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The SSRC Library allows visitors to access materials related to self-sufficiency programs, practice and research. Visitors can view common search terms, conduct a keyword search or create a custom search using any combination of the filters at the left side of this page. To conduct a keyword search, type a term or combination of terms into the search box below, select whether you want to search the exact phrase or the words in any order, and click on the blue button to the right of the search box to view relevant results.

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  • Individual Author: Cox, Joanne E.; Buman, Mathew P.; Woods, Elizabeth R.; Famakinwa, Olatokunbo; Harris, Sion Kim
    Reference Type: Journal Article
    Year: 2012

    Objectives. This study described a medical home model for adolescent mothers and their children, and their 1- and 2-year preventive care, repeat pregnancy, and psychosocial outcomes.

    Methods. In this prospective, single cohort demonstration project, adolescent mothers (14–18 years old) and their children received care in a medical home. Demographic, medical and social processes, and outcomes data were collected at enrollment through 24 months. Change over time and predictors of repeat pregnancy were analyzed.

    Results. A total of 181 adolescents enrolled, with 79.6% participating for 2 years. At 2 years, 90.2% of children were completely immunized. Children and adolescent mothers met standards for health care visits, and adolescent condom use improved. Rates of cumulative repeat pregnancy were 14.7% and 24.6%, school attendance 77.6% and 68.7%, and employment 21.2% and 32.3% at 1 and 2 years, respectively.

    Conclusions. A medical home model with comprehensive and integrated medical...

    Objectives. This study described a medical home model for adolescent mothers and their children, and their 1- and 2-year preventive care, repeat pregnancy, and psychosocial outcomes.

    Methods. In this prospective, single cohort demonstration project, adolescent mothers (14–18 years old) and their children received care in a medical home. Demographic, medical and social processes, and outcomes data were collected at enrollment through 24 months. Change over time and predictors of repeat pregnancy were analyzed.

    Results. A total of 181 adolescents enrolled, with 79.6% participating for 2 years. At 2 years, 90.2% of children were completely immunized. Children and adolescent mothers met standards for health care visits, and adolescent condom use improved. Rates of cumulative repeat pregnancy were 14.7% and 24.6%, school attendance 77.6% and 68.7%, and employment 21.2% and 32.3% at 1 and 2 years, respectively.

    Conclusions. A medical home model with comprehensive and integrated medical care and social services can effectively address the complex needs of adolescent parents and their children. (Author abstract)

  • Individual Author: Goyal, Neera K.; Folger, Alonzo T.; Hall, Eric S.; Greenberg, James M. ; Van Ginkel, Judith B. ; Ammerman, Robert T.
    Reference Type: Journal Article
    Year: 2016

    Objective - Determine association of home visiting with subsequent pregnancy outcomes Study Design - Retrospective study of Ohio mothers delivering their first infant from 2007–2009. First, we compared mothers enrolled in home visiting to a matched eligible group. Second, we compared outcomes within home visiting based on program participation (low < 25% of recommended home visits, moderate 25–75%, high 75–100% and very high >100%). Time to subsequent pregnancy within 18 months was evaluated using Cox proportional hazards regression; logistic regression tested the likelihood of subsequent preterm birth. Result - Of 1,516 participants, 1,460 were matched 1:1 to a comparison mother (n=2,920). After multivariable adjustment, enrollment was associated with no difference in pregnancy spacing or subsequent preterm birth. Among those enrolled, moderate vs. low participants had reduced risk of repeat pregnancy over 18 months (hazard ratio 0.68, p=0.003). Conclusion - Increased pregnancy spacing is observed among...

    Objective - Determine association of home visiting with subsequent pregnancy outcomes Study Design - Retrospective study of Ohio mothers delivering their first infant from 2007–2009. First, we compared mothers enrolled in home visiting to a matched eligible group. Second, we compared outcomes within home visiting based on program participation (low < 25% of recommended home visits, moderate 25–75%, high 75–100% and very high >100%). Time to subsequent pregnancy within 18 months was evaluated using Cox proportional hazards regression; logistic regression tested the likelihood of subsequent preterm birth. Result - Of 1,516 participants, 1,460 were matched 1:1 to a comparison mother (n=2,920). After multivariable adjustment, enrollment was associated with no difference in pregnancy spacing or subsequent preterm birth. Among those enrolled, moderate vs. low participants had reduced risk of repeat pregnancy over 18 months (hazard ratio 0.68, p=0.003). Conclusion - Increased pregnancy spacing is observed among women with at least moderate home visiting participation. (Author abstract)

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