Maternal and Child Health Library
This and past issues of the MCH Alert are available at http://www.mchlibrary.info/alert/archives.html.
May 16, 2008
1. Bright Futures for Women's Health and Wellness
Releases New Tools on Emotional Health
2. Strategies and Tools Created to Aid Communities in
Planning Bicycle-Safety Programs
3. Brief Examines Health Disparities and Access to Care
for CSHCN
4. Report Describes Results of the First Phase of the
National Healthy Start Evaluation
5. Article Explores Injuries of Infants Treated in
Emergency Departments
************************************************************
Special Notice: The Health Resources and Services Administration's Maternal
and Child Health Bureau and the Centers for Disease Control and Prevention
are planning a Pediatrics supplement devoted to national, regional, and state-level
analyses of the 2005-2006 National Survey of Children with Special Health Care
Needs (NS-CSHCN). Individuals interested in contributing a manuscript are encouraged
to submit a title, authorship, and brief (one-paragraph) outline by June 2,
2008, to
Michael D. Kogan, PhD
Director, Office of Data and Program Development
Maternal and Child Health Bureau
5600 Fishers Lane, Room 18-41
Rockville, MD 20857
Phone: (301) 443-3145
Fax: (301) 443-9354
E-mail: mkogan@hrsa.gov
Authors will be notified within 2 weeks if their topic has been selected,
and a schedule for completing the manuscripts will be worked out with all authors.
Assistance is available to individuals working in state or local maternal and
child health departments who are interested in preparing a manuscript on state-level
data from this data set.
The 2005-2006 NS-CSHCN provides information on the
health status, health care experiences, and family impacts of CSHCN. In some
instances, 2005-2006 measures can be compared with those from the 2001 survey.
Analyses using both surveys will also be considered. The data is available
at http://mchb.hrsa.gov/programs/dataepi/ or http://www.cdc.gov/nchs/slaits.htm.
************************************************************
1. BRIGHT FUTURES FOR WOMEN'S HEALTH AND WELLNESS RELEASES NEW TOOLS
ON EMOTIONAL HEALTH
The Bright Futures for Women’s Health and Wellness (BFWHW) series
includes new tools to address the connection between women's mental and
physical well-being and encourage better health across the lifespan.
The tools, produced by the Health Resources and Services
Administration's Office of Women's Health, focus on three main
concepts: appreciating oneself, finding balance and purpose in life,
and connecting with others. Each tool is designed for a specific
audience including women, young women, community groups, and primary
care health professionals. All BFWHW tools are wellness-focused,
gender-specific, and evidence-based.
New tools in the BFWH series are available from the MCH Library's Web
site as follows:
- A Young Woman's Guide to Emotional Wellness at
http://mchlibrary.info/BFWHW/BF_young_women_Revised_707.pdf
- A Woman's Guide to Emotional Wellness at
http://mchlibrary.info/BFWHW/BF_Woman_revised_707.pdf
- A Community Organization’s Guide to Promoting Emotional Wellness at
http://mchlibrary.info/BFWHW/BF_Community_Revised_707.pdf
- A Health Care Provider's Guide to Promoting Women's Emotional
Wellness at
http://mchlibrary.info/BFWHW/BF_Clinicians_Revised_707-2.pdf
A companion one-page flyer for health professionals to use in waiting
and exam rooms to support client-professional dialogue about emotional
wellness is also available at http://mchlibrary.info/BFWHW/BF_Flyer.pdf.
Print copies from this series may be ordered from the HRSA Information
Center Web site at http://ask.hrsa.gov.
************************************************************
2. STRATEGIES AND TOOLS CREATED TO AID COMMUNITIES IN PLANNING
BICYCLE-SAFETY PROGRAMS
Promoting Bicycle Safety for Children: Strategies and Tools for
Community Programs presents information and resources communities can
use to develop and implement effective bicycle-safety programs for
children and adolescents. The issue brief was created by the Children's
Safety Network for state maternal and child health and injury- and
violence-prevention programs to disseminate to local health departments
and community organizations interested in reducing bicycle injuries and
deaths among children and adolescents. Facts, evidence-based
strategies, program-planning guides, partners, funding sources, and
evaluation criteria are discussed. Information and materials for
program implementation are also included. The brief is available at http://notes.edc.org/HHD/CSN/csnpubs.nsf/cb5858598bf707d58525686d005ec222/0d6bd74f906f7529852574350074e6b1/$FILE/CSNBikeSafety_brochure.pdf.
************************************************************
3. BRIEF EXAMINES HEALTH DISPARITIES AND ACCESS TO CARE FOR CSHCN
Equality of Health for CSHCN: Contributing Factors and Help for
Families and Communities provides an overview of the literature,
demographics, and references for families, services providers, and
communities on health disparities and access to care for children with
special health care needs (CSHCN). The brief, produced by Champions for
Inclusive Communities, defines ethnicity and health disparities and
identifies factors contributing to health disparities for ethnic
minority CSHCN. These factors include poverty, insurance and
underinsurance, partnership in decision-making, access to care, and
culture and communication or language barriers. Additional topics
include lessons learned and implications for communities. Resources for
families, service providers, and communities are presented, along with
a list of the articles reviewed and referenced in the brief. The brief
is available at http://www.championsinc.org/disparity/ethnicDisparities_brief.pdf.
************************************************************
4. REPORT DESCRIBES RESULTS OF THE FIRST PHASE OF THE NATIONAL HEALTHY
START EVALUATION
A Profile of Healthy Start: Findings from Phase I of the Evaluation
provides information about 95 grantees and about implementation of nine
core components comprising the national Healthy Start program, an
initiative that has evolved into a broad effort to address racial and
ethnic disparities in maternal and infant health outcomes. The report,
produced by the Health Resources and Services Administration's Maternal
and Child Health Bureau, is based primarily on data collected from an
electronic survey of all Healthy Start grantees to assess (1) project
characteristics that reflect how that particular project operates, (2)
intermediate outcomes a project has achieved, and (3) whether there is
a link between Healthy Start service and systems efforts and results.
The data were collected in 2004, but the questions refer to grantees'
calendar year 2003 activities and projects. Survey data were augmented
by selected secondary data from grantees' continuation applications.
Topics include a profile of Healthy Start projects and a description of
Healthy Start service components (outreach, case management, health
education, perinatal depression services, interconceptional care) and
system components (consortia, Local Health System Action Plan,
coordination and collaboration with Title V, sustainability).
Additional topics include staffing, enrollment, smoking cessation, male
involvement, barriers to care, consumer involvement, and intermediate
program outcomes. Data are presented in charts and graphs throughout
the document. The logic model for the national evaluation is provided
in the appendix. The report is available at http://mchb.hrsa.gov/healthystart/phase1report.
************************************************************
5. ARTICLE EXPLORES INJURIES OF INFANTS TREATED IN EMERGENCY DEPARTMENTS
"An infant's risk of injury is influenced by social and physical
environments and products, which change as the infant matures during
the first year of life," state the authors of an article published in
the May 2008 issue of Pediatrics. Unintentional injuries are a
significant cause of death and morbidity in the first year of life.
Previous work has not fully explored this period of rapid change in
human development. The study described in this article presents a
detailed examination of the estimates, causes, and outcomes of
unintentional injuries among infants 12 months of age or younger
treated in emergency department (EDs). Using data from 2001 to 2004,
the study describes external causes of injuries and products related to
injuries according to month of age and demonstrates a shifting
trajectory of risk during the first year of life.
The authors analyzed data from an ongoing, national, ED-based
surveillance system, the National Electronic Injury Surveillance System
-- All Injury Program (NEISS-AIP), a stratified probability sample of
hospitals having more than six beds and providing 24-hour emergency
services in the United States or its territories. Data elements
included age (in months), body part injured, cause, diagnosis, case
disposition, gender, a brief narrative, location of injury event, and
product involvement.
The authors found that
- During 2001-2004, an estimated 1,314,000 injured infants were
seen in EDs for nonfatal unintentional injuries.
- Falls were the leading cause of nonfatal unintentional injuries
for infants treated in EDs annually, followed by "struck by or against"
(e.g., household items being dropped on infants, fingers or toes being
caught in doors or toys, infants being poked by an object such as a toy
or a straw).
- Although relatively few infants were treated for nonfatal
drowning injuries, almost half of these were admitted to the hospital.
Other causes with above-average hospitalization rates included
inhalation or suffocation injuries, motor-vehicle-occupant injuries,
foreign body injuries, fire and burn injuries, and other transport
injuries.
- Injured infants were more likely to be male (55.2%) than female
(44.8%).
- Contusions or abrasions were the leading diagnosis overall
(27.6%).
- Contusion or abrasion, laceration, hematoma, foreign-body, and
puncture injuries occurred most frequently to the head or neck region.
More than one-third of fractures
- (37.2%) were to the arm or hand.
- Bed was the most frequently noted product involved in the injury
event for every month of age except 2 months and 12 months. Narrative
comments reported infants falling, rolling, or sliding off the bed.
- Ranks of other products changed markedly as the month of age
increased.
The authors conclude that "interventions must consider enhancing the
knowledge of milestones (e.g., through physician anticipatory guidance
regarding mobility changes), use of home safety devices (e.g.,
installation of stair gates), and behavior changes (e.g., promoting
consistent stair gate use)."
Mack KA, Gilchrist J, Ballesteros MF. 2008. Injuries among infants
treated in emergency departments in the United States, 2001-2004.
Pediatrics 121(5):930-937. Abstract available at http://pediatrics.aappublications.org/cgi/content/short/121/5/930.
Readers: More information is available from the following MCH Library's
resources:
- Child Safety and Injury Prevention: Selected Resources at
http://www.mchlibrary.info/guides/childsafety.html
************************************************************
To subscribe to MCH Alert, send an e-mail message to
MCHAlert-request@list.ncemch.org
with SUBSCRIBE in the subject line.
You do not need to enter any text in the body of the message.
To unsubscribe from MCH Alert, send an e-mail message to
MCHAlert-request@list.ncemch.org
with UNSUBSCRIBE in the subject line.
You do not need to enter any text in the body of the message.
************************************************************
MCH Alert © 1998-2008 by National Center for Education in Maternal
and
Child Health and Georgetown University. MCH Alert is produced by
Maternal and Child Health Library at the National Center for Education
in Maternal and Child Health under its cooperative agreement
(U02MC00001) with the Maternal and Child Health Bureau, Health
Resources and Services Administration, U.S. Department of Health and
Human Services. The Maternal and Child Health Bureau reserves a
royalty-free, nonexclusive, and irrevocable right to use the work for
federal purposes and to authorize others to use the work for federal
purposes.
Permission is given to forward MCH Alert, in its entirety, to others.
For
all other uses, requests for permission to duplicate and use all or
part of the information contained in this publication should be sent to
mchalert@ncemch.org.
The editors welcome your submissions, suggestions, and questions.
Please contact us at the address below.
MANAGING EDITOR: Jolene Bertness
CO-EDITOR: Tracy Lopez
COPYEDITOR/WRITER: Ruth Barzel
LIST ADMINISTRATOR: Beth DeFrancis Sun
MCH Alert
Maternal and Child Health Library
National Center for Education in Maternal and Child Health
Georgetown University
Box 571272
Washington, DC 20057-1272
Phone: (202) 784-9770
Fax: (202) 784-9777
E-mail: mchalert@ncemch.org
Web site: http://www.mchlibrary.info/alert/default.html
************************************************************