School
School of Public Health
Document Type
Dissertation
Department (new version)
Public Health
Date of Award
2002
Degree Name by School
Doctor of Public Health (DrPH) School of Public Health
Abstract
Objectives . The study sought to determine whether report of preventive health counseling and education influenced behavior and pregnancy outcome. Methods . This study involved the use of secondary data conducted prospectively on a group of high-risk, African American, Medicaid-eligible pregnant women served by public clinics in Birmingham, Alabama, between 1994 and 1996. One group of women participated in the Mother and Family Specialty Center program, which offered augmented prenatal care services, and the other group received the usual services offered by the health department clinics. The data were taken from interviews conducted with the women and from the women's medical records. Results . Over 85% of the women in both augmented and usual care groups reported receiving advice in each of the seven health behavior areas (taking daily vitamin/mineral supplements, eating the proper foods, breastfeeding, smoking abstinence, drug use, alcohol consumption, and maternal weight gain). Over three quarters (77.7%) of the women in augmented care reported receiving all seven types of advice, compared with 57.4% of the women in usual care. This difference was significant. However, there were no significant differences in the specified areas of behavior change between the two care groups. There were no significant differences in pregnancy outcomes among women who reported changing their behaviors in response to information about risks/problems. Conclusion . The receipt of preventive health counseling and education did not significantly influence behavior or affect pregnancy outcome.
ProQuest Publication Number
ProQuest ID
3082023
ISBN
978-0-496-29874-7
Recommended Citation
Spivey, Crystal Bridget Brown, "The influence of counseling and education on behavior and pregnancy outcome in African American Medicaid -eligible women" (2002). All ETDs from UAB. 7226.
https://digitalcommons.library.uab.edu/etd-collection/7226
Comments
DrPH