Cristian I. Meghea, Jennifer E. Raffo, and Lee Anne Roman are with the Department of Obstetrics, Gynecology, and Reproductive Biology, College of Human Medicine, Michigan State University, East Lansing. Cristian I. Meghea is also with the Institute for Health Policy, Michigan State University. Peggy VanderMeulen is with Strong Beginnings Federal Healthy Start Program, Spectrum Health, Grand Rapids, MI.
Am J Public Health. 2014 Feb;104 Suppl 1(Suppl 1):S25-7. doi: 10.2105/AJPH.2013.301276. Epub 2013 Dec 19.
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.
我们使用了 2009 年至 2010 年的行政和筛查数据,以确定密歇根州肯特县的强化产前服务计划“健康起点”(Healthy Start,HS)是否覆盖到了最脆弱的非裔美国妇女。与其他妇女相比,HS 中的妇女在关键的出生结局预测因素方面风险更高。在缺乏随机对照试验的情况下,为了推进基于证据的 HS 项目评估,未来的研究需要使用对照组,在与出生结局相关的各种风险因素上适当建立基线等效性。