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How does health visiting in the first year of life vary by family characteristics? A longitudinal analysis of administrative data.
Bunting, C; Clery, A; McGrath-Lone, L; Liu, M; Kendall, S; Bedford, H; Cavallaro, F; Saloniki, E C; Harron, K; Woodman, J.
Afiliación
  • Bunting C; UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.
  • Clery A; UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.
  • McGrath-Lone L; Social Research Institute, University College London, London WC1H 0AA, UK.
  • Liu M; UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.
  • Kendall S; Centre for Health Services Studies, University of Kent, Canterbury CT2 7NF, UK.
  • Bedford H; UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.
  • Cavallaro F; Data Analytics Team, The Health Foundation, London EC4Y 8AP, UK.
  • Saloniki EC; Department of Primary Care and Population Health, University College London, London NW3 2PF, UK.
  • Harron K; Research Partnership Team, National Institute for Health and Care Research Applied Research Collaboration North Thames, London W1T 7HA, UK.
  • Woodman J; UCL Great Ormond Street Institute of Child Health, University College London, London WC1N 1EH, UK.
J Public Health (Oxf) ; 2024 Sep 16.
Article en En | MEDLINE | ID: mdl-39285663
ABSTRACT

BACKGROUND:

The health visiting service in UK promotes the health and wellbeing of families with young children and comprises a universal offer (three mandated contacts between birth and 12 months) and additional contacts based on need. We aimed to understand how the level of health visiting support received varies by family characteristics.

METHODS:

Using the Community Services Data Set linked to Hospital Episode Statistics, we identified 52 555 children in 10 local authorities with complete health visiting data for 12 months between April 2016 and March 2020. We analysed variation in health visiting contacts by deprivation, child ethnicity, maternal age, adversity and previous live births.

RESULTS:

41 340/52 555 children (79%) received the universal service; 63% received ≥1 additional contact and 25% received ≥3 additional contacts. The likelihood of receiving ≥3 additional contacts was greatest for children whose mothers had a history of hospital admissions relating to mental health, violence, self-harm or substance misuse (adjusted relative risk = 1.55, 95% confidence interval 1.26-1.92).

CONCLUSIONS:

Most families received health visiting support in addition to the universal service. Policymakers and commissioners should consider how health visiting services can be expanded or targeted more effectively to ensure all families receive the support they need.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Public Health (Oxf) Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: J Public Health (Oxf) Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido