Academic Journal
A County-Level Collaboration to Reduce Infant Mortality: Cradle Cincinnati.
| Τίτλος: | A County-Level Collaboration to Reduce Infant Mortality: Cradle Cincinnati. |
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| Συγγραφείς: | Feister J; University of Cincinnati College of Medicine, Department of Pediatrics, Cincinnati, Ohio.; Cincinnati Children's Hospital Medical Center, Perinatal Institute, Division of Neonatology and Pulmonary Biology, Cincinnati, Ohio., Wang S; University of Cincinnati, Department of Mathematical Sciences, Division of Statistics and Data Science, Cincinnati, Ohio.; Cincinnati Children's Hospital Medical Center, Division of Biostatistics and Epidemiology, Cincinnati, Ohio., Walker D; Cincinnati Children's Hospital Medical Center, Perinatal Institute, Division of Neonatology and Pulmonary Biology, Cincinnati, Ohio.; Cradle Cincinnati, Cincinnati Children's Hospital Medical Center, Perinatal Institute, Cincinnati, Ohio., Webken R; Cincinnati Children's Hospital Medical Center, Perinatal Institute, Division of Neonatology and Pulmonary Biology, Cincinnati, Ohio.; Cradle Cincinnati, Cincinnati Children's Hospital Medical Center, Perinatal Institute, Cincinnati, Ohio., Huang B; University of Cincinnati College of Medicine, Department of Pediatrics, Cincinnati, Ohio.; University of Cincinnati, Department of Mathematical Sciences, Division of Statistics and Data Science, Cincinnati, Ohio.; Cincinnati Children's Hospital Medical Center, Division of Biostatistics and Epidemiology, Cincinnati, Ohio., Kelly EA; Cincinnati Children's Hospital Medical Center, Perinatal Institute, Division of Neonatology and Pulmonary Biology, Cincinnati, Ohio.; Cradle Cincinnati, Cincinnati Children's Hospital Medical Center, Perinatal Institute, Cincinnati, Ohio.; University of Cincinnati College of Medicine, Department of Obstetrics and Gynecology, Cincinnati, Ohio., Greenberg JM; University of Cincinnati College of Medicine, Department of Pediatrics, Cincinnati, Ohio.; Cincinnati Children's Hospital Medical Center, Perinatal Institute, Division of Neonatology and Pulmonary Biology, Cincinnati, Ohio.; Cradle Cincinnati, Cincinnati Children's Hospital Medical Center, Perinatal Institute, Cincinnati, Ohio. |
| Πηγή: | Pediatrics [Pediatrics] 2026 Oct 01; Vol. 158 (4). |
| Τύπος έκδοσης: | Journal Article |
| Γλώσσα: | English |
| Στοιχεία περιοδικού: | Publisher: American Academy of Pediatrics Country of Publication: United States NLM ID: 0376422 Publication Model: Print Cited Medium: Internet ISSN: 1098-4275 (Electronic) Linking ISSN: 00314005 NLM ISO Abbreviation: Pediatrics Subsets: MEDLINE |
| Imprint Name(s): | Publication: Elk Grove Village Il : American Academy of Pediatrics Original Publication: Springfield, Ill., Thomas. |
| Ιατρικοί όροι (MeSH): | Infant Mortality*/trends, Ohio/epidemiology ; Humans ; Infant ; Infant, Newborn |
| Περίληψη: | Objective: We sought to implement and determine the efficacy of Cradle Cincinnati-a county-level collective impact collaborative established to reduce the infant mortality rate (IMR) of Hamilton County, Ohio. We hypothesized that the reduction in the IMR of Hamilton County was attributable to the work of Cradle Cincinnati. Methods: Cradle Cincinnati, conceptualized in the early 2000s and iteratively implemented in the ensuing decades, emphasizes stakeholder engagement, data-driven learning, and community-led strategies to address infant mortality. To determine efficacy, we employed augmented synthetic control methodology to create a synthetic Hamilton County unexposed to Cradle Cincinnati using county-level data from Ohio in the years 2007 to 2023, with change in county-level IMR in the real Hamilton County compared to a synthetic unexposed Hamilton County as the outcome of interest. Results: Hamilton County IMR decreased from 11.1 (per 1000 livebirths) in 2008 to 5.5 in 2023. Real Hamilton County IMR progressively decreased over time compared to that of a synthetic Hamilton County unexposed to Cradle Cincinnati, reaching statistical significance in 2021 and 2023 (change in deaths per 1000 live births: -2.5 [95% CI: -5.1 to -0.3] and -4.4 [95% CI: -6.6 to -2.0], respectively). Conclusion: Cradle Cincinnati significantly reduced infant mortality in a large urban Ohio county, with the greatest improvements emerging nearly a decade after implementation. A county-level focus offers potential to reduce the disproportionately high and racially disparate IMR in the United States. (Copyright © 2026 by the American Academy of Pediatrics.) |
| Entry Date(s): | Date Created: 20260916 Date Completed: 20260930 Latest Revision: 20260930 |
| Update Code: | 20261001 |
| DOI: | 10.1542/peds.2026-077116 |
| PMID: | 42749300 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1098-4275 |
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| DOI: | 10.1542/peds.2026-077116 |