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Session: Delving into the Black Box: New Perspectives on Race / Ethnicity and Birth Outcomes
3280.0: Monday, November 8, 2004: 2:30 PM-4:00 PM
Oral
Delving into the Black Box: New Perspectives on Race / Ethnicity and Birth Outcomes
This session brings together research on the relationship between race / ethnicity and birth outcomes. The common factor across these presentations is the investigators' attempts to move beyond the medical model and address the larger sociological, cultural, and environmental issues. The first session, "Racism and psychosocial functioning during pregnancy" explores the impact of racial discrimination and its psycho-social impact on four different ethnic groups. The second session, "Weight, diet, and physical-activity beliefs and practices among pregnant and postpartum African American and Latino women" investigates whether social support from significant others can positively influence behaviors related to nutrition and exercise. The third session, "Levels of awareness of disparities in African American infant mortality, SIDS prevention strategies and their correlates before and after implementing an intervention" assesses the impact of a community-level intervention on the knowledge of risk factors for and disparities in birth outcomes. The fourth session, "A blueprint for improving birth outcomes in Los Angeles County" describes the process of identifying core strategies to reduce poor pregnancy and birth outcomes by using a comprehensive, collaborative, mult-level, evidence-based, community-driven methods. The fifth presentation, "National Friendly Access Program" is a national-level model for improving the quality of maternal and child health services using private / public partnerships. This session represents new conceptualizations of the pathways between race /ethnicity and healthy pregnancies, as well as innovative interventions that communities can undertake to reduce infant mortality and morbidity.
Learning Objectives: 1. Describe ethnic differences in pregnant women's experiences with racial discrimination and its psychosocial impact during pregnancy 2. List the key influential persons (e.g., mother, partner, etc.) in the lives of the minority women studied, and implications for interventions that might be employed to improve diet/eating patterns and physical activity 3. Determine the potential value of interventions to increase the level of awareness of risk factors for SIDS in African Americans in an urban setting 4. Describe the Los Angeles Best Babies Collaborative and learn how a similar approach can be applied in their own communities 5. Describe the Friendly Access Program and determine which components are replicable in their own communities
Organizer(s):Catherine L Rohweder, MPH
Moderator(s):Catherine Rohweder, MPH
2:30 PMIntroductory Remarks
2:35 PMRacism and psychosocial functioning during pregnancy: A multiethnic comparison
Tyan Parker Dominguez, PhD, MPH, MSW, Christine Dunkel Schetter, PhD, Calvin J. Hobel, MD, Laura Glynn, PhD, Curt A. Sandman, PhD
2:52 PMWeight, diet and physical activity-related beliefs and practices among pregnant and postpartum African American and Latino women: The role of social support
Pamela L. Thornton, MSW, PhD, Edith C. Kieffer, MPH, PhD, Yamir Salabarría-Peña, MPH, DrPH, Angela Odoms-Young, PhD, Sharla K. Willis, DrPH, Helen Kim, MA, MSW
3:09 PMLevels of awareness of disparities in African American infant mortality, SIDS prevention strategies and their correlates before and after implementing an intervention targeted towards improving infant survival in high risk neighborhoods  [ Recorded presentation ]
Geraldine Oliva, MD, MPH, Jennifer Rienks, PhD(c), Virginia Smyly, MPH, CHES, Judith A. Hager, MPH, MA, Linda D. Mack Burch, MPH
3:26 PMA blueprint for improving birth outcomes in Los Angeles County  [ Recorded presentation ]
Los Angeles Best Babies Collaborative
3:43 PMNational Friendly AccessSM Program  [ Recorded presentation ]
Charles S. Mahan, MD, Peter A. Gorski, MD, MPA, Delores F. Jeffers, RN, MPH
See individual abstracts for presenting author's disclosure statement and author's information.
Organized by:Maternal and Child Health
Endorsed by:Alternative and Complementary Health Practices; Public Health Nursing; Social Work
CE Credits:CME, Health Education (CHES), Nursing

The 132nd Annual Meeting (November 6-10, 2004) of APHA