Scott A Lorch
Biographic Data
| ID | 5059288 |
|---|---|
| NAME | Scott A Lorch |
| GIVEN NAMES | Scott A |
| FAMILY NAME | Lorch |
| SIGNATURE | LORCH S A |
| AFFILIATIONS | Children's Hospital of Philadelphia |
| ORCID | 0000-0003-3855-6752 |
| VERIFIED | Yes |
| TOTAL WORKS | 19 |
| TOTAL CITATIONS | 1 |
| WORKS AS AUTHOR | 19 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2011 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 1 |
Supplemental Nutrition Assistance Program Policies and Food Insecurity
In this cross-sectional study, adoption of state-level policies associated with higher SNAP participation was also associated with lower county-level FI rates. Policies that lower barriers to SNAP participation may help address rising FI rates observed in 2022 and 2023
Risk-Appropriate Childbirth Care Among Higher-Risk Pregnant Rural Residents
In this study, lack of risk-appropriate care was common for pregnant rural residents with clinical complexity. Associated factors, including race, ethnicity, insurance, age, education, and distance, highlight the barriers and need for increasing access to subspecialty care for pregnant rural residents
Contribution of Maternal Age to Increasing Severe Maternal Morbidity During Birth and Up to 1 Year Postpartum
Perinatal Resources and Wildfire Smoke
BACKGROUND: Pregnant people and infants are vulnerable to wildfire smoke. However, the availability of perinatal resources in communities impacted by smoke is unknown. OBJECTIVE: Describe perinatal resources in counties prone to wildfire smoke. RESEARCH STUDY DESIGN: Smoke data came from the Hazard Mapping System and perinatal resources were gathered from various sources. Choropleth maps described the geographic distribution of smoke. Unadjusted …
Philadelphia Latine Immigrant Birthing People’s Perspectives on Mitigating the Chilling Effect on Prenatal Care Utilization
RESEARCH DESIGN: Community-engaged qualitative study using inductive thematic analysis of semistructured interviews. OBJECTIVE: To understand Latine immigrants' recent prenatal care experiences and develop community-informed strategies to mitigate policy-related chilling effects on prenatal care utilization. BACKGROUND: Decreased health care utilization among immigrants due to punitive immigration policies (ie, the "chilling effect") has been wel…
National Variation in Black Immigrant Preterm Births and the Role of County-Level Social Factors
Preterm birth rates among Black individuals continue to be inequitably high in the USA. Black immigrants appear to have a preterm birth advantage over US-born counterparts. This national cross-sectional study of singleton non-Hispanic Black individuals in the USA from 2011 to 2018 aimed to investigate if the Black immigrant preterm birth advantage varied geographically and how this advantage associated with county-level social drivers of health. …
Obstetric Volume and Severe Maternal Morbidity Among Low-Risk and Higher-Risk Patients Giving Birth at Rural and Urban US Hospitals
In this cross-sectional study of births in US rural and urban counties, risk of SMM was elevated for low-risk and higher-risk obstetric patients who gave birth in lower-volume hospitals in rural counties, compared with similar patients who gave birth at rural hospitals with greater than 460 annual births. These findings imply a need for tailored quality improvement strategies for lower volume hospitals in rural communities
Acceptability of Dyad Care Management After Preterm Birth
A Comprehensive Analysis of the Costs of Severe Maternal Morbidity
Preventive Health Care Utilization Among Mother-infant Dyads With Medicaid Insurance in the Year Following Birth
BACKGROUND: Following birth, women may access preventive care in adult settings or, with their infants, in pediatric settings. Preventive care can improve future birth outcomes and long-term health, particularly for women with health risks. METHODS: This cohort study linked mother-infant Medicaid claims from 12 states for 2007-2011 births. Pregnancy claims identified health risk categories: maternal cardiovascular (diabetes, hypertension, pre-ecl…
Global, regional, and national age-sex-specific mortality and life expectancy, 1950–2017
BACKGROUND: Assessments of age-specific mortality and life expectancy have been done by the UN Population Division, Department of Economics and Social Affairs (UNPOP), the United States Census Bureau, WHO, and as part of previous iterations of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD). Previous iterations of the GBD used population estimates from UNPOP, which were not derived in a way that was internally consistent wit…
Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations
BACKGROUND: A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthc…
Mental Health of Mothers of Infants with Neonatal Abstinence Syndrome and Prenatal Opioid Exposure
Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015
BACKGROUND: National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor …
Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970–2016
BACKGROUND: Detailed assessments of mortality patterns, particularly age-specific mortality, represent a crucial input that enables health systems to target interventions to specific populations. Understanding how all-cause mortality has changed with respect to development status can identify exemplars for best practice. To accomplish this, the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) estimated age-specific and …
Trends in Childbirth Before 39 Weeks’ Gestation Without Medical Indication
BACKGROUND: There is increasing attention to labor induction and cesarean delivery occurring at 37 0/7-38 6/7 weeks' gestation (early-term) without medical indication. OBJECTIVE: To measure prevalence, change over time, patient characteristics, and infant outcomes associated with early-term nonindicated births. RESEARCH DESIGN AND SUBJECTS: Retrospective analysis using linked hospital discharge and birth certificate data for the 7,296,363 uncompl…
Predictors and Adverse Pregnancy Outcomes Associated with Antepartum Discharge Against Medical Advice
Factors That Mediate Racial/Ethnic Disparities in US Fetal Death Rates
Objectives. We sought to determine the importance of socioeconomic factors, maternal comorbid conditions, antepartum and intrapartum complications of pregnancy, and fetal factors in mediating racial disparities in fetal deaths. Methods. We undertook a mediation analysis on a retrospective cohort study of hospital-based deliveries with a gestational age between 23 and 44 weeks in California, Missouri, and Pennsylvania from 1993 to 2005 (n = 7 104 …
Subjective Social Status and Maternal Health in a Low Income Urban Population
Factors That Mediate Racial/Ethnic Disparities in US Fetal Death Rates
Objectives. We sought to determine the importance of socioeconomic factors, maternal comorbid conditions, antepartum and intrapartum complications of pregnancy, and fetal factors in mediating racial disparities in fetal deaths. Methods. We undertook a mediation analysis on a retrospective cohort study of hospital-based deliveries with a gestational age between 23 and 44 weeks in California, Missouri, and Pennsylvania from 1993 to 2005 (n = 7 104 …
Subjective Social Status and Maternal Health in a Low Income Urban Population
Factors That Mediate Racial/Ethnic Disparities in US Fetal Death Rates
Objectives. We sought to determine the importance of socioeconomic factors, maternal comorbid conditions, antepartum and intrapartum complications of pregnancy, and fetal factors in mediating racial disparities in fetal deaths. Methods. We undertook a mediation analysis on a retrospective cohort study of hospital-based deliveries with a gestational age between 23 and 44 weeks in California, Missouri, and Pennsylvania from 1993 to 2005 (n = 7 104 …
Predictors and Adverse Pregnancy Outcomes Associated with Antepartum Discharge Against Medical Advice
Trends in Childbirth Before 39 Weeks’ Gestation Without Medical Indication
BACKGROUND: There is increasing attention to labor induction and cesarean delivery occurring at 37 0/7-38 6/7 weeks' gestation (early-term) without medical indication. OBJECTIVE: To measure prevalence, change over time, patient characteristics, and infant outcomes associated with early-term nonindicated births. RESEARCH DESIGN AND SUBJECTS: Retrospective analysis using linked hospital discharge and birth certificate data for the 7,296,363 uncompl…
Healthcare Access and Quality Index based on mortality from causes amenable to personal health care in 195 countries and territories, 1990–2015
BACKGROUND: National levels of personal health-care access and quality can be approximated by measuring mortality rates from causes that should not be fatal in the presence of effective medical care (ie, amenable mortality). Previous analyses of mortality amenable to health care only focused on high-income countries and faced several methodological challenges. In the present analysis, we use the highly standardised cause of death and risk factor …
Global, regional, and national under-5 mortality, adult mortality, age-specific mortality, and life expectancy, 1970–2016
BACKGROUND: Detailed assessments of mortality patterns, particularly age-specific mortality, represent a crucial input that enables health systems to target interventions to specific populations. Understanding how all-cause mortality has changed with respect to development status can identify exemplars for best practice. To accomplish this, the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) estimated age-specific and …
Global, regional, and national age-sex-specific mortality and life expectancy, 1950–2017
BACKGROUND: Assessments of age-specific mortality and life expectancy have been done by the UN Population Division, Department of Economics and Social Affairs (UNPOP), the United States Census Bureau, WHO, and as part of previous iterations of the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD). Previous iterations of the GBD used population estimates from UNPOP, which were not derived in a way that was internally consistent wit…
Measuring performance on the Healthcare Access and Quality Index for 195 countries and territories and selected subnational locations
BACKGROUND: A key component of achieving universal health coverage is ensuring that all populations have access to quality health care. Examining where gains have occurred or progress has faltered across and within countries is crucial to guiding decisions and strategies for future improvement. We used the Global Burden of Diseases, Injuries, and Risk Factors Study 2016 (GBD 2016) to assess personal health-care access and quality with the Healthc…
Mental Health of Mothers of Infants with Neonatal Abstinence Syndrome and Prenatal Opioid Exposure
Preventive Health Care Utilization Among Mother-infant Dyads With Medicaid Insurance in the Year Following Birth
BACKGROUND: Following birth, women may access preventive care in adult settings or, with their infants, in pediatric settings. Preventive care can improve future birth outcomes and long-term health, particularly for women with health risks. METHODS: This cohort study linked mother-infant Medicaid claims from 12 states for 2007-2011 births. Pregnancy claims identified health risk categories: maternal cardiovascular (diabetes, hypertension, pre-ecl…
A Comprehensive Analysis of the Costs of Severe Maternal Morbidity
Obstetric Volume and Severe Maternal Morbidity Among Low-Risk and Higher-Risk Patients Giving Birth at Rural and Urban US Hospitals
In this cross-sectional study of births in US rural and urban counties, risk of SMM was elevated for low-risk and higher-risk obstetric patients who gave birth in lower-volume hospitals in rural counties, compared with similar patients who gave birth at rural hospitals with greater than 460 annual births. These findings imply a need for tailored quality improvement strategies for lower volume hospitals in rural communities
Acceptability of Dyad Care Management After Preterm Birth
Philadelphia Latine Immigrant Birthing People’s Perspectives on Mitigating the Chilling Effect on Prenatal Care Utilization
RESEARCH DESIGN: Community-engaged qualitative study using inductive thematic analysis of semistructured interviews. OBJECTIVE: To understand Latine immigrants' recent prenatal care experiences and develop community-informed strategies to mitigate policy-related chilling effects on prenatal care utilization. BACKGROUND: Decreased health care utilization among immigrants due to punitive immigration policies (ie, the "chilling effect") has been wel…
National Variation in Black Immigrant Preterm Births and the Role of County-Level Social Factors
Preterm birth rates among Black individuals continue to be inequitably high in the USA. Black immigrants appear to have a preterm birth advantage over US-born counterparts. This national cross-sectional study of singleton non-Hispanic Black individuals in the USA from 2011 to 2018 aimed to investigate if the Black immigrant preterm birth advantage varied geographically and how this advantage associated with county-level social drivers of health. …
Supplemental Nutrition Assistance Program Policies and Food Insecurity
In this cross-sectional study, adoption of state-level policies associated with higher SNAP participation was also associated with lower county-level FI rates. Policies that lower barriers to SNAP participation may help address rising FI rates observed in 2022 and 2023
Risk-Appropriate Childbirth Care Among Higher-Risk Pregnant Rural Residents
In this study, lack of risk-appropriate care was common for pregnant rural residents with clinical complexity. Associated factors, including race, ethnicity, insurance, age, education, and distance, highlight the barriers and need for increasing access to subspecialty care for pregnant rural residents
Contribution of Maternal Age to Increasing Severe Maternal Morbidity During Birth and Up to 1 Year Postpartum
Perinatal Resources and Wildfire Smoke
BACKGROUND: Pregnant people and infants are vulnerable to wildfire smoke. However, the availability of perinatal resources in communities impacted by smoke is unknown. OBJECTIVE: Describe perinatal resources in counties prone to wildfire smoke. RESEARCH STUDY DESIGN: Smoke data came from the Hazard Mapping System and perinatal resources were gathered from various sources. Choropleth maps described the geographic distribution of smoke. Unadjusted …
Medicine (16 works) · Population (10 works) · Environmental health (9 works) · Maternal and Perinatal Health Interventions (8 works) · Pregnancy (8 works) · Demography (7 works) · Global Maternal and Child Health (7 works) · Maternal Mental Health During Pregnancy and Postpartum (6 works) · Burden of disease (4 works) · Geography (4 works)