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Conference Abstract Compendium Examples from the ... - CityMatCH

Conference Abstract Compendium Examples from the ... - CityMatCH

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2009 <strong>CityMatCH</strong> Urban MCH Leadership <strong>Conference</strong>RESULTSDifferences in low birth weight and premature birth account for <strong>the</strong> disparate outcomes. Research toexplain <strong>the</strong> disparity implicates stress-mediated premature birth, chronic psychosocial stress over <strong>the</strong>reproductive life course, <strong>the</strong> influence of social factors, particularly bias, and differences in <strong>the</strong> quality ofcare received. Of 27 programs identified, 19 (70%) addressed maternal psychosocial stress, 11 (41%)addressed social determinants of health, and 7 (25.9%) addressed healthcare quality improvementmeasures. Three programs emerged as comprehensive models.LIMITATIONSNo single source or collection of sources exists to chronicle of all programs across <strong>the</strong> nation that seek toaddress <strong>the</strong> racial disparity in infant death for African Americans. Thus, a limitation of this study is <strong>the</strong>inability to confirm that this exhaustive review evaluated all models available.CONCLUSIONS/IMPLICATIONSInfant mortality is a significant indicator of a community’s health and social welfare, and remains a focusof <strong>the</strong> local health community. Social determinants of health are a significant initiator of disparities thusindicating <strong>the</strong> need for a clinical and community collaboration to address <strong>the</strong> disparity. A comprehensive,health system-based and community-based intervention is necessary to support maternal health, reducepsychosocial stress, and enhance community assets. The Brigham and Women’s Hospital Birth EquityEliminating <strong>the</strong> Disparity in Infant Mortality in Boston seeks to address <strong>the</strong>se factors associated with <strong>the</strong>disparity in infant death and close <strong>the</strong> gap on <strong>the</strong>se disparate birth outcomes.112

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