Effect of maternal-child home visitation on pregnancy spacing for first-time Latina mothers.

TitleEffect of maternal-child home visitation on pregnancy spacing for first-time Latina mothers.
Publication TypeJournal Article
Year of Publication2014
AuthorsYun K, Chesnokova A, Matone M, Luan X, A Localio R, Rubin DM
JournalAm J Public Health
Volume104 Suppl 1
PaginationS152-8
Date Published2014 Feb
ISSN1541-0048
KeywordsAdolescent, Birth Intervals, Educational Status, Female, Hispanic Americans, Home Health Nursing, Humans, Kaplan-Meier Estimate, Pennsylvania, Pregnancy, Proportional Hazards Models, Retrospective Studies, Time Factors, Young Adult
Abstract

OBJECTIVES: We examined the impact of a maternal-child home visitation program on birth spacing for first-time Latina mothers, focusing on adolescents and women who identified as Mexican or Puerto Rican.

METHODS: This was a retrospective cohort study. One thousand Latina women enrolled in the Pennsylvania Nurse-Family Partnership between January 1, 2003, and December 31, 2007, were matched to nonenrolled Latina women using propensity scores. The primary outcome was the time to second pregnancy that resulted in a live birth (interpregnancy interval). Proportional hazards models and bootstrap methods compared the time to event.

RESULTS: Home visitation was associated with a small decrease in the risk of a short interpregnancy interval (≤ 18 months) among Latina women (hazards ratio [HR] = 0.86; 95% confidence interval [CI] = 0.75, 0.99). This effect was driven by outcomes among younger adolescent women (HR = 0.80; 95% CI = 0.65, 0.96). There was also a trend toward significance for women of Mexican heritage (HR = 0.74; 95% CI = 0.49, 1.07), although this effect might be attributed to individual agency performance.

CONCLUSIONS: Home visitation using the Nurse-Family Partnership model had measurable effects on birth spacing in Latina women.

DOI10.2105/AJPH.2013.301505
Alternate JournalAm J Public Health
PubMed ID24354820