Trends in Maternal and Infant Health in Poor Urban Neighborhoods: Good News from the 1990s but Challenges Remain

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Posted to Web: July 01, 2005
Permanent Link: http://www.urban.org/url.cfm?ID=1000822
During the 1990s, numerous public policy changes occurred that could have improved the health of mothers and infants in low-income neighborhoods. This paper examines trends in key maternal and child health indicators, using neighborhood level vital statistics and census data. Trends in four key indicators (births to teenagers; late prenatal care; low birthweight; and infant mortality) over the l990s are contrasted between high poverty and other neighborhoods in Cuyahoga County, Ohio; Denver, Colorado; Marion County, Indiana; and Oakland, California. In all four metropolitan areas, trends in high poverty neighborhoods were more favorable than in other neighborhoods. Still, great disparities between high poverty and other neighborhoods remain. Experience from the l990s suggests that a combination of several intensive interventions can be effective at reducing disparities. (Howell, Embry, Pettit, Kathryn and Kingsley, Thomas. July/August 2005. "Trends in Maternal and Infant Health in Poor Urban Neighborhoods: Good News from the 1990s but Challenges Remain." Public Health Reports 120(4):409-417.)

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