TY - JOUR
T1 - Health Characteristics and Birth Outcomes for “Starting Out Right,” a Teen Pregnancy Program
AU - Root, Allison D.
AU - Pedersen, Laura A.
AU - Cutshaw, Christina A.
AU - Farland, Leslie V.
AU - Taren, Douglas L.
N1 - Funding Information:
We would like to acknowledge Vern Pilling, Director of Biomedical Informatics Services from the University of Arizona Center for Biomedical Informatics and Biostatistics for his work in receiving and de-identifying the state of Arizona vital statistics data, and S. Robert Bailey, Chief of the Bureau of Public Health Statistics for the Arizona Department of Health Services for approval of the project.
Publisher Copyright:
© 2023, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2023/10
Y1 - 2023/10
N2 - Purpose: To evaluate differences in health characteristics and birth outcomes for participants of a prenatal education and support program for pregnant teens, “Starting Out Right” (SOR) compared to nonparticipant pregnant teens in Pima, Maricopa, and Gila counties in Arizona to gauge benefits of program participation. Description: The SOR program is a community education and support program for pregnant teens based on a structured curriculum. All pregnant teens living in the service area are eligible to participate. Assessment: Vital statistics birth data from 2014 to 2019 were obtained from three counties in Arizona that identified SOR and non-SOR program participants. Logistic regression was used to calculate multivariable -adjusted odds ratios (aOR) for specific health characteristics (smoking, hypertensive disorders, overweight and obesity, gestational diabetes, sexually transmitted infections) and birth outcomes (C-section, preterm birth, NICU admission, birthweight, and breastfeeding) for SOR participants compared with nonparticipants. Variables in the adjusted models included age, BMI, smoking, gestational diabetes, race, ethnicity, county, WIC participation, insurance type, plurality, and month and year prenatal care began. Conclusion: These results suggest that participation in SOR was associated (p ≤ 0.06) with a reduced odds for low birthweight [aOR 0.7(95% CI 0.5,1.0)] and increased odds (p ≤ 0.05) of breastfeeding [aOR 1.3(95% CI 1.0,1.7)] compared to nonparticipants. These results provide evidence that the education components in the SOR program support improved pregnancy and breastfeeding outcomes for pregnant teens.
AB - Purpose: To evaluate differences in health characteristics and birth outcomes for participants of a prenatal education and support program for pregnant teens, “Starting Out Right” (SOR) compared to nonparticipant pregnant teens in Pima, Maricopa, and Gila counties in Arizona to gauge benefits of program participation. Description: The SOR program is a community education and support program for pregnant teens based on a structured curriculum. All pregnant teens living in the service area are eligible to participate. Assessment: Vital statistics birth data from 2014 to 2019 were obtained from three counties in Arizona that identified SOR and non-SOR program participants. Logistic regression was used to calculate multivariable -adjusted odds ratios (aOR) for specific health characteristics (smoking, hypertensive disorders, overweight and obesity, gestational diabetes, sexually transmitted infections) and birth outcomes (C-section, preterm birth, NICU admission, birthweight, and breastfeeding) for SOR participants compared with nonparticipants. Variables in the adjusted models included age, BMI, smoking, gestational diabetes, race, ethnicity, county, WIC participation, insurance type, plurality, and month and year prenatal care began. Conclusion: These results suggest that participation in SOR was associated (p ≤ 0.06) with a reduced odds for low birthweight [aOR 0.7(95% CI 0.5,1.0)] and increased odds (p ≤ 0.05) of breastfeeding [aOR 1.3(95% CI 1.0,1.7)] compared to nonparticipants. These results provide evidence that the education components in the SOR program support improved pregnancy and breastfeeding outcomes for pregnant teens.
KW - Breastfeeding
KW - Low birthweight
KW - Pregnancy outcomes
KW - Program evaluation
KW - Teen pregnancy
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U2 - 10.1007/s10995-023-03687-4
DO - 10.1007/s10995-023-03687-4
M3 - Article
AN - SCOPUS:85160629048
SN - 1092-7875
VL - 27
SP - 1689
EP - 1696
JO - Maternal and Child Health Journal
JF - Maternal and Child Health Journal
IS - 10
ER -