Exploring The JJ Way®; A Model of Care for Reducing Disparities and Improving Perinatal Health Sarah Joy Day Bastyr University June 2014

Comparison of preterm birth rates of JJ Way® versus Orange County and Florida State,

Comparison of low birth weight rates of JJ Way® versus Orange County and Florida State,

Methods Matched 100 JJ Way® women with Florida Vital Statistics standard care women by age, race/ethnicity, and zip code 67 (n=134) matches Primary study – White vs. Women of Color Secondary study – White vs. Black Outcome measures – gestation age and birth weight

*p=0.03 Comparison of gestational age in weeks between JJ Way® patients versus standard care patients,

*p=0.04, **p=0.01 Comparison of preterm birth rates in percent between JJ Way® patients versus standard care patients,

Comparison of birth weight in grams between JJ Way® patients versus standard care patients, Comparison of low birth weight rates in percent between JJ Way® patients versus standard care patients,

Comparison of gestational age in weeks between JJ Way® patients versus standard care patients, Comparison of preterm birth rate in percent between White women and African American women in the standard care and JJ Way® groups respectively,

Comparison of birth weight in grams between JJ Way® patients versus standard care patients, Comparison of low birth weight rate in percent between White women and African American women in the standard care and JJ Way® groups respectively,

Discussion The JJ Way® improves outcomes for Women of Color! – Keeping their babies inside > 1 week longer – No preterm births – Higher infant birth weights

Strengths Matched randomly for age, race, and zip code Lack of prenatal care exposure control Small sample size Limitations

Going Forward Publication Model Replication

Thank You! Jennie Joseph Wendy Gordon Dr. Mark Martzen Dr. Tyan Parker Dominguez Bu Huang Audrey Ludeman Pete Day Ruben Day