Community Based Efforts to Address Infant Mortality and Disparities in Oklahoma.

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  • Additional Information
    • Source:
      Publisher: Oklahoma State Medical Association Country of Publication: United States NLM ID: 7503043 Publication Model: Print Cited Medium: Print ISSN: 0030-1876 (Print) Linking ISSN: 00301876 NLM ISO Abbreviation: J Okla State Med Assoc Subsets: PubMed not MEDLINE
    • Publication Information:
      Original Publication: Guthrie, Okla. : Oklahoma State Medical Association
    • Abstract:
      Importance: Oklahoma's infant mortality remains among the highest in the nation. 1 Infant mortality rates are highest within the African American community. 2 Physician and community partner efforts to decrease infant mortality are discussed to encourage more involvement in addressing infant mortality. The purpose of this article is to describe both provider and community-based efforts to combat infant mortality, particularly those focused on infant mortality disparities.
      Observations: The leading causes of infant deaths are prematurity, congenital malformations and/or chromosomal anomalies, and unclassified deaths such as Sudden Infant Death Syndrome or accidents. Prematurity accounts for the highest number of infant deaths. Efforts in Oklahoma focus on prematurity and SIDS prevention. Fetal Infant Mortality Review programs in Oklahoma and Tulsa Counties focus on local issues contributing to infant mortality and promote community engagement. In central Oklahoma, an Infant Mortality Alliance (IMA) was formed including over 180 stakeholders focusing on healthcare access, community and faith engagement, and health disparities. In the year following the IMA's initial work, the non-Hispanic African American infant mortality rate in Oklahoma County decreased by 18.8%. 12 .
      Conclusions and Relevance: Infant mortality is multifactorial and requires multiple strategies to combat. To address infant mortality and disparities, all aspects of the community must be involved. No individual alone can improve infant mortality. Physicians providing prenatal care make an impact by implementing recommended guidelines for progesterone therapy. Physicians seeing infants can encourage safe sleep practices among their families and local hospitals. While progress has been made addressing Oklahoma's infant mortality, much work remains.
    • Grant Information:
      U54 GM104938 United States GM NIGMS NIH HHS; UG1 OD024950 United States OD NIH HHS
    • Publication Date:
      Date Created: 20190628 Latest Revision: 20190630
    • Publication Date:
      20200827
    • Accession Number:
      PMC6594563
    • Accession Number:
      31244494
  • Citations
    • ABNT:
      KONRAD, K. M. L. et al. Community Based Efforts to Address Infant Mortality and Disparities in Oklahoma. The Journal of the Oklahoma State Medical Association, [s. l.], v. 111, n. 8, p. 762–766, 2018. Disponível em: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=31244494&authtype=sso&custid=s5834912. Acesso em: 29 set. 2020.
    • AMA:
      Konrad KML, Dunlap M, Patrick PH, Smith CM, McNeal K, Dorn J Jr. Community Based Efforts to Address Infant Mortality and Disparities in Oklahoma. The Journal of the Oklahoma State Medical Association. 2018;111(8):762-766. Accessed September 29, 2020. http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=31244494&authtype=sso&custid=s5834912
    • APA:
      Konrad, K. M. L., Dunlap, M., Patrick, P. H., Smith, C. M., McNeal, K., & Dorn, J., Jr. (2018). Community Based Efforts to Address Infant Mortality and Disparities in Oklahoma. The Journal of the Oklahoma State Medical Association, 111(8), 762–766.
    • Chicago/Turabian: Author-Date:
      Konrad, Kathryn M L, Marny Dunlap, Paul H Patrick, Chad Michael Smith, Kelli McNeal, and James Dorn Jr. 2018. “Community Based Efforts to Address Infant Mortality and Disparities in Oklahoma.” The Journal of the Oklahoma State Medical Association 111 (8): 762–66. http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=31244494&authtype=sso&custid=s5834912.
    • Harvard:
      Konrad, K. M. L. et al. (2018) ‘Community Based Efforts to Address Infant Mortality and Disparities in Oklahoma’, The Journal of the Oklahoma State Medical Association, 111(8), pp. 762–766. Available at: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=31244494&authtype=sso&custid=s5834912 (Accessed: 29 September 2020).
    • Harvard: Australian:
      Konrad, KML, Dunlap, M, Patrick, PH, Smith, CM, McNeal, K & Dorn, J, Jr 2018, ‘Community Based Efforts to Address Infant Mortality and Disparities in Oklahoma’, The Journal of the Oklahoma State Medical Association, vol. 111, no. 8, pp. 762–766, viewed 29 September 2020, .
    • MLA:
      Konrad, Kathryn M. L., et al. “Community Based Efforts to Address Infant Mortality and Disparities in Oklahoma.” The Journal of the Oklahoma State Medical Association, vol. 111, no. 8, Oct. 2018, pp. 762–766. EBSCOhost, widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=31244494&authtype=sso&custid=s5834912.
    • Chicago/Turabian: Humanities:
      Konrad, Kathryn M L, Marny Dunlap, Paul H Patrick, Chad Michael Smith, Kelli McNeal, and James Dorn Jr. “Community Based Efforts to Address Infant Mortality and Disparities in Oklahoma.” The Journal of the Oklahoma State Medical Association 111, no. 8 (October 2018): 762–66. http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=31244494&authtype=sso&custid=s5834912.
    • Vancouver/ICMJE:
      Konrad KML, Dunlap M, Patrick PH, Smith CM, McNeal K, Dorn J Jr. Community Based Efforts to Address Infant Mortality and Disparities in Oklahoma. The Journal of the Oklahoma State Medical Association [Internet]. 2018 Oct [cited 2020 Sep 29];111(8):762–6. Available from: http://widgets.ebscohost.com/prod/customlink/proxify/proxify.php?count=1&encode=0&proxy=&find_1=&replace_1=&target=http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=mdc&AN=31244494&authtype=sso&custid=s5834912