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Is Ohio approaching healthy people 2010 objectives - a birth certificate data analysis

Sexson Tejtel, Sara Kristen
http://rave.ohiolink.edu/etdc/view?acc_num=osu1149023375

Abstract Details

2006, Doctor of Philosophy, Ohio State University, Public Health.
Healthy People 2010 defines national health goals to increase both the quality and duration of healthy life and to eliminate health disparities among individuals. Evaluation of trends of maternal and child health indicators in Ohio related to Healthy People 2010 goals was performed using birth certificate data representing all live births from 1990-2003 (n=2,169,756). These data were evaluated to assess trends in the total population and by race and age categories. The health indicators evaluated were the rates of low and very low birth weight, early and adequate prenatal care, preterm delivery, alcohol and cigarette abstinence, and Cesarean section delivery. Linear models were developed to assess the trend in rates. Results – Between 1990 and 2003, Ohio progressed toward the Healthy People 2010 goals for all groups in some areas such as early and adequate prenatal care and abstinence from cigarettes. Movement away from the goals is occurring for most age and race groups in Ohio for low and very low birth weight, preterm births, and primary and repeat Cesarean section deliveries. The goal has been met in the areas of abstinence from alcohol in all groups of women in Ohio. The predicted 2010 rates for these indicators follow the same patterns. Conclusions – Between 1990 and 2003 Ohio has progressed toward the Healthy People 2010 goals in some maternal and child health indicator areas. Work remains to be done to achieve many of the goals. This dissertation provides a framework for future evaluation of Healthy People indicators. Additionally, knowledge of trends in health indicators can guide research and the creation of intervention programs. Identifying specific sub-populations for which interventions can be targeted is also a possibility. With limited funding and many women and children in need of help, focused research and interventions are necessary to establish good health in as many women and infants as possible. Programs to improve pregnancy related health outcomes must be targeted at the appropriate factors and populations to be a productive use of available resources.
Randall Harris (Advisor)
262 p.
Health Sciences, Public Health
Public Health; Epidemiology; Prenatal care; Pregnancy trends; Smoking in pregnancy; Alcohol in pregnancy; Birth certificate analysis; Preterm birth; Delivery method trends; Healthy People 2010

Recommended Citations

Citations

  • Sexson Tejtel, S. K. (2006). Is Ohio approaching healthy people 2010 objectives - a birth certificate data analysis [Doctoral dissertation, Ohio State University]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=osu1149023375

    APA Style (7th edition)

  • Sexson Tejtel, Sara. Is Ohio approaching healthy people 2010 objectives - a birth certificate data analysis. 2006. Ohio State University, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=osu1149023375.

    MLA Style (8th edition)

  • Sexson Tejtel, Sara. "Is Ohio approaching healthy people 2010 objectives - a birth certificate data analysis." Doctoral dissertation, Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=osu1149023375

    Chicago Manual of Style (17th edition)

osu1149023375
936
© 2006, all rights reserved.
This open access ETD is published by The Ohio State University and OhioLINK.