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Maternal and infant health indicator report of Allegheny County

Baca, Katharyn M (2015) Maternal and infant health indicator report of Allegheny County. Master Essay, University of Pittsburgh.

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Abstract

Objective: To assess progress towards achieving four Healthy People 2020 objectives in Allegheny County, including tobacco use during pregnancy, cesarean deliveries, preterm birth, and low birth weight. Methods: Data from CDC Wide-ranging Online Data for Epidemiologic Research (CDC WONDER) and birth certificate data from 1995-2013 are used to achieve this objective. CDC Wonder is a publicly available dataset of counts and rates of births occurring within the United States. The data include demographics, maternal risk factors, and other information recorded on birth certificates. Rates are compared to Healthy People 2020 goals and peer counties set by the Centers for Disease Control and Prevention (CDC). Chi-square tests are used for testing the significance of trends over time. Results: The Healthy People 2020 goals for tobacco use during pregnancy and cesarean deliveries are not met in Allegheny County. Tobacco use in pregnancy in the County (12.5%) is the highest among the peer counties. In low-risk pregnancies, the percentage of cesarean deliveries (28.6%) is above the Healthy People 2020 goal of 23.9%. In contrast, the goals are met for low birth weight and preterm birth in the County. However, racial disparities are present; both Allegheny County and peer counties failed to meet the Healthy People 2020 goal for low birth weight and preterm birth for black mothers. Conclusion: Programs, interventions, and policies should either be established or improved to increase tobacco cessation, and decrease cesarean delivery, as well as address the racial disparity in low birth weight and preterm birth. Public Health Significance: This report provides key data to improve maternal and infant health in Allegheny County.


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Details

Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
Creators/Authors:
CreatorsEmailPitt UsernameORCID
Baca, Katharyn Mkmb192@pitt.eduKMB192
Contributors:
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairBodnar, Lisa Mbodnar@edc.pitt.eduLBODNARUNSPECIFIED
Committee MemberTerry, Martha Amaterry@pitt.eduMATERRYUNSPECIFIED
Date: 8 June 2015
Date Type: Publication
Access Restriction: No restriction; Release the ETD for access worldwide immediately.
Publisher: University of Pittsburgh
Institution: University of Pittsburgh
Schools and Programs: Graduate School of Public Health > Epidemiology
Degree: MPH - Master of Public Health
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 01 Mar 2016 17:01
Last Modified: 02 Jul 2019 13:56
URI: http://d-scholarship.pitt.edu/id/eprint/25331

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