rates among African-Americans, and to promote preconception health behaviors as a key measure to help prevent infant mortality. This article discusses findings from an initial program assessment, focusing primarily on the peer education component. Findings highlight several factors that may aid or prevent the adoption of preconception behaviors, offer implications for program refinement, and provide useful insights for peer education and community-based communication designed to reach college and graduate students and vulnerable populations on this topic. Recurring themes within key findings include: the impact of chronic stress associated with a history of racial discrimination; the role of healthcare providers in preconception counseling; the role of men; and the significance of community involvement.

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Crossref · 10.1179/175380611x13082296179352

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Authors
Schiavo, R., Gonzalez-Flores, M., Ramesh, R., & Estrada-Portales, I.
Affiliations
  • City University of New York (US)
  • United States Department of Health and Human Services (US)
Corresponding author
Schiavo, Renata
ORCID
Venue
Journal of Communication in Healthcare
Publisher
Informa UK Limited
Published
2011-07
Volume
4
Issue
2
Pages
106-117
ISSN
  • 1753-8068 (ISSN-L)
  • 1753-8076
DOI
10.1179/175380611x13082296179352
OpenAlex
W2040709594
Cited by
8
References
21
Citations by year
2020: 1 · 2019: 1 · 2018: 1 · 2017: 1 · 2016: 1 · 2014: 1 · 2013: 2
FWCI
1.79
Type
journal article
Language
en
Open access
closed
Locations
Journal of Communications In Healthcare (publishedVersion)
Funders
  • U.S. Department of Health and Human Services
  • City University of New York
Topics
  • Health Sciences › Health Professions › General Health Professions › Maternal and Neonatal Healthcare
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
Keywords
preconception health, infant mortality prevention, Office of Minority Health, African American health disparities, peer education, chronic stress, racial discrimination, preconception counseling, community participation, university students, vulnerable populations, program evaluation

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