TY - JOUR
KW - African Americans/psychology
KW - Behavior Therapy/methods
KW - Counseling/methods
KW - Depressive Disorder/diagnosis/prevention & control/therapy
KW - Female
KW - Humans
KW - Pregnancy Outcome
KW - Pregnancy/ethnology/psychology
KW - Prenatal Care/methods
KW - Primary Health Care/methods
KW - Regression Analysis
KW - Risk Factors
KW - Risk Reduction Behavior
KW - Smoking Cessation/methods
KW - Smoking/adverse effects/prevention & control/psychology
KW - Spouse Abuse/diagnosis/prevention & control/psychology
KW - Tobacco Smoke Pollution/adverse effects/prevention & control
KW - Treatment Outcome
KW - Young Adult
AU - J. G. Joseph
AU - A. A. El-Mohandes
AU - M. Kiely
AU - M. N. El-Khorazaty
AU - M. G. Gantz
AU - A. A. Johnson
AU - K. S. Katz
AU - S. M. Blake
AU - M. W. Rossi
AU - S. Subramanian
A1 - 
AB - OBJECTIVES: We evaluated the efficacy of a primary care intervention targeting pregnant African American women and focusing on psychosocial and behavioral risk factors for poor reproductive outcomes (cigarette smoking, secondhand smoke exposure, depression, and intimate partner violence). METHODS: Pregnant African American women (N = 1044) were randomized to an intervention or usual care group. Clinic-based, individually tailored counseling sessions were adapted from evidence-based interventions. Follow-up data were obtained for 850 women. Multiple imputation methodology was used to estimate missing data. Outcome measures were number of risks at baseline, first follow-up, and second follow-up and within-person changes in risk from baseline to the second follow-up. RESULTS: Number of risks did not differ between the intervention and usual care groups at baseline, the second trimester, or the third trimester. Women in the intervention group more frequently resolved some or all of their risks than did women in the usual care group (odds ratio = 1.61; 95% confidence interval = 1.08, 2.39; P = .021). CONCLUSIONS: In comparison with usual care, a clinic-based behavioral intervention significantly reduced psychosocial and behavioral pregnancy risk factors among high-risk African American women receiving prenatal care.
BT - American Journal of Public Health
C5 - Healthcare Disparities
CP - 6
CY - United States
DO - 10.2105/AJPH.2007.131425
IS - 6
JF - American Journal of Public Health
N2 - OBJECTIVES: We evaluated the efficacy of a primary care intervention targeting pregnant African American women and focusing on psychosocial and behavioral risk factors for poor reproductive outcomes (cigarette smoking, secondhand smoke exposure, depression, and intimate partner violence). METHODS: Pregnant African American women (N = 1044) were randomized to an intervention or usual care group. Clinic-based, individually tailored counseling sessions were adapted from evidence-based interventions. Follow-up data were obtained for 850 women. Multiple imputation methodology was used to estimate missing data. Outcome measures were number of risks at baseline, first follow-up, and second follow-up and within-person changes in risk from baseline to the second follow-up. RESULTS: Number of risks did not differ between the intervention and usual care groups at baseline, the second trimester, or the third trimester. Women in the intervention group more frequently resolved some or all of their risks than did women in the usual care group (odds ratio = 1.61; 95% confidence interval = 1.08, 2.39; P = .021). CONCLUSIONS: In comparison with usual care, a clinic-based behavioral intervention significantly reduced psychosocial and behavioral pregnancy risk factors among high-risk African American women receiving prenatal care.
PP - United States
PY - 2009
SN - 1541-0048; 0090-0036
SP - 1053
EP - 1061
EP - 
T1 - Reducing psychosocial and behavioral pregnancy risk factors: Results of a randomized clinical trial among high-risk pregnant african american women
T2 - American Journal of Public Health
TI - Reducing psychosocial and behavioral pregnancy risk factors: Results of a randomized clinical trial among high-risk pregnant african american women
U1 - Healthcare Disparities
U2 - 19372532
U3 - 10.2105/AJPH.2007.131425
VL - 99
VO - 1541-0048; 0090-0036
Y1 - 2009
ER -