2011 The Palm Beach County Family Study (Full Report)

ace/ethnicities, whether foreign or native born, were the least likely to receive treatment services; only 10percent of these mothers received such services.A logistic regression analysis of the likelihood of service receipt among mothers in all five birth cohortscombined (the “county sample”) reveals that the following variables, obtained from Vital Statistics data,increase the likelihood of mothers’ receipt of treatment services: use of WIC during pregnancy, use oftobacco during pregnancy, late or no prenatal care, less than a high school education, not married at timeof birth, a teen at time of birth, residing in the TGAs, health complications during pregnancy, and deliverycomplications (see Table B- 5 in the Appendix). 46 In particular, the odds of receiving treatment servicesincrease most for mothers who are not married, mothers with less than a high school education, mothersliving in a TGA, mothers who use WIC, and mothers who were teens at the time of birth. We also foundthat blacks (both U.S.- and foreign- born), native Hispanics, and other racial/ethnic groups (U.S. andforeign born) are less likely than foreign-born Hispanics to receive treatment services. In particular, theodds of native-born blacks and Hispanics receiving treatment services are about one-third of the odds forforeign-born Hispanics. Finally, controlling for all other factors, mothers in the 2005–2009 birth cohortswere less likely to receive treatment services than mothers in the 2004 birth cohort. The odds of treatmentreceipt for the 2005–2008 cohorts were about 90 percent of the odds for the 2004 cohort, while the oddsof treatment receipt for the 2009 cohort were about 60 percent of those for the 2004 cohort. Again, thelatter result is probably due in part to the fact that we don’t have complete data on service receipt for the2009 cohort.The mothers in our baseline study sample were about twice as likely as other mothers in the TGAs tohave received MCHP treatment services: 80 percent of these mothers had records of treatment activity inthe FOCiS database. This result is not surprising, given the maternal characteristics targeted by the MCHPsystem and the fact that we recruited mothers through two core programs in the system—the HealthyMothers/Healthy Babies Coalition and Healthy Start/Healthy Families—and oversampled mother whowere screened to be at “at risk.”Most sample mothers who received services in the system—either care coordination or intensive carecoordination—did so during the 3 months before and the 6 months after they gave birth (Spielberger etal., 2009). Very few mothers who received only care coordination services continued to receive these46 Health complications included in this variable are diabetes, hypertension, previous preterm birth, previous poor pregnancyoutcome, pregnancy the result of infertility treatments, and “other” health complications. Delivery complications includedventilator was required, newborn given antibiotics, significant birth injury, hyaline membrane disease, newborn intensive careunit admission, seizures or serious neurologic dysfunction, surfactant given to newborn, and “other” child complications.Chapin Hall at the University of Chicago 88