Document Type
Presentation
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Publication Date
11-7-2024
Abstract
Background: Despite the advances in clinical/medical research and healthcare, there are significant racial disparities in maternal health and birth outcomes. African American adults experience an increased risk of poor maternal health outcomes and infant mortality. Identifying successful preconception care interventions tailored to this population is vital in mitigating preconception care health risks and improving birth outcomes. Addressing this issue can lead to delivering equitable and culturally competent healthcare practices.
Objective: This rapid systematic review aims to synthesize literature on current preconception care interventions that address maternal mortality and morbidity among African American adults in the US. Information from these articles will highlight potential successful preconception care interventions for this population and identify gaps in preconception care health.
Methods: A literature search for articles using PubMed and Scopus was conducted. Articles were searched on the databases using MESH terms related to maternal mortality, maternal death, morbidity, preconception care/health, preconception injuries, Black or African American, “health status disparities, and limited to the United States. Articles included were published from 2020 to 2023, peer-reviewed, in English, and focused on African Americans in the US. The eligibility of articles was determined by abstracts-titles and then full-text review.
Results: This search yielded 8,625 articles of which 6 articles met the inclusion criteria and were included in the review. Five articles reported on conversational agents (CAs) as successful preconception care interventions to mitigate preconception care risks in African American adults and one article explored digital and mHealth interventions as options for monitoring and improving health behavior.
Implications: There are limited studies that have assessed the utility of these HITs beyond a clinical setting. Further validation of conversational agents such as Gabby and other digital/mHealth technology needs to be studied in a real-life setting to determine whether these technologies significantly improve preconception care health by mitigating preconception care risks. Lastly, the interventions described in the literature are not easily accessible because only those who have access to technology can engage with them.
Conclusion: Research from the literature indicates that Health Information Technology (HIT), including conversational agents (CAs) and digital mHealth interventions, are effective in improving preconception care for African American adults in the US. Keywords: Preconception care, Maternal mortality, Maternal morbidity, African Americans, Health disparities, Interventions, Pregnancy outcomes, culturally tailored interventions
Lay Summary
Purpose: This review aims to look at articles on ways to help keep African American adults healthy before having a baby in the US. Information from these articles will help identify what steps African American adults need to take to improve their health.
Background: In the United States, African American adults die and have problems giving birth more than any other group. This review looks at ways to help African American adults be healthy before having a baby to improve a safe and healthy pregnancy and delivery. Finding out ways to strengthen African American adults' health and habits before they become pregnant can make healthcare more equal for everyone and change healthcare approaches.
What I Did: I searched for recent articles that looked at ways to help African American adults be healthier before having a baby. I focused on articles from the last 4 years that were in English, checked by other experts, and about African American adults in the United States.
Key Findings: I found over 8,625 articles on how to help African American adults get healthy before having a baby and only used six of these for my information. The results of five articles showed that using health technology like chatbots and digital tools is a good way to help improve the health of African Americans before having a baby. One article looked at mobile health tools and apps as a way to keep track of and improve healthy habits.
Conclusion: This review showed that health technology like chatbots and digital tools can improve the health of African American adults before they have a baby. More research is needed to find more ways to keep African American adults in the US healthy before having a baby.
Recommended Citation
Asihenne, Adrienne, "United States Preconception Health Interventions to Address Maternal Mortality and Morbidity in African American Adults: A Rapid Review" (2024). Master of Public Health Capstone Presentations. Presentation 569.
https://jdc.jefferson.edu/mphcapstone_presentation/569
Language
English
Comments
Presentation: 5:47
Poster attached as supplemental file below