Search Results: MCHLine

Items in this list may be obtained from the sources cited. Contact information reflects the most current data about the source that has been provided to the MCH Digital Library.

Displaying records 21 through 34 (34 total).

Howard C. 1997. Antenatal Formula Distribution: Effect on Breastfeeding: [Final report]. Rochester, NY: University of Rochester, 63 pp.

Annotation: This study examined the influence of commercial formula advertising and formula distribution (through physicians' offices) on breastfeeding initiation and duration. The study protocol incorporated both antenatal and postnatal components. Women were recruited from two private practices at Rochester General Hospital—one practice served primarily Caucasian women and the other provided care for a racially and ethnically diverse population of Caucasian, African-American, and Hispanic women. Nearly half of the study sample was drawn from a geographic area in which approximately one-quarter of the population lived below the Federal poverty level. [Funded by the Maternal and Child Health Bureau]

Keywords: Blacks, Breastfeeding, Hispanics-All others, Hispanics–Puerto Ricans, Infant Nutrition, Infant formula, Infants, MCH Research, Newborn infants, Nonpregnant women (not otherwise identified as adolescents), Pregnant women (not otherwise defined as adolescents), Research

Carcar N. 1996 (ca.). Improving Health Care Access for Hispanic Families [Final report]. Atlanta, GA: Mercy Mobile Health Care, 31 pp.

Annotation: Hispanic children with special health care needs and pregnant women in the Hispanic community of metropolitan Atlanta lacked access to a coordinated system of pediatric and prenatal care. Barriers to care were especially limiting for Hispanics who were recent immigrants and had a limited English language capability with which to learn about available health care services. This project: (1) Identified Hispanic children with special health care needs who required assessment, treatment, and followup services; (2) improved awareness/usage of coordinated health care services by Hispanic families with children with special needs; (3) assisted pregnant Hispanic women to receive early prenatal care; and (4) improved cultural awareness and sensitivity of health care providers regarding health issues affecting Hispanic families. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Asians, Bilingual Services, Children with Special Health care Needs, Cultural Sensitivity, Healthy Tomorrows Partnership for Children, Hispanics, Mobile Health Units, Prenatal Care, Service Coordination

Dunphy L. 1996 (ca.). Healthy Families Alexandria [Final report]. Falls Church, VA: Northern Virginia Family Service, 22 pp. (xxx)

Annotation: This project targeted first-time mothers in the City of Alexandria who were eligible for medicaid and who had personal or transient risk factors that may predispose them to abusing or neglecting their children. This 3-year project: (1) Ensured adequate prenatal care as prescribed by the clients' medical provider or by the American College of Obstetricians and Gynecologists; (2) ensured well-child care and advance optimal child development; (3) improved new mothers' knowledge of child care needs and child behavior; (4) enhanced parent-child interaction, bonding, and parenting skills; and (5) prevented child abuse and neglect among enrollees. [Funded by the Maternal and Child Health Bureau]

Keywords: Access to Health Care, Case Management, Child Abuse Prevention, Child Neglect, Community Integrated Service System program, Hispanics, Home Visiting Programs, Home Visiting Services, Home Visiting for At Risk Families, Language Barriers, Minority Groups, Paraprofessional Personnel, Parent Child Interaction, Parent Education, Parenting Skills, Prenatal Care, Prenatal Care, Screening, Well Child Care

Coll C. 1995. Behavioral Intervention with IUGR Infants [Final report]. Wellesely, MA: Women and Infants' Hospital of Rhode Island, 52 pp.

Annotation: The purpose of this 3-year longitudinal intervention study was to: (1) Examine the effectiveness of a parent-infant based behavioral intervention during the neonatal period to prevent or ameliorate the negative consequences of intrauterine growth retardation (IUGR) on maternal-child sensitivity and infant physical growth, caloric intake, cognitive development, and language development; and (2) examine the mediating effects of cultural context and risk status on the effectiveness of intervention with IUGR infants. The planned intervention was expected to affect outcomes directly by improving caloric intake and indirectly by improving mother-infant interactions. [Funded by the Maternal and Child Health Bureau]

Keywords: Bayley Scales of Infant Development, Fetal growth Retardation, Hispanics, Intervention

Wasserman G. 1993. Determinants of Adverse Outcome among Toddlers of Adolescent Mothers [Final report]. New York, NY: Research Foundation for Mental Hygiene, 16 pp.

Annotation: This study sought to identify family influences on early childhood development in a sample of high-risk minority children and their mothers. The ways in which maternal personality, parenting and social support impact on the child, and the relative importance of other family members, such as the child's father and/or grandmothers were examined. In general, aspects of family composition and material functioning were found to be better predictors of child outcome than was maternal age. [Funded by the Maternal and Child Health Bureau]

Keywords: Adolescent Parents, Adolescents, Adolescents, Blacks, Early Childhood Development, Families, Family Environment, Hispanics, Hispanics, MCH Research, Minorities, Minority Groups, Mother Infant Interaction, Stress, Urban Population, Urban Populations

Rassin D. 1991. Acculturation, Psychosocial Predictors, and Breastfeeding [Final report]. Galveston, TX: University of Texas Medical Branch at Galveston, 54 pp.

Annotation: The long-term objectives of this project were to increase the incidence and maintenance of breastfeeding in a United States-Mexico border population, to identify the reasons mothers choose to breastfeed, to determine factors important to the maintenance of breastfeeding, and to study infant health and nutritional status as a function of breastfeeding. A number of psychosocial variables were measured to assess their importance in the initiation of breastfeeding. These data were analyzed within ethnic groups by degree of acculturation. [Funded by the Maternal and Child Health Bureau]

Keywords: Breastfeeding, Data Collection, Doula (Breastfeeding Comforter and Facilitator), Ethnicity, Hispanics, Mexicans, Minorities, Mothers, Nutrition

Suitor C. 1990 (ca.). Committee on Nutritional Status During Pregnancy and Lactation [Final report]. Washington, DC: National Academy of Sciences , 42 pp.

Annotation: The purpose of the project was to: reevaluate the evidence pertaining to weight gain during pregnancy, nutrient supplementation during pregnancy, and the nutritional requirements of lactating mothers; formulate new recommendations pertaining to these maternal and child health issues if warranted by the evidence; and document the evidence, conclusions, and recommendations in three subcommittee reports. This project established an expert committee which evaluated and documented current scientific evidence on pregnancy and lactation and proposed nutritional recommendations for pregnant and lactating women. The goals of the project were to produce and participate in the dissemination of: two reports on nutrition during pregnancy related to the effort to decrease the infant mortality rate, the occurrence of low birth weight, and the occurrence of other adverse outcomes of pregnancy; and a report on nutrition during lactation relating to nationwide breastfeeding promotion efforts. As possible, special attention was to be given to recommendations for adolescents, women over the age of 35, and women of black, Hispanic, and Southeast Asian origin. [Funded by the Maternal and Child Health Bureau]

Keywords: Blacks, Breastfeeding, Hispanics, Mothers, Nutrition, Pregnant Adolescents, Pregnant Women, Prenatal Care, Southeast Asians

Watkins E. 1990 (ca.). Migrant Lay Health Advisors: A Strategy for Health Promotion [Final report]. Chapel Hill, NC: University of North Carolina at Chapel Hill, 52 pp.

Annotation: This project sought to improve the perinatal and infant outcomes among migrant women and infants in North Carolina by recruiting and training lay health advisors. These health advisors were trained to disseminate accurate information on pregnancy and infant care in a culturally appropriate manner, to link members of this transitory and isolated community with health services, and to help women develop an increased awareness of themselves as leaders and advocates. A longitudinal, quasi-experimental study design was used to determine the effectiveness of the program in improving perinatal outcomes and infant health status. [Funded by the Maternal and Child Health Bureau]

Keywords: Health Advisors, Health Promotion, Hispanics, Infant Morbidity, Infant Mortality, Lay, Low Birthweight, Migrant Farmworkers, Prenatal Care

Taulbee A. 1990. Development of a Model System of Nutrition Services for Children With Disabilities [Final report]. Santa Fe, NM: New Mexico Health and Environment Department, 53 pp.

Annotation: This project sought to improve the delivery of nutrition services to children of New Mexico's low-income, tricultural, rural population by developing a model for the delivery of nutrition services to children with special needs. Activities included a comprehensive needs assessment of existing services; education and training for health professionals, parents, and lay groups; development of nutrition education materials for professionals and parents in English, Spanish and Navajo; development and implementation of nutrition screening, assessment, and referral procedures; assessment of funding sources; and publication of a handbook for other nutrition service projects. [Funded by the Maternal and Child Health Bureau]

Keywords: American Indians, Data Collection, Disabled, Financing Health Care, Handicapped, Hispanics, Low income groups, Multi-Cultural/Multi-Lingual Population, Nutrition, Parents, Rural Population, Screening Tools

Barnes-Boyd C. 1989 (ca.). Resources, Education and Care in the Home (Project REACH) [Final report]. Chicago, IL: University of Illinois at Chicago in collaboration with the Chicago Department of Health and the Visiting Nurses Association, 53 pp.

Annotation: This project was aimed at reducing Chicago's infant mortality rate, which is twice that of the national rate. Cause-specific postneonatal mortality rates for selected communities were taken from state records, and an interagency health systems model was established to make efficient use of resources and expertise. Intervention included prenatal education and parenting skills enhancement. [Funded by the Maternal and Child Health Bureau]

Keywords: Adolescents, Blacks, Health Education, Hispanics, Home Visiting, Infant Mortality, Infections, Injuries, Postneonatal Mortality, Pregnant Adolescents

Ortega H. 1989 (ca.). Maternal and Infant Risk Assessment and Referral Training Project [Final report]. El Paso, TX: U.S.-Mexico Border Health Association, 44 pp.

Annotation: This project sought to improve the health status of women and infants on the Texas-Mexico border by maximizing utilization of health resources and improving coordination of services in both nations, as well as by enhancing binational staff development efforts. Activities included distribution of the Maternal and Child Health Resource Directory; provision of continuing education for nurses, lay midwives, and auxiliary health workers; and implementation of an exchange observation program for nurses from the United States and Mexico. [Funded by the Maternal and Child Health Bureau]

Keywords: Border, Education of Health Professionals, Hispanics, Mexicans, Mexico/U, Midwives, Pregnant Women, S, Women

Cohen H. 1989. Financing Health Care for Chronically Ill and Disabled Children [Final report]. Bronx, NY: Albert Einstein College of Medicine, 174 pp.

Annotation: This project analyzed the utilization, expenditures, and financing of health care for children and young adults with three different chronic conditions: autism, hemophilia, and severe mental retardation. The purpose of the study was to collect reliable and accurate national data on low incidence conditions useful for making public policy. Among the many policy concerns that the data addressed, two stood out: access to health care services and an equitable system of financing of those services. [Funded by the Maternal and Child Health Bureau]

Keywords: Asians, Autism, Blacks, Case Management, Children, Chronic illnesses and disabilities, Data Collection, Financing Health Care, Hemophilia, Hispanics, Insurance, Medicaid, Mental Retardation, Minorities, Public Policy, Reimbursement

Watkins E. 1988 (ca.). Improving the Health of Migrant Mothers and Children [Final report]. Chapel Hill, NC: University of North Carolina at Chapel Hill, 80 pp.

Annotation: This project aimed to improve the health and nutrition status of migrant farmworker women and their children under 5 years of age who received services at the Tri-County Community Health Center. The major ethnic groups comprising the clinic population were Hispanic, black, Haitian, and Caucasian. A multicisciplinary staff developed collaborative efforts with other agencies, provided birth coaching and breastfeeding classes, and recruited lay health advisors representing the several ethnic groups within the migrant population. Data collection systems and MCH protocols were also developed. [Funded by the Maternal and Child Health Bureau]

Keywords: Barriers to Health Care, Bilingual, BlacksHaitians, Breastfeeding, Community Health Centers, Data Collection, Head Start, Health Advisors, High risk groups, Hispanics, Immunization, Infant Mortality, Infections, Lay, Low Birthweight, Low income groups, Migrant Health Centers, Migrant Women, Migrant Women, Mothers, Nutrition, Outreach, Pregnant Women, Prenatal Care, Social Work Services

Litt I. 1987. Transactions of Pregnant Adolescents in Prenatal Care [Final report]. Stanford, CA: Stanford University,

Annotation: The purpose of this study was to seek descriptive information on how pregnant adolescents interact with their health care providers in the prenatal care encounter, and how language and culture affect the nature of the prenatal care encounter and the pregnancy-related outcomes. This included compliance with provider's advice, satisfaction with care, and subsequent use of pediatric services. 115 adolescents between the ages of 13-17 made up the final analysis group. The study found that amount of time spent with the physician was short and that length of time spent with and talking to the patient was most associated with the provider's professional status and the prenatal site. This and other findings indicated that the prenatal care environment can influence the patient-provider interaction. In addition, the researchers found patient's ethnicity affected the level of conversation between the patient and provider. Also, prenatal care outcomes of compliance and use of pediatric services were influenced by the patient's ethnicity. The researchers recommend particular attention be given to the cultural sensitivity of the prenatal care environment. [Funded by the Maternal and Child Health Bureau]

Keywords: Child health services, Hispanics, Pregnant adolescents, Prenatal care

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