Conference Abstract Compendium Examples from the ... - CityMatCH

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2009 CityMatCH Urban MCH Leadership ConferenceACCOMPLISHMENTS/RESULTSBetween April 2008 and March 2009, the CRS served 260 unique clients. A detailed analysis of a sampleof 129 clients revealed that:• Top three reasons for referral to the CRS were: Family Planning needs (73), positive pregnancy test(52), and repeated STDs (25).• There were 22 clients with a “positive” depression screening score, indicating a need for referral formental health services.• Clients received women’s health education on topics such as baby spacing (77), nutrition (55), andSTDs (24).• Top five referrals provided included: Case Management (34), Education (27), Medical Care (25),Family Planning (22), and WIC (21).BARRIERSBarriers to implementing CRS delivered services included increasing awareness and buy-in of HealthDepartment staff, potential loss of clients due to perceived wait time, and limited staffing of CRSposition.LESSONS LEARNEDServices delivered by the CRS present an opportunity to prevent poor birth outcomes by reducing riskfactors prior to pregnancy in Health Department clients. Results support the need to incorporate the LifeCourse Perspective in service delivery.92
2009 CityMatCH Urban MCH Leadership ConferenceCircumstances of perceived discrimination among new mothers: 2005 Los AngelesMommy and Baby (LAMB) surveyPRIMARY CONTACT:Chandra A Higgins, MPHResearch Analyst IIILos Angeles Public Health - Maternal,Child, and Adolescent Health Programs600 South Commonwealth Ave #800Los Angeles, CA, 90005Phone: (213) 639-6455Fax: (213) 637-8275Email: chiggins@ph.lacounty.govCATEGORYRacial and ethnic health disparitiesFOCUSData FocusCO-PRESENTER(S)/AUTHOR(S):Shin Margaret Chao, schao@ph.lacounty.gov(Presenter)Cathleen Bemis, cbemis@ph.lacounty.gov(Author)Diana Ramos, dramos@ph.lacounty.gov(Author)Cindy Harding, charding@ph.lacounty.gov(Author)BACKGROUNDPerceived discrimination has been found to be related to health problems. However, studies addressing thelife-course exposure of discrimination to mothers in Los Angeles County are lacking.OBJECTIVESTo investigate racial disparities in the circumstances women report feeling discrimination.METHODSWe used data from the 2005 LAMB Survey. LAMB is a biennial, population-based survey modeled afterthe Pregnancy Risk Assessment Monitoring System. Perceived discrimination was measured usingKrieger’s seven-item discrimination scale. We performed multivariate logistic regressions to evaluate theracial disparities in various circumstances where new mothers reported discrimination while controllingfor maternal characteristics. Variables included in the multivariate models included mother’s race, yearsin the U.S., mother’s education, mothers age and marital status.RESULTSThe data presented are from the 2005 LAMB survey (N=5,211) and responses are weighted to representall Los Angeles County births in 2005. Overall 42% of African American and 41% of Asian Americanwomen reported some form of discrimination. In the multivariate logistic regression, when looking atspecific situations of discrimination, we found that at home and at school Asian women were significantlymore likely to report discrimination (aOR 1.82 and 2.5, respectively) p
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