Moving toward evidence-based federal healthy start program evaluations: Accounting for bias in birth outcomes studies

C.I. Meghea, J.E. Raffo, P. VanderMeulen and L.A. Roman

American Journal of Public Health, 2014, vol. 104, issue S1, S25-S27

Abstract: We used administrative and screening data from 2009 to 2010 to determine if Healthy Start (HS), an enhanced prenatal services program, is reaching the most vulnerable African American women in Kent County, Michigan. Women in HS are at higher risk of key predictors of birth outcomes compared with other women. To advance toward evidence-based HS program evaluations in the absence of randomized controlled trials, future studies using comparison groups need to appropriately establish baseline equivalence on a variety of risk factors related to birth outcomes.

Keywords: adult; African American; article; evidence based practice; female; health service; human; medicaid; methodology; pregnancy; pregnancy outcome; program evaluation; risk factor; standard; statistical bias; statistics; United States; young adult, Adult; African Americans; Bias (Epidemiology); Evidence-Based Practice; Female; Humans; Maternal Health Services; Medicaid; Michigan; Pregnancy; Pregnancy Outcome; Program Evaluation; Risk Factors; United States; Young Adult (search for similar items in EconPapers)
Date: 2014
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Persistent link: https://EconPapers.repec.org/RePEc:aph:ajpbhl:10.2105/ajph.2013.301276_4

DOI: 10.2105/AJPH.2013.301276

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