Effects of Psychosocial Risk Factors and Prenatal Interventions on Birth Weight: Evidence From New Jersey's HealthStart Program

摘要: CONTEXT: Many states developed and implemented multifaceted Medicaid prenatal care programs in the late 1980s response to expansions eligibility. Although these new were based on presumed relationships between psychosocial risk factors, early care, interventions birth outcomes, research has not verified all of linkages. METHODS: Data collected 90,117 women who took part New Jersey's comprehensive program, Health Start, 1988 1996. The impact factors mean weight odds low (less than 2,500 g) was assessed using ordinary least-squares regression logistic regression, respectively. RESULTS: After controls introduced for social demographic, behavioral as well woman's county residence year her baby's birth, smoking, drinking hard drugs (but marijuana) during pregnancy independently associated with reductions (of 123 g, 29 g 137 respectively) increases (odds ratios, 1.4, 1.2 1.7, respectively). However, according fully adjusted model, which also controlled medical services, designed reduce those behaviors had no favorable effects weight. In contrast, receipt services Special Supplemental Nutrition Program Women, Infants Children (WIC) an increase 22 (and 48 among inadequately nourished only), a reduction ratio, 0.87). CONCLUSION: Referrals WIC should be key feature poor women.