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Title of Journal: Matern Child Health J

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Abbravation: Maternal and Child Health Journal

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Springer US

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DOI

10.1002/chin.200714227

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1573-6628

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Birth Characteristics Associated With Early Interv

Authors: Karen M Clements Wanda D Barfield Milton Kotelchuck Kimberly G Lee Nancy Wilber
Publish Date: 2006/05/19
Volume: 10, Issue: 5, Pages: 433-441
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Abstract

Objectives The Individual with Disabilities Education Act mandates Early Intervention EI services for infants and toddlers with developmental delay We assessed the percentage of infants at risk for developmental delay due to characteristics present at birth who were referred to Massachusetts EI within 1 year of birth evaluated for eligibility and eligible for services In addition we identified birth characteristics that independently predicted 0–1 year program referral evaluation and eligibility Methods The Pregnancy to Early Life Longitudinal PELL data system linked birth certificate hospital discharge and EI program data of 219037 infants born in Massachusetts 1998–2000 Multivariate logistic regressions identified independent infant predictors of referral evaluation and eligibility Results Of 219037 births 14852 68 were referred to EI within 1 year Birthweight 1200 g OR=97 95 CI 33–129 and birthweight 1200–1499 g OR=74 95 CI 58–95 strongly predicted referral Referral was high 88 among infants with two or more birth risks Among referrals 88 were evaluated for eligibility The strongest predictor of evaluation was triplet birth OR=43 95 CI 16–118 Among infants evaluated 85 were determined to be eligible Conclusion EI referral and evaluation are high among infants born at risk for delay in Massachusetts Some characteristics not included in the state’s highrisk definition eg birthweight 1200–1499 g were identified that predicted referral Most referrals were eligible for services Results demonstrate the value to states of using linked population and program data for program evaluationThe PELL data system is supported by the Centers for Disease Control grants S1887 – 21/23 and S3485 – 23/23 Additional funding for Early Intervention program evaluation was provided by US Department of Education Early Intervention grant 45139021 The authors would like to thank Jean Shimer for her assistance in preparing the Early Intervention data and Howard Cabral Judy Weiss and Katharine Thomas for their careful review of the manuscript

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  2. A Perspective of Preconception Health Activities in the United States
  3. The Relationship of Depressive Symptoms to Parenting Competence and Social Support in Inner-City Mothers of Young Children
  4. Supporting Pregnant Aboriginal and Torres Strait Islander Women to Quit Smoking: Views of Antenatal Care Providers and Pregnant Indigenous Women
  5. Gestational Age at First Antenatal Care Visit in Malawi
  6. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  7. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  8. Reasons for Mother–Infant Bed-Sharing: A Systematic Narrative Synthesis of the Literature and Implications for Future Research
  9. Dose and Timing of Prenatal Alcohol Exposure and Maternal Nutritional Supplements: Developmental Effects on 6-Month-Old Infants
  10. Pre-pregnancy Obesity as a Modifier of Gestational Diabetes and Birth Defects Associations: A Systematic Review
  11. A Qualitative Study to Understand Nativity Differences in Breastfeeding Behaviors Among Middle-Class African American and African-Born Women
  12. U.S. Provider Reported Folic Acid or Multivitamin Ordering for Non-Pregnant Women of Childbearing Age: NAMCS and NHAMCS, 2005–2006
  13. The Impact of Community Health Professional Contact Postpartum on Breastfeeding at 3 Months: A Cross-Sectional Retrospective Study
  14. The Correlation Between Postpartum Depression and Health Status
  15. Preconception and the Young Cancer Survivor
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  20. Ascertainment of Medicaid Payment for Delivery on the Iowa Birth Certificate: Is Accuracy Sufficient for Timely Policy and Program Relevant Analysis?
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