PDF(Pubmed)
Abstract：
UNASSIGNED: Adolescents who are pregnant and identify as Black are exposed to more societal harms that increase their and their offspring\'s risk for poor health outcomes. The Colorado Adolescent Maternity Program (CAMP) offers comprehensive, multidisciplinary (medical, behavioral health, nutrition, case management), trauma-informed obstetric care to pregnant adolescents to ensure the healthiest pregnancy and birth possible and pursue health equity. The present study aimed to examine ethnic and racial disparities in preterm birth and low birth weight before and after implementation of a trauma-informed model of care.
UNASSIGNED: Participants were 847 pregnant adolescents (ages 12-22 years; 41% self-identified as Hispanic, 32% as non-Hispanic Black, 21% as non-Hispanic white) who received prenatal treatment-as-usual (TAU) or trauma-informed treatment. Demographic information, mental health symptoms, and birth outcomes were abstracted from medical records.
UNASSIGNED: Overall, findings provided support that implementation of a trauma-informed model of prenatal care led to equitable birth outcomes across racial and ethnic groups. Specifically, Black adolescents in the TAU group were more than twice as likely to deliver preterm or low birth weight infants compared with white and Hispanic adolescents. In the trauma-informed group, however, there were no statistical differences in birth outcomes across racial/ethnic groups, indicating an elimination of disparities in both preterm birth and low birth weight in this population. These more equitable birth outcomes occurred even in the context of adolescents of color having reported more severe depression symptoms postimplementation.
UNASSIGNED: These findings provide evidence that a health system-level intervention, herein trauma-informed obstetric care for adolescents, can play a meaningful role in the reduction of racial disparities in birth outcomes.
UNASSIGNED: Participants were 847 pregnant adolescents (ages 12-22 years; 41% self-identified as Hispanic, 32% as non-Hispanic Black, 21% as non-Hispanic white) who received prenatal treatment-as-usual (TAU) or trauma-informed treatment. Demographic information, mental health symptoms, and birth outcomes were abstracted from medical records.
UNASSIGNED: Overall, findings provided support that implementation of a trauma-informed model of prenatal care led to equitable birth outcomes across racial and ethnic groups. Specifically, Black adolescents in the TAU group were more than twice as likely to deliver preterm or low birth weight infants compared with white and Hispanic adolescents. In the trauma-informed group, however, there were no statistical differences in birth outcomes across racial/ethnic groups, indicating an elimination of disparities in both preterm birth and low birth weight in this population. These more equitable birth outcomes occurred even in the context of adolescents of color having reported more severe depression symptoms postimplementation.
UNASSIGNED: These findings provide evidence that a health system-level intervention, herein trauma-informed obstetric care for adolescents, can play a meaningful role in the reduction of racial disparities in birth outcomes.
摘要：
怀孕并确定为黑人的青少年面临更多的社会危害，这增加了他们及其后代健康状况不佳的风险。科罗拉多州青少年产妇计划（CAMP）提供全面的，多学科(医学，行为健康,营养,案件管理)，为怀孕青少年提供基于创伤的产科护理，以确保最健康的怀孕和分娩，并追求健康公平。本研究旨在研究实施创伤知情护理模式前后早产和低出生体重的种族和种族差异。
■参与者是847名怀孕的青少年（年龄在12-22岁之间；41%的人自我认定为西班牙裔，32%为非西班牙裔黑人,21％为非西班牙裔白人）接受常规产前治疗（TAU）或创伤知情治疗。人口统计信息,心理健康症状,从医疗记录中提取出生结局.
■总的来说，研究结果支持实施创伤知情的产前护理模式导致种族和族裔群体的公平分娩结局.具体来说,与白人和西班牙裔青少年相比，TAU组的黑人青少年分娩早产或低出生体重婴儿的可能性是白人和西班牙裔青少年的两倍以上。在创伤知情小组中，然而,不同种族/民族的出生结局没有统计学差异，表明消除了该人群中早产和低出生体重的差异。这些更公平的出生结果甚至发生在有色人种的青少年报告了更严重的抑郁症状。
■这些发现提供了证据，表明卫生系统级别的干预措施，本文为青少年提供创伤知情产科护理，可以在减少出生结果中的种族差异方面发挥有意义的作用。
■参与者是847名怀孕的青少年（年龄在12-22岁之间；41%的人自我认定为西班牙裔，32%为非西班牙裔黑人,21％为非西班牙裔白人）接受常规产前治疗（TAU）或创伤知情治疗。人口统计信息,心理健康症状,从医疗记录中提取出生结局.
■总的来说，研究结果支持实施创伤知情的产前护理模式导致种族和族裔群体的公平分娩结局.具体来说,与白人和西班牙裔青少年相比，TAU组的黑人青少年分娩早产或低出生体重婴儿的可能性是白人和西班牙裔青少年的两倍以上。在创伤知情小组中，然而,不同种族/民族的出生结局没有统计学差异，表明消除了该人群中早产和低出生体重的差异。这些更公平的出生结果甚至发生在有色人种的青少年报告了更严重的抑郁症状。
■这些发现提供了证据，表明卫生系统级别的干预措施，本文为青少年提供创伤知情产科护理，可以在减少出生结果中的种族差异方面发挥有意义的作用。
