Implementing Community Baby Showers to Address Infant Mortality in Oklahoma.

Timothy Thornberry, Jennifer Han, Linda Thomas
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Abstract

IMPORTANCE: Oklahoma has one of the highest rates of infant mortality and poor birth outcomes in the U.S., particularly among minority populations. OBJECTIVES: To describe the formation and implementation of a state-led infant mortality prevention program which sought to: educate minorities about their disproportionate risk for infant mortality; improve pregnancy, infancy, and early childhood outcomes; and prevent infant mortality. DESIGN, SETTING, AND PARTICIPANTS: Participants completed one of many community baby shower events and were evaluated pre- and post-shower on infant mortality and well-baby knowledge. INTERVENTION: The "A Healthy Baby Begins with You" program. Main outcomes and measures. Pre- and post-intervention questionnaires assessing participant knowledge about infant mortality and willingness to share learned knowledge with others in the community. RESULTS: Preliminary results suggest that community baby showers were well-received. Respondents tended to be American Indians, non-Hispanic Whites, or Blacks/African Americans, young adults (aged 20 to 29 years), pregnant women, and mothers of grandparents of young children. Showers were successful in increasing participant knowledge of infant mortality, although these results varied by respondent race and age. Most respondents reported intent to share knowledge acquired during community baby showers with others. CONCLUSIONS AND RELEVANCE: Preliminary findings suggest community baby showers may increase participant knowledge, although future studies are needed to ensure effectiveness across all participant subgroups. This study documents the feasibility and acceptability of a community-based educational program targeting dissemination of infant mortality and well-child information. Barriers and future directions for research and prevention are discussed.

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在俄克拉何马州实施社区婴儿派对以解决婴儿死亡率问题。
重要性:俄克拉何马州是美国婴儿死亡率和出生结果最高的州之一,特别是在少数民族人口中。目的:描述国家主导的婴儿死亡率预防方案的形成和实施情况,该方案旨在:教育少数民族了解其婴儿死亡率过高的风险;改善妊娠、婴儿期和幼儿期结局;防止婴儿死亡。设计、环境和参与者:参与者完成了许多社区婴儿淋浴活动中的一个,并在淋浴前和淋浴后评估婴儿死亡率和婴儿健康知识。干预:“健康宝宝从你开始”计划。主要成果和措施。干预前和干预后的问卷,评估参与者对婴儿死亡率的知识和与社区其他人分享所学知识的意愿。结果:初步结果表明,社区迎婴派对受到欢迎。受访者倾向于美国印第安人、非西班牙裔白人或黑人/非裔美国人、年轻人(20至29岁)、孕妇和幼儿祖父母的母亲。淋浴成功地提高了参与者对婴儿死亡率的认识,尽管这些结果因受访者的种族和年龄而异。大多数受访者表示,他们打算与他人分享在社区婴儿派对上获得的知识。结论和相关性:初步研究结果表明,社区婴儿派对可能会增加参与者的知识,尽管需要进一步的研究来确保所有参与者亚组的有效性。本研究证明了以社区为基础的教育计划的可行性和可接受性,该计划的目标是传播婴儿死亡率和儿童健康信息。讨论了研究和预防的障碍和未来方向。
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