Tsai Jack, Camacho Alexandra, Ganduglia-Cazaban Cecilia
School of Public Health, University of Texas Health Science Center at Houston, 1200 Pressler St, Houston, TX, 77030, USA.
Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA.
Matern Child Health J. 2025 Mar;29(3):304-309. doi: 10.1007/s10995-025-04042-5. Epub 2025 Jan 28.
Pathways Community Hub (PCH) programs help connect pregnant women to healthcare and social services. A scoping review of peer-reviewed studies on PCHs that reported quantitative outcomes was conducted.
A search of academic databases from 1901 to 2024 initially yielded a total of 1,312 articles, which was ultimately reduced to 4 articles after duplicates were removed, and two levels of screening were conducted to determine whether studies met the inclusion criteria of evaluating a community hub for pregnant women, was written in English, was peer-reviewed, and reported quantitative outcomes.
The four studies in the scoping review included data collected from 2014 to 2020 in Ohio, Arizona, and Kansas. Sample sizes of participants in PCHs ranged from 112 to 7,212. In all four studies, the majority of participants was mothers from racial/ethnic minority groups. All four studies had a comparison group, and three of the four used propensity score matching. Three studies focused on infants' low birth weight (LBW) as an outcome and found PCHs were associated with reduced rates of LBW. The fourth study reported that PCHs were associated with a greater likelihood of receipt of adequate prenatal care among participating women.
While these studies provide some preliminary evidence of the benefits of PCHs, no randomized trial could be found. More rigorous, multi-site studies are needed to move PCHs up the evidence hierarchy as an effective model of care for pregnant women and their babies.
路径社区中心（PCH）项目有助于将孕妇与医疗保健和社会服务联系起来。对已发表的关于PCH且报告了定量结果的同行评议研究进行了范围综述。
对1901年至2024年的学术数据库进行检索，最初共获得1312篇文章，去除重复项后最终筛选出4篇文章，并进行了两个层次的筛选，以确定这些研究是否符合纳入标准，即评估针对孕妇的社区中心、用英文撰写、经过同行评议且报告了定量结果。
范围综述中的四项研究纳入了2014年至2020年在俄亥俄州、亚利桑那州和堪萨斯州收集的数据。PCH参与者的样本量从112到7212不等。在所有四项研究中，大多数参与者是来自种族/族裔少数群体的母亲。所有四项研究都有一个对照组，其中四项中有三项使用了倾向得分匹配。三项研究将婴儿低出生体重（LBW）作为结果进行关注，发现PCH与LBW发生率降低相关。第四项研究报告称，PCH与参与研究的女性获得充分产前护理的可能性更大相关。
虽然这些研究提供了一些关于PCH益处的初步证据，但未找到随机试验。需要更严格的多中心研究，以使PCH作为一种针对孕妇及其婴儿的有效护理模式在证据等级上得到提升。
