[Solved] GrCA march 1 2025

Assignment Prompt & Instructions

Topic:

The Negative Effects of Social Media on Teenage Mental Health

– 2 years ago

**files (4)**

– ## Part4ofPaper-Your3-partDiscussionW.10.docx

– ## Completeliteraturereview.docx

– ## W.9SettingUpHeadingsStudentsampleEntireLitRev.2024-251.pdf

– W.11hStudentSampleDiscussion-3parts2024-25.pdf

**## Part4ofPaper-Your3-partDiscussionW.10.docx**

**PREP TASKS**

**(1) READ:** This assignment is a working final document assignment where you will produce complete your 3-part Discussion, like taught in weeks 9 and 10 in class.

**(2) OPEN UP YOUR '**
**_WORKING DOCUMENT_' WE SAVED FOR W. 10's WORKSHOP:**

·
**a.** Rename this document as "W.10 – Working Final Exam Document" or similar.

**(3) PRE-SET YOUR LEVEL HEADERS:** Avoid mistakes later and use the sample below to help set up proper level headers in your submission. Pay attention to the HIGLIGHTED headers.

**W. 11 SET UP HEADINGS – Student Sample Discussion .pdf**

**(4) WORK ON YOUR SUBMISSION (3 PARTS):** See PPTs for Weeks 9 and 10 for further help.

· PART 1: Introduction

· PART 2: Recommendations from Research

· PART 3: Your recommendation — how you BRING TO LIFE one or more of the recommendations from research. Create an implementation plan and expected outcomes.

**(5) COMPARE WITH SAMPLE:** Confirm that your work resembles the student sample below.

**(W. 11) h Student Sample Discussion – 3 parts (2024-25).pdf**

—————————————————————————————————————————————————————–

**SUBMISSION REQUIREMENT TASKS**

**(1) CHECK YOUR SIMILARITY:**

· Submit your assignment into the CHECK YOUR SIMILARITY HERE folder

· Evaluate EVERY highlighted text EXCEPT the References Page and in-text citations to ensure it links only back to
your own work.

**(2) TAKE YOUR AI TEXT DETECTOR SCREENSHOT**
**OF NEWLY WRITTEN WORK:**

· Paste your written text into this FREE AI Text Detector: Click here –>
[Scribbr AI Text Detector](https://www.scribbr.com/ai-detector/)

·
Take a screenshot of your text and the percentage
**,** one for each 500 WORDS OF NEWLY WRITTEN TEXT.

**(3) SUBMIT:** Attach your AI screenshot(s) WITH your WORD document submission. You will be attaching 2 documents in the submission box:
**(1) the screenshot(s) first, then (2) your assignment**.

**## Completeliteraturereview.docx**

**STOP!**

You cannot complete this assignment successfully without completing your Review of Literature.

If you were absent, you are required to watch the missed class session.

Below is an additional resource on Literature Reviews, if you need assistance beyond the W. 8 PPT and class session: Click here –>
["Literature Review in 30 Minutes or Less"](https://www.youtube.com/watch?v=TdJxY4w9XKY)

——————————————————————————————————————-

**PREP TASKS**

**(1) READ:** This assignment is a working final document assignment where you will produce a literature review like taught in weeks 7 and 8 in class. (See PPTs and class recordings, if needed)

You are expected to demonstrate the following
**compounded skills from previous weeks:**

·
**APA 7 Basics**: double-spaced, before and after set to zero; 1 inch margins all around; Times New Roman, 12 pt font; page numbers, upper right in header

·
**Title & References pages**

·
**Narrative/parenthetical in-text citation control of single-sourced paragraphs**

·
**Transitional phrases**

·
**Paraphrasing**

·
**Literature Review:** Intro, Review of Literature, and Analysis of Literature

**(2) OPEN UP YOUR '**
**_WORKING DOCUMENT_' WE SAVED IN W. 7:**

·
**a.** Rename this document as "W.8 – Working Final Exam Document" or similar.

**(3) PRE-SET YOUR LEVEL HEADERS:** Avoid mistakes later and use the sample below to help you set up proper level headers in your working final document. Pay attention to the HIGLIGHTED parts.

**W. 9 Setting Up Headings, Student sample Entire Lit Rev. (2024-25).pdf**

**(4) WORK ON YOUR SUBMISSION (started in Workshop):**

· Introduction (6 sentences taught in this week's lesson)

· Review of Literature (W. 7)

· Analysis of Literature (use your EXCEL Research Tracker to compare and contrast what is the same and what is different among: WHY, HOW, and WHAT – for all articles. What are the limitations to each study? What gap exists?)

**(5) COMPARE WITH SAMPLE:** Confirm that your work resembles the student sample below.

**W. 9 e Student sample Entire Lit Rev. (2024-25) (5).pdf**

**(6) CHECKLIST FOR SUBMISSION:** Review the following checklist as you prepare to submit.

**Checklist for the Literature Review (2) (1).docx**

—————————————————————————————————————————————————————–

**SUBMISSION REQUIREMENT TASKS**

**(1) CHECK YOUR SIMILARITY:**

· Submit your assignment into the CHECK YOUR SIMILARITY HERE folder

· Evaluate EVERY highlighted text EXCEPT the References Page and in-text citations to ensure it links only back to
your own work.

**(2) TAKE YOUR AI TEXT DETECTOR SCREENSHOT:**

· Paste your written text into this FREE AI Text Detector: Click here –>
[Scribbr AI Text Detector](https://www.scribbr.com/ai-detector/)

·
Take a screenshot of your text and the percentage
one for each objective summary written.

**(3) FINALIZE:** Make sure your screenshot looks like the screenshot below.

**SUBMISSION (3) Scribbr Screenshot (2).pdf**

**(4) SUBMIT:** Attach your AI screenshot(s) WITH your WORD document submission. You will be attaching 2 documents in the submission box:
**(1) the screenshot(s) first, then (2) your assignment**.

**## W.9SettingUpHeadingsStudentsampleEntireLitRev.2024-251.pdf**

1

Racial Disparities in Healthcare among Pregnant Women in the United States

Tamifer Lewis

Department of Public Health, Monroe College, King Graduate School

KG604-144: Graduate Research and Critical Analysis

Dr. Manya Bouteneff

December 4, 2022

2

Literature Review

Introduction to the Literature Review

Research suggests that racial disparities in healthcare among pregnant women persists in

the United States (Zhang et al. 2013). Due to this continuous occurrence, it is vital to examine

the factors that contribute to the adverse outcomes in maternal health. The literature review

contained only research articles about factors that impacted and influenced disparities in

pregnancy outcomes. Factors that were reviewed were socioeconomic status, public health

insurance, race/ethnicity, and poverty status. The literature review was conducted using EBSCO

Host and ProQuest databases from the Monroe College Library. The search terms used to

compile pertinent articles were racial disparities maternal health, adverse pregnancy outcomes,

and maternal health outcomes.

Review of the Literature

Adverse Pregnancy Outcome Factors

Darling et al. (2021) conducted a study between 2001 and 2018 to examine the efficiency

of qualified interventions in preterm birth, small for gestational age, low birth weight, neonatal

death, cesarean deliveries, maternal care satisfaction, and coast effectiveness programs. A

systematic review was used to collect data from the United States, France, Spain, and the

Netherlands. The studies consisted of mostly non- Caucasian women from low-income

population ranging from 12 to 46 years of age and being between 20 to 32 weeks' gestation.

Interventional programs were implemented into three categories: group prenatal care, augmented

prenatal care, or a combination of both group and augmented prenatal care (Darling et al. 2021).

The researchers found that certain interventions, such as prenatal care and augmented care, or a

combination of both, may decrease adverse outcomes in small-for-gestational-age and preterm

3

birth, and could aid in increasing maternal care satisfaction. Interventions that worked on

enhancing coordination of care were found to result in providing more effective cost savings.

The researchers also found disparities in the quality of access to care in the vulnerable

population. There was insufficient evidence of suitable quality to confirm that the interventions

were successful at enhancing clinical outcomes in prenatal care for at risk populations (Darling et

al. 2021).

Similar observations were made in a study conducted by Nichols and Cohen (2020),

between 2006 and 2018 to examine the methods used to improve the results of maternal

mortality in California. The study was conducted using a scoping review to evaluate research on

women and maternal health in the United States. The researchers used information from the US

Maternal Fetal Medicine Network to measure the percentage of studies where pregnant women,

women, and children were the main focus. The researchers also reviewed documentation on

healthcare policies and practices from California’s public health department, healthcare

foundation, and Maternal Quality Care Collaborative. Nichols and Cohen (2020) found that

although the health of fetus and children could be adversely affected by the health of the mother,

the majority of maternal programs in the United States places emphasis on the child. The

researchers also found four areas of concern in women health experiences, both in pre and

postnatal care. The problem areas entailed inadequate investment in women's health, inefficient

quality of care and avoidable caesarean delivers, expanding disparities in minority women and

women living in rural areas, and contradictory collection and distribution of data (Nichols and

Cohen, 2020).

4

Approaches to Improving Pregnancy Outcomes

In contrast to the preceding studies, Zhang et al. (2013) conducted a study between 2005

and 2007 to calculate the excessive rate of unfavorable outcomes in pregnancy within racial and

ethnic groups. The study also aimed to measure the possibility of Medicaid savings that are

linked to paid maternal care claims resulting from the inequalities that contribute to unfavorable

maternal outcomes. A cross-sectional study using Medicaid Analytic eXtract (MAX) data was

used to gather pregnancy outcome information from inpatient hospitals from 14 states (Florida,

Alabama, Arkansas, North Carolina, Georgia, Louisiana, Kentucky, Mississippi, Maryland,

Missouri, Tennessee, South Carolina, Virginia, and Texas). The study consisted of a little over 2

million patients who were insured with Medicaid and had a delivery code of maternal delivery

stay. Zhang et al. (2013) found that, with the exception of gestational diabetes, African American

women showed the worst outcomes out of all unfavorable pregnancy outcomes. These disparities

are postulated as being multi-factorial, having causes stemming from complicated experiences

with racism, poverty, and complex healthcare interactions. It was also found that women covered

under Medicaid health insurance were more likely to have consistency in care from prenatal care

through delivery compared to their counterparts. However, due to participation in Medicaid

programs being influenced by reimbursement rates, some providers may choose to stop

accepting Medicaid patients because of reimbursement delays and low payment rates, which

could contribute to negative birth outcomes (Zhang et al. 2013).

Analysis of the Literature

In the United States, the persistence of maternal mortality continues to be a problem area

in public health. The contributing factors that impact pregnancy outcomes persist in burdening

the U.S., leading to poor healthcare quality, and increasing health disparities. The studies used in

5

this literature review each used a different form of research methodology to collect data,

including systematic and scoping reviews and cross-sectional studies. Similarly, Darling et al.

(2021), Nichols and Cohen (2020), and Zhang et al. (2013) have emphasized the correlation

between race/ethnicity and financial status playing a part in influencing quality of care, access of

care, and pregnancy outcomes in pregnant minority women. To mitigate the disparities in

maternal health Darling et al. (2021) and Zhang et al. (2013) suggested that interventions should

be inspected and geared towards determining and eradicating the racial and ethnic disparities that

affect pregnancy-related outcomes. Whereas Nichols and Cohen (2020) suggested focusing on

exploring the distinctive experiences of particular at-risk subgroups of women, such as women in

prison, who are of childbearing age, and the pregnant women who are less likely to pursue

prenatal care, such as undocumented women.

6

References

Darling, E. K., Cody, K., Tubman-Broeren, M., & Marquez, O. (2021). The effect of prenatal

care delivery models targeting populations with low rates of PNC attendance: A

systematic review. Journal of Health Care for the Poor and Underserved, 32(1), 119-

136. https://www.proquest.com/scholarly-journals/effect-prenatal-care-delivery-models-

targeting/docview/2507722229/se-2

Nichols, C. R., & Cohen, A. K. (2021). Preventing maternal mortality in the United States:

Lessons from California and policy recommendations. Journal of Public Health Policy,

42(1), 127-144. https://doi.org/10.1057/s41271-020-00264-9

Rabin, R. C. (2019, May 8). Huge racial disparities persist in pregnancy-related deaths, and are

growing. New York Times, A20(L).

https://link.gale.com/apps/doc/A584694288/ITOF?u=nysl_me_moncol&sid=bookmark-

ITOF&xid=b9422ff9

Zhang, S., Cardarelli, K., Shim, R., Ye, J., Booker, K. L., & Rust, G. (2013). Racial disparities in

economic and clinical outcomes of pregnancy among Medicaid recipients. Maternal and

Child Health Journal, 17(8), 1518+.

https://link.gale.com/apps/doc/A344827866/PPNU?u=nysl_me_moncol&sid=bookmark-

PPNU&xid=51747d52

**W.11hStudentSampleDiscussion-3parts2024-25.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/w-11hstudentsamplediscussion-3parts2024-25-pdf-10225629)

**W.11hStudentSampleDiscussion-3parts2024-25.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/w-11hstudentsamplediscussion-3parts2024-25-pdf-10225629)

**## Part4ofPaper-Your3-partDiscussionW.10.docx**

**PREP TASKS**

**(1) READ:** This assignment is a working final document assignment where you will produce complete your 3-part Discussion, like taught in weeks 9 and 10 in class.

**(2) OPEN UP YOUR '**
**_WORKING DOCUMENT_' WE SAVED FOR W. 10's WORKSHOP:**

·
**a.** Rename this document as "W.10 – Working Final Exam Document" or similar.

**(3) PRE-SET YOUR LEVEL HEADERS:** Avoid mistakes later and use the sample below to help set up proper level headers in your submission. Pay attention to the HIGLIGHTED headers.

**W. 11 SET UP HEADINGS – Student Sample Discussion .pdf**

**(4) WORK ON YOUR SUBMISSION (3 PARTS):** See PPTs for Weeks 9 and 10 for further help.

· PART 1: Introduction

· PART 2: Recommendations from Research

· PART 3: Your recommendation — how you BRING TO LIFE one or more of the recommendations from research. Create an implementation plan and expected outcomes.

**(5) COMPARE WITH SAMPLE:** Confirm that your work resembles the student sample below.

**(W. 11) h Student Sample Discussion – 3 parts (2024-25).pdf**

—————————————————————————————————————————————————————–

**SUBMISSION REQUIREMENT TASKS**

**(1) CHECK YOUR SIMILARITY:**

· Submit your assignment into the CHECK YOUR SIMILARITY HERE folder

· Evaluate EVERY highlighted text EXCEPT the References Page and in-text citations to ensure it links only back to
your own work.

**(2) TAKE YOUR AI TEXT DETECTOR SCREENSHOT**
**OF NEWLY WRITTEN WORK:**

· Paste your written text into this FREE AI Text Detector: Click here –>
[Scribbr AI Text Detector](https://www.scribbr.com/ai-detector/)

·
Take a screenshot of your text and the percentage
**,** one for each 500 WORDS OF NEWLY WRITTEN TEXT.

**(3) SUBMIT:** Attach your AI screenshot(s) WITH your WORD document submission. You will be attaching 2 documents in the submission box:
**(1) the screenshot(s) first, then (2) your assignment**.

**## Completeliteraturereview.docx**

**STOP!**

You cannot complete this assignment successfully without completing your Review of Literature.

If you were absent, you are required to watch the missed class session.

Below is an additional resource on Literature Reviews, if you need assistance beyond the W. 8 PPT and class session: Click here –>
["Literature Review in 30 Minutes or Less"](https://www.youtube.com/watch?v=TdJxY4w9XKY)

——————————————————————————————————————-

**PREP TASKS**

**(1) READ:** This assignment is a working final document assignment where you will produce a literature review like taught in weeks 7 and 8 in class. (See PPTs and class recordings, if needed)

You are expected to demonstrate the following
**compounded skills from previous weeks:**

·
**APA 7 Basics**: double-spaced, before and after set to zero; 1 inch margins all around; Times New Roman, 12 pt font; page numbers, upper right in header

·
**Title & References pages**

·
**Narrative/parenthetical in-text citation control of single-sourced paragraphs**

·
**Transitional phrases**

·
**Paraphrasing**

·
**Literature Review:** Intro, Review of Literature, and Analysis of Literature

**(2) OPEN UP YOUR '**
**_WORKING DOCUMENT_' WE SAVED IN W. 7:**

·
**a.** Rename this document as "W.8 – Working Final Exam Document" or similar.

**(3) PRE-SET YOUR LEVEL HEADERS:** Avoid mistakes later and use the sample below to help you set up proper level headers in your working final document. Pay attention to the HIGLIGHTED parts.

**W. 9 Setting Up Headings, Student sample Entire Lit Rev. (2024-25).pdf**

**(4) WORK ON YOUR SUBMISSION (started in Workshop):**

· Introduction (6 sentences taught in this week's lesson)

· Review of Literature (W. 7)

· Analysis of Literature (use your EXCEL Research Tracker to compare and contrast what is the same and what is different among: WHY, HOW, and WHAT – for all articles. What are the limitations to each study? What gap exists?)

**(5) COMPARE WITH SAMPLE:** Confirm that your work resembles the student sample below.

**W. 9 e Student sample Entire Lit Rev. (2024-25) (5).pdf**

**(6) CHECKLIST FOR SUBMISSION:** Review the following checklist as you prepare to submit.

**Checklist for the Literature Review (2) (1).docx**

—————————————————————————————————————————————————————–

**SUBMISSION REQUIREMENT TASKS**

**(1) CHECK YOUR SIMILARITY:**

· Submit your assignment into the CHECK YOUR SIMILARITY HERE folder

· Evaluate EVERY highlighted text EXCEPT the References Page and in-text citations to ensure it links only back to
your own work.

**(2) TAKE YOUR AI TEXT DETECTOR SCREENSHOT:**

· Paste your written text into this FREE AI Text Detector: Click here –>
[Scribbr AI Text Detector](https://www.scribbr.com/ai-detector/)

·
Take a screenshot of your text and the percentage
one for each objective summary written.

**(3) FINALIZE:** Make sure your screenshot looks like the screenshot below.

**SUBMISSION (3) Scribbr Screenshot (2).pdf**

**(4) SUBMIT:** Attach your AI screenshot(s) WITH your WORD document submission. You will be attaching 2 documents in the submission box:
**(1) the screenshot(s) first, then (2) your assignment**.

**## W.9SettingUpHeadingsStudentsampleEntireLitRev.2024-251.pdf**

1

Racial Disparities in Healthcare among Pregnant Women in the United States

Tamifer Lewis

Department of Public Health, Monroe College, King Graduate School

KG604-144: Graduate Research and Critical Analysis

Dr. Manya Bouteneff

December 4, 2022

2

Literature Review

Introduction to the Literature Review

Research suggests that racial disparities in healthcare among pregnant women persists in

the United States (Zhang et al. 2013). Due to this continuous occurrence, it is vital to examine

the factors that contribute to the adverse outcomes in maternal health. The literature review

contained only research articles about factors that impacted and influenced disparities in

pregnancy outcomes. Factors that were reviewed were socioeconomic status, public health

insurance, race/ethnicity, and poverty status. The literature review was conducted using EBSCO

Host and ProQuest databases from the Monroe College Library. The search terms used to

compile pertinent articles were racial disparities maternal health, adverse pregnancy outcomes,

and maternal health outcomes.

Review of the Literature

Adverse Pregnancy Outcome Factors

Darling et al. (2021) conducted a study between 2001 and 2018 to examine the efficiency

of qualified interventions in preterm birth, small for gestational age, low birth weight, neonatal

death, cesarean deliveries, maternal care satisfaction, and coast effectiveness programs. A

systematic review was used to collect data from the United States, France, Spain, and the

Netherlands. The studies consisted of mostly non- Caucasian women from low-income

population ranging from 12 to 46 years of age and being between 20 to 32 weeks' gestation.

Interventional programs were implemented into three categories: group prenatal care, augmented

prenatal care, or a combination of both group and augmented prenatal care (Darling et al. 2021).

The researchers found that certain interventions, such as prenatal care and augmented care, or a

combination of both, may decrease adverse outcomes in small-for-gestational-age and preterm

3

birth, and could aid in increasing maternal care satisfaction. Interventions that worked on

enhancing coordination of care were found to result in providing more effective cost savings.

The researchers also found disparities in the quality of access to care in the vulnerable

population. There was insufficient evidence of suitable quality to confirm that the interventions

were successful at enhancing clinical outcomes in prenatal care for at risk populations (Darling et

al. 2021).

Similar observations were made in a study conducted by Nichols and Cohen (2020),

between 2006 and 2018 to examine the methods used to improve the results of maternal

mortality in California. The study was conducted using a scoping review to evaluate research on

women and maternal health in the United States. The researchers used information from the US

Maternal Fetal Medicine Network to measure the percentage of studies where pregnant women,

women, and children were the main focus. The researchers also reviewed documentation on

healthcare policies and practices from California’s public health department, healthcare

foundation, and Maternal Quality Care Collaborative. Nichols and Cohen (2020) found that

although the health of fetus and children could be adversely affected by the health of the mother,

the majority of maternal programs in the United States places emphasis on the child. The

researchers also found four areas of concern in women health experiences, both in pre and

postnatal care. The problem areas entailed inadequate investment in women's health, inefficient

quality of care and avoidable caesarean delivers, expanding disparities in minority women and

women living in rural areas, and contradictory collection and distribution of data (Nichols and

Cohen, 2020).

4

Approaches to Improving Pregnancy Outcomes

In contrast to the preceding studies, Zhang et al. (2013) conducted a study between 2005

and 2007 to calculate the excessive rate of unfavorable outcomes in pregnancy within racial and

ethnic groups. The study also aimed to measure the possibility of Medicaid savings that are

linked to paid maternal care claims resulting from the inequalities that contribute to unfavorable

maternal outcomes. A cross-sectional study using Medicaid Analytic eXtract (MAX) data was

used to gather pregnancy outcome information from inpatient hospitals from 14 states (Florida,

Alabama, Arkansas, North Carolina, Georgia, Louisiana, Kentucky, Mississippi, Maryland,

Missouri, Tennessee, South Carolina, Virginia, and Texas). The study consisted of a little over 2

million patients who were insured with Medicaid and had a delivery code of maternal delivery

stay. Zhang et al. (2013) found that, with the exception of gestational diabetes, African American

women showed the worst outcomes out of all unfavorable pregnancy outcomes. These disparities

are postulated as being multi-factorial, having causes stemming from complicated experiences

with racism, poverty, and complex healthcare interactions. It was also found that women covered

under Medicaid health insurance were more likely to have consistency in care from prenatal care

through delivery compared to their counterparts. However, due to participation in Medicaid

programs being influenced by reimbursement rates, some providers may choose to stop

accepting Medicaid patients because of reimbursement delays and low payment rates, which

could contribute to negative birth outcomes (Zhang et al. 2013).

Analysis of the Literature

In the United States, the persistence of maternal mortality continues to be a problem area

in public health. The contributing factors that impact pregnancy outcomes persist in burdening

the U.S., leading to poor healthcare quality, and increasing health disparities. The studies used in

5

this literature review each used a different form of research methodology to collect data,

including systematic and scoping reviews and cross-sectional studies. Similarly, Darling et al.

(2021), Nichols and Cohen (2020), and Zhang et al. (2013) have emphasized the correlation

between race/ethnicity and financial status playing a part in influencing quality of care, access of

care, and pregnancy outcomes in pregnant minority women. To mitigate the disparities in

maternal health Darling et al. (2021) and Zhang et al. (2013) suggested that interventions should

be inspected and geared towards determining and eradicating the racial and ethnic disparities that

affect pregnancy-related outcomes. Whereas Nichols and Cohen (2020) suggested focusing on

exploring the distinctive experiences of particular at-risk subgroups of women, such as women in

prison, who are of childbearing age, and the pregnant women who are less likely to pursue

prenatal care, such as undocumented women.

6

References

Darling, E. K., Cody, K., Tubman-Broeren, M., & Marquez, O. (2021). The effect of prenatal

care delivery models targeting populations with low rates of PNC attendance: A

systematic review. Journal of Health Care for the Poor and Underserved, 32(1), 119-

136. https://www.proquest.com/scholarly-journals/effect-prenatal-care-delivery-models-

targeting/docview/2507722229/se-2

Nichols, C. R., & Cohen, A. K. (2021). Preventing maternal mortality in the United States:

Lessons from California and policy recommendations. Journal of Public Health Policy,

42(1), 127-144. https://doi.org/10.1057/s41271-020-00264-9

Rabin, R. C. (2019, May 8). Huge racial disparities persist in pregnancy-related deaths, and are

growing. New York Times, A20(L).

https://link.gale.com/apps/doc/A584694288/ITOF?u=nysl_me_moncol&sid=bookmark-

ITOF&xid=b9422ff9

Zhang, S., Cardarelli, K., Shim, R., Ye, J., Booker, K. L., & Rust, G. (2013). Racial disparities in

economic and clinical outcomes of pregnancy among Medicaid recipients. Maternal and

Child Health Journal, 17(8), 1518+.

https://link.gale.com/apps/doc/A344827866/PPNU?u=nysl_me_moncol&sid=bookmark-

PPNU&xid=51747d52

**W.11hStudentSampleDiscussion-3parts2024-25.pdf**

This file is too large to display. [View in new window](https://www.sweetstudy.com/files/w-11hstudentsamplediscussion-3parts2024-25-pdf-10225629)

**## Part4ofPaper-Your3-partDiscussionW.10.docx**

**PREP TASKS**

**(1) READ:** This assignment is a working final document assignment where you will produce complete your 3-part Discussion, like taught in weeks 9 and 10 in class.

**(2) OPEN UP YOUR '**
**_WORKING DOCUMENT_' WE SAVED FOR W. 10's WORKSHOP:**

·
**a.** Rename this document as "W.10 – Working Final Exam Document" or similar.

**(3) PRE-SET YOUR LEVEL HEADERS:** Avoid mistakes later and use the sample below to help set up proper level headers in your submission. Pay attention to the HIGLIGHTED headers.

**W. 11 SET UP HEADINGS – Student Sample Discussion .pdf**

**(4) WORK ON YOUR SUBMISSION (3 PARTS):** See PPTs for Weeks 9 and 10 for further help.

· PART 1: Introduction

· PART 2: Recommendations from Research

· PART 3: Your recommendation — how you BRING TO LIFE one or more of the recommendations from research. Create an implementation plan and expected outcomes.

**(5) COMPARE WITH SAMPLE:** Confirm that your work resembles the student sample below.

**(W. 11) h Student Sample Discussion – 3 parts (2024-25).pdf**

—————————————————————————————————————————————————————–

**SUBMISSION REQUIREMENT TASKS**

**(1) CHECK YOUR SIMILARITY:**

· Submit your assignment into the CHECK YOUR SIMILARITY HERE folder

· Evaluate EVERY highlighted text EXCEPT the References Page and in-text citations to ensure it links only back to
your own work.

**(2) TAKE YOUR AI TEXT DETECTOR SCREENSHOT**
**OF NEWLY WRITTEN WORK:**

· Paste your written text into this FREE AI Text Detector: Click here –>
[Scribbr AI Text Detector](https://www.scribbr.com/ai-detector/)

·
Take a screenshot of your text and the percentage
**,** one for each 500 WORDS OF NEWLY WRITTEN TEXT.

**(3) SUBMIT:** Attach your AI screenshot(s) WITH your WORD document submission. You will be attaching 2 documents in the submission box:
**(1) the screenshot(s) first, then (2) your assignment**.

**## Completeliteraturereview.docx**

**STOP!**

You cannot complete this assignment successfully without completing your Review of Literature.

If you were absent, you are required to watch the missed class session.

Below is an additional resource on Literature Reviews, if you need assistance beyond the W. 8 PPT and class session: Click here –>
["Literature Review in 30 Minutes or Less"](https://www.youtube.com/watch?v=TdJxY4w9XKY)

——————————————————————————————————————-

**PREP TASKS**

**(1) READ:** This assignment is a working final document assignment where you will produce a literature review like taught in weeks 7 and 8 in class. (See PPTs and class recordings, if needed)

You are expected to demonstrate the following
**compounded skills from previous weeks:**

·
**APA 7 Basics**: double-spaced, before and after set to zero; 1 inch margins all around; Times New Roman, 12 pt font; page numbers, upper right in header

·
**Title & References pages**

·
**Narrative/parenthetical in-text citation control of single-sourced paragraphs**

·
**Transitional phrases**

·
**Paraphrasing**

·
**Literature Review:** Intro, Review of Literature, and Analysis of Literature

**(2) OPEN UP YOUR '**
**_WORKING DOCUMENT_' WE SAVED IN W. 7:**

·
**a.** Rename this document as "W.8 – Working Final Exam Document" or similar.

**(3) PRE-SET YOUR LEVEL HEADERS:** Avoid mistakes later and use the sample below to help you set up proper level headers in your working final document. Pay attention to the HIGLIGHTED parts.

**W. 9 Setting Up Headings, Student sample Entire Lit Rev. (2024-25).pdf**

**(4) WORK ON YOUR SUBMISSION (started in Workshop):**

· Introduction (6 sentences taught in this week's lesson)

· Review of Literature (W. 7)

· Analysis of Literature (use your EXCEL Research Tracker to compare and contrast what is the same and what is different among: WHY, HOW, and WHAT – for all articles. What are the limitations to each study? What gap exists?)

**(5) COMPARE WITH SAMPLE:** Confirm that your work resembles the student sample below.

**W. 9 e Student sample Entire Lit Rev. (2024-25) (5).pdf**

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**## W.9SettingUpHeadingsStudentsampleEntireLitRev.2024-251.pdf**

1

Racial Disparities in Healthcare among Pregnant Women in the United States

Tamifer Lewis

Department of Public Health, Monroe College, King Graduate School

KG604-144: Graduate Research and Critical Analysis

Dr. Manya Bouteneff

December 4, 2022

2

Literature Review

Introduction to the Literature Review

Research suggests that racial disparities in healthcare among pregnant women persists in

the United States (Zhang et al. 2013). Due to this continuous occurrence, it is vital to examine

the factors that contribute to the adverse outcomes in maternal health. The literature review

contained only research articles about factors that impacted and influenced disparities in

pregnancy outcomes. Factors that were reviewed were socioeconomic status, public health

insurance, race/ethnicity, and poverty status. The literature review was conducted using EBSCO

Host and ProQuest databases from the Monroe College Library. The search terms used to

compile pertinent articles were racial disparities maternal health, adverse pregnancy outcomes,

and maternal health outcomes.

Review of the Literature

Adverse Pregnancy Outcome Factors

Darling et al. (2021) conducted a study between 2001 and 2018 to examine the efficiency

of qualified interventions in preterm birth, small for gestational age, low birth weight, neonatal

death, cesarean deliveries, maternal care satisfaction, and coast effectiveness programs. A

systematic review was used to collect data from the United States, France, Spain, and the

Netherlands. The studies consisted of mostly non- Caucasian women from low-income

population ranging from 12 to 46 years of age and being between 20 to 32 weeks' gestation.

Interventional programs were implemented into three categories: group prenatal care, augmented

prenatal care, or a combination of both group and augmented prenatal care (Darling et al. 2021).

The researchers found that certain interventions, such as prenatal care and augmented care, or a

combination of both, may decrease adverse outcomes in small-for-gestational-age and preterm

3

birth, and could aid in increasing maternal care satisfaction. Interventions that worked on

enhancing coordination of care were found to result in providing more effective cost savings.

The researchers also found disparities in the quality of access to care in the vulnerable

population. There was insufficient evidence of suitable quality to confirm that the interventions

were successful at enhancing clinical outcomes in prenatal care for at risk populations (Darling et

al. 2021).

Similar observations were made in a study conducted by Nichols and Cohen (2020),

between 2006 and 2018 to examine the methods used to improve the results of maternal

mortality in California. The study was conducted using a scoping review to evaluate research on

women and maternal health in the United States. The researchers used information from the US

Maternal Fetal Medicine Network to measure the percentage of studies where pregnant women,

women, and children were the main focus. The researchers also reviewed documentation on

healthcare policies and practices from California’s public health department, healthcare

foundation, and Maternal Quality Care Collaborative. Nichols and Cohen (2020) found that

although the health of fetus and children could be adversely affected by the health of the mother,

the majority of maternal programs in the United States places emphasis on the child. The

researchers also found four areas of concern in women health experiences, both in pre and

postnatal care. The problem areas entailed inadequate investment in women's health, inefficient

quality of care and avoidable caesarean delivers, expanding disparities in minority women and

women living in rural areas, and contradictory collection and distribution of data (Nichols and

Cohen, 2020).

4

Approaches to Improving Pregnancy Outcomes

In contrast to the preceding studies, Zhang et al. (2013) conducted a study between 2005

and 2007 to calculate the excessive rate of unfavorable outcomes in pregnancy within racial and

ethnic groups. The study also aimed to measure the possibility of Medicaid savings that are

linked to paid maternal care claims resulting from the inequalities that contribute to unfavorable

maternal outcomes. A cross-sectional study using Medicaid Analytic eXtract (MAX) data was

used to gather pregnancy outcome information from inpatient hospitals from 14 states (Florida,

Alabama, Arkansas, North Carolina, Georgia, Louisiana, Kentucky, Mississippi, Maryland,

Missouri, Tennessee, South Carolina, Virginia, and Texas). The study consisted of a little over 2

million patients who were insured with Medicaid and had a delivery code of maternal delivery

stay. Zhang et al. (2013) found that, with the exception of gestational diabetes, African American

women showed the worst outcomes out of all unfavorable pregnancy outcomes. These disparities

are postulated as being multi-factorial, having causes stemming from complicated experiences

with racism, poverty, and complex healthcare interactions. It was also found that women covered

under Medicaid health insurance were more likely to have consistency in care from prenatal care

through delivery compared to their counterparts. However, due to participation in Medicaid

programs being influenced by reimbursement rates, some providers may choose to stop

accepting Medicaid patients because of reimbursement delays and low payment rates, which

could contribute to negative birth outcomes (Zhang et al. 2013).

Analysis of the Literature

In the United States, the persistence of maternal mortality continues to be a problem area

in public health. The contributing factors that impact pregnancy outcomes persist in burdening

the U.S., leading to poor healthcare quality, and increasing health disparities. The studies used in

5

this literature review each used a different form of research methodology to collect data,

including systematic and scoping reviews and cross-sectional studies. Similarly, Darling et al.

(2021), Nichols and Cohen (2020), and Zhang et al. (2013) have emphasized the correlation

between race/ethnicity and financial status playing a part in influencing quality of care, access of

care, and pregnancy outcomes in pregnant minority women. To mitigate the disparities in

maternal health Darling et al. (2021) and Zhang et al. (2013) suggested that interventions should

be inspected and geared towards determining and eradicating the racial and ethnic disparities that

affect pregnancy-related outcomes. Whereas Nichols and Cohen (2020) suggested focusing on

exploring the distinctive experiences of particular at-risk subgroups of women, such as women in

prison, who are of childbearing age, and the pregnant women who are less likely to pursue

prenatal care, such as undocumented women.

6

References

Darling, E. K., Cody, K., Tubman-Broeren, M., & Marquez, O. (2021). The effect of prenatal

care delivery models targeting populations with low rates of PNC attendance: A

systematic review. Journal of Health Care for the Poor and Underserved, 32(1), 119-

136. https://www.proquest.com/scholarly-journals/effect-prenatal-care-delivery-models-

targeting/docview/2507722229/se-2

Nichols, C. R., & Cohen, A. K. (2021). Preventing maternal mortality in the United States:

Lessons from California and policy recommendations. Journal of Public Health Policy,

42(1), 127-144. https://doi.org/10.1057/s41271-020-00264-9

Rabin, R. C. (2019, May 8). Huge racial disparities persist in pregnancy-related deaths, and are

growing. New York Times, A20(L).

https://link.gale.com/apps/doc/A584694288/ITOF?u=nysl_me_moncol&sid=bookmark-

ITOF&xid=b9422ff9

Zhang, S., Cardarelli, K., Shim, R., Ye, J., Booker, K. L., & Rust, G. (2013). Racial disparities in

economic and clinical outcomes of pregnancy among Medicaid recipients. Maternal and

Child Health Journal, 17(8), 1518+.

https://link.gale.com/apps/doc/A344827866/PPNU?u=nysl_me_moncol&sid=bookmark-

PPNU&xid=51747d52

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