, PhD Challenges for Children ’ s Prosthetic Feet : Kinetic Data for Walking and Running in Real-World Locations Student :

Anahit Hovhannisyan, Amanda Rorvik, Naomi Lester,Christopher Villarosa, Arjan Buis, Anthony McGarry, Teri Rosenbaum-Chou, Wayne Daly, David Hensley

semanticscholar(2014)

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摘要
“The JJ Way®” is a model of prenatal care designed by Florida midwife Jennie Joseph to reduce health disparities and adverse birth outcomes. This study compared the outcomes of patients who participated in The JJ Way® to outcomes in a matched comparison group from Florida Vital Statistics of women who took part in standard prenatal care. A historical comparison group was created by matching age, race, and zip code; outcome measures included gestational age at birth and infant birth weight. The results show that the women who had The JJ Way® model of care had marginally statistically significantly higher gestational age (38.9 weeks versus 37.9 weeks, p=0.07) than the women who went through standard prenatal care, but no difference in birth weights (3359.4 grams versus 3265.9 grams, p=0.41). The JJ Way® women had fewer preterm infants (4.5% overall) than the women who had standard prenatal care (14.9%, p=0.04). When outcomes were analyzed by race, there were no statistically significant differences between White women in the two groups in gestational age or birth weight, but there were for Women of Color. The JJ Way® Women of Color group had higher gestational age than their counterparts who had standard prenatal care: 39.0 weeks versus 37.4 weeks, p=0.03. They also had no preterm births versus 17.1% in the standard care group (p=0.01). A secondary analysis was conducted comparing White women to African American women only. The sample size was small, although the magnitude of differences were striking, none of them were statistically significant. According to the results of the primary study, the care that Women of Color, in particular, are receiving in The JJ Way® model results in outcomes that are superior to those of their counterparts who are experiencing standard prenatal care. Funding: This research was supported by a grant from the Bastyr Center for Student Research (BUCSR-Y4-012).
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