Details:

Alternative Title:
Public Health Nurs
Personal Author:
Polinski, Kristen J. ; Wolfe, Rachel ; Peterson, Anne ; Juhl, Ashley ; Perraillon, Marcelo Coca ; ... More +
Polinski, Kristen J. ; Wolfe, Rachel ; Peterson, Anne ; Juhl, Ashley ; Perraillon, Marcelo Coca ; Levinson, Arnold H. ; Crume, Tessa L. Less -
Description:
Objective:

To assess birth outcomes and cost-savings of an incentive-based prenatal smoking cessation program targeting low-income women in Colorado.

Design:

Prospective observational cohort with nonequivalent population control groups.

Sample:

Program participants (n=2,231) linked to the birth certificate to ascertain birth outcomes compared to two reference populations from Pregnancy Risk Assessment Monitoring System (PRAMS) and Colorado live births based on the birth certificate.

Measurements:

Tobacco cessation metrics in the third trimester of pregnancy, neonatal low birth weight (<2,500 grams), preterm birth (birth at < 37 weeks gestation), neonatal intensive care unit (NICU) admission and maternal gestational hypertension. Cost-savings and return on investment (ROI) were projected using average Medicaid reimbursement.

Results:

Infants of mothers enrolled in the program had a lower risk of low birthweight (RR=0.86; 95%CI= 0.75, 0.97), preterm birth (PTB) (RR=0.76; 95%CI= 0.65, 0.88) and neonatal intensive care unit (NICU) admission (RR=0.76; 95%CI= 0.66, 0.88) compared to the birth certificate population, corresponding to a ROI of $7.73 and an individual cost savings of $6,040. Compared to PRAMS, infants of enrolled mothers had a lower risk of PTB (RR=0.72; 95%CI= 0.53, 0.99) and NICU admission (RR=0.45; 95%CI= 0.32, 0.62), corresponding to an ROI of $2.79 and an individual cost savings of $2,182.

Conclusions:

We found a reduction of adverse birth outcomes, and cost savings.


Subject:
[+]
Adult
Article
Birth Weight
Colorado
Cost Savings
Female
Humans
Infant, Newborn
Motivation
Poverty
Pregnancy
Pregnancy Outcome
Pregnant Women
Premature Birth
Prenatal Care
Program Evaluation
Prospective Studies
Smoking Cessation
Tobacco Use Cessation
Vulnerable Populations
Young Adult
Pregnancy

Source:
Public Health Nurs. 37(1):39-49
Pubmed ID:
31692104
Pubmed Central ID:
PMC6957669
Document Type:
Journal Article
Funding:
T32 AR007534/AR/NIAMS NIH HHS/United States ; U01 DP006197/DP/NCCDPHP CDC HHS/United States ; U01 DP003144-04/CC/CDC HHS/United States ; UL1 RR025780/RR/NCRR NIH HHS/United States
T32 AR007534/AR/NIAMS NIH HHS/United States ; U01 DP006197/DP/NCCDPHP CDC HHS/United States ; U01 DP003144-04/CC/CDC HHS/United States ; UL1 RR025780/RR/NCRR NIH HHS/United States Less -
Place as Subject:
United States
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:41b0398e330643a8ead0c9dedb836c624994f7461b3f92d3277279ee91400678
File Type:

Supporting Files

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