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J Transcult Nurs. 2014 Jul;25(3):265-72. doi: 10.1177/1043659614522302. Epub 2014 Feb 11.

Using an Optimality Index to Understand Perinatal Health Disparities: A Pilot Study With Latina Immigrants.

Author information

1
The George Washington University, Washington, DC, USA felisag@gwmail.gwu.edu.
2
The George Washington University, Washington, DC, USA.
3
Georgetown University, Washington, DC, USA.

Abstract

PURPOSE:

This study demonstrates preliminary evidence of the utility of an optimality index as a simple tool for monitoring complications across the perinatal period.

METHOD:

The medical records of 147 Latina women participating in a preventive randomized controlled trial for perinatal depression were reviewed for outcomes across the perinatal period.

RESULTS:

Application of the optimality index found optimality scores ranging from 77.3% to 97.7% in a Latina immigrant population known to have low rates of low-birthweight infants and preterm birth. Optimality scores were significantly lower among women who had a preterm birth or low-birthweight infant.

DISCUSSION:

The ability of optimality indices to capture within-group variability will allow for a more nuanced understanding of the antecedents and sequelae of negative birth outcomes.

IMPLICATIONS FOR PRACTICE:

Increasing reliance on electronic medical records will facilitate the calculation of optimality scores that can be used to track patterns of perinatal health disparities.

KEYWORDS:

optimality; perinatal; postpartum; pregnancy; prenatal

PMID:
24518061
DOI:
10.1177/1043659614522302
[Indexed for MEDLINE]

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