Evaluating the Health Outcomes of the Healthy Women Healthy Babies Program in Delaware
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Evaluating the Health Outcomes of the Healthy Women Healthy Babies Program in Delaware Khaleel S. Hussaini1 · Mawuna D. Gardesey2 · George Yocher2 · David A. Paul3,4
© This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply 2020
Abstract Objectives The Delaware Healthy Women Healthy Babies Program (HWHB) was developed in response to increasing rates of infant mortality (IMR) and widening racial disparity. The primary aim of this study was to examine birth outcomes of enrolled and non-enrolled black and Hispanic women in the program whose payer was Medicaid. Methods We utilized a retrospective cohort of linked birth certificate and HWHB program participant data during 2011– 2015. Our primary outcome variables (dependent variables) of interest included cigarette use, low birth weight, preterm birth and neonatal mortality. We utilized inverse probability of treatment weighting (IPTW) and estimated crude odds ratios (COR) and adjusted odds ratio (AOR) with 95% confidence intervals (CI) using IPTW as a weight variable. Results HWHB enrolled women were 10% less likely to smoke during pregnancy COR 0.89 (95% CI 0.82–0.96); were 9% less likely to deliver a low birth weight infant (AOR 0.91; 95% CI 0.84–0.99; p = 0.023); were 15% less likely to deliver a preterm infant (AOR 0.85; 0.78–0.92; p
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