Home visitation program effectiveness and the influence of community behavioral norms: a propensity score matched analysis of prenatal smoking cessation

The influence of community context on the effectiveness of evidence-based maternal and child home visitation programs following implementation is poorly understood. This study compared prenatal smoking cessation between home visitation program recipients and local-area comparison women across 24 imp...

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Bibliographic Details
Published in:BMC public health 2012-11, Vol.12 (1), p.1016-1016, Article 1016
Main Authors: Matone, Meredith, O'Reilly, Amanda Lr, Luan, Xianqun, Localio, Russell, Rubin, David M
Format: Article
Language:English
Subjects:
Adolescent
Adult
Behavior
Community
Community context
Evaluation
Family partnerships
Female
Health aspects
Health promotion
Home visitation
House Calls - statistics & numerical data
Humans
Hypotheses
Implementation
Logistic Models
Maternal health services
Nurse-Patient Relations
Pediatrics
Pennsylvania - epidemiology
Pregnancy
Pregnant women
Prenatal Care
Prevention
Program Evaluation
Rural Population
Smoking - epidemiology
Smoking cessation
Smoking Cessation - ethnology
Smoking cessation programs
Smoking in pregnancy
Social aspects
Social Environment
Studies
Success
Urban Population
Womens health
Young Adult
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Summary:The influence of community context on the effectiveness of evidence-based maternal and child home visitation programs following implementation is poorly understood. This study compared prenatal smoking cessation between home visitation program recipients and local-area comparison women across 24 implementation sites within one state, while also estimating the independent effect of community smoking norms on smoking cessation behavior. Retrospective cohort design using propensity score matching of Nurse-Family Partnership (NFP) clients and local-area matched comparison women who smoked cigarettes in the first trimester of pregnancy. Birth certificate data were used to classify smoking status. The main outcome measure was smoking cessation in the third trimester of pregnancy. Multivariable logistic regression analysis examined, over two time periods, the association of NFP exposure and the association of baseline county prenatal smoking rate on prenatal smoking cessation. The association of NFP participation and prenatal smoking cessation was stronger in a later implementation period (35.5% for NFP clients vs. 27.5% for comparison women, p 
ISSN:1471-2458
1471-2458
DOI:10.1186/1471-2458-12-1016