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P31W -> RE: My Political Vote (5/20/2008 8:55:09 AM)
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quote:
Ok, racism is involved, we know that. Well of course YOU would say that. I don't believe you are involved in a thread where you don't use "racism" as a reason for something. quote:
Wheres the stats that say it's the black community regardless of income and education. I would love to see them. http://gateway.nlm.nih.gov/MeetingAbstracts/ma?f=102212092.html Analysis of pregnancy outcomes among women enrolled in the South Carolina Medicaid high risk channeling project. Schulman ED. AHSR FHSR Annu Meet Abstr Book. 1994; 11: 98-9. Graduate Program in Hospital and Health Administration, College of Medicine, University of Iowa, Iowa City 52242. PROBLEM AND OBJECTIVES. The purpose of this study was to determine the relative impact of various demographic and medical characteristics, and prenatal interventions upon the birth outcomes of women enrolled in the South Carolina Medicaid High Risk Channeling Project. DATA AND METHODS. Pregnancy outcomes of women uninterruptedly enrolled in the South Carolina Medicaid High Risk Channeling Project between January 1, 1989 and June 30, 1991, were analyzed using multiple logistic regression to determine the likelihood of delivering a preterm infant (i.e., gestational age less than 37 complete weeks). The population studied was 5,012 matched mothers and infants; 1,763 white pairs and 3,249 black pairs. RESULTS AND CONCLUSIONS. Maternal age, parity, socioeconomic status, and infant sex were found to be non-significant. The odds of delivering preterm were 50% greater for black women. The mean gestational age was 37.3 weeks for black babies and 38.2 weeks for white babies. Black babies were more likely than white babies to die (1.9% vs. 1.5%), to be extremely premature or have Respiratory Distress Syndrome (3.7% vs. 3.0%), to be premature with a major problem (7.0% vs. 6.6%), to be premature without a major problem (8.2% vs. 7.0%), and to be term with a major problem (9.1% vs. 8.8%). White babies were more likely to be diagnosed as term with a significant problem (15.4% vs. 13.4%) and full term/normal (57.7% vs. 56.5%). Women having more than one identified risk factor were more predisposed to early deliveries than women having only one risk (odds ratio 1:4). Women who had a previous low birth weight infant were 1.5 times more likely to deliver preterm. Approximately 25% of the women in this study (n=1,234) had had a previous low birth weight infant and 75% of these women were black. Channeled women who had diabetes or upper renal tract disease were less likely to deliver preterm babies (odds ratios .7 and .6 respectively). These conditions were significantly more prevalent in white women. High risk women who received one nutritional education session and those receiving more than one session were less likely to deliver a preterm infant than women who received no nutritional education (odds ratios .8 and .6 respectively). In conclusion, this study confirmed other studies that report that black women are at higher risk for preterm deliveries even after controlling for various demographic and medical factors. This study highlighted the importance of prenatal nutritional education. IMPLICATIONS FOR AUDIENCE: The implications of this study will be discussed with respect to the planning and delivery of health care services to high risk Medicaid eligible women. Above is just "one" of the many studied conducted over the past couple of decades. You can google is you want to know more.
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