Association of maternal and community factors with enrollment in home visiting among at-risk, first-time mothers

American Journal of Public Health
Neera K GoyalJudith B Van Ginkel

Abstract

We identified individual and contextual factors associated with referral and enrollment in home visiting among at-risk, first-time mothers. We retrospectively studied referral and enrollment in a regional home visiting program from 2007 to 2009 in Hamilton County, Ohio. Using linked vital statistics and census tract data, we obtained individual and community measures on first-time mothers meeting eligibility criteria for home visiting (low income, unmarried, or age < 18 years). Generalized linear modeling was performed to determine factors associated with relative risk (RR) of (1) referral to home visiting among eligible mothers and (2) enrollment after referral. Of 8187 first-time mothers eligible for home visiting, 2775 were referred and 1543 were enrolled. Among referred women, high school completion (RR = 1.10) and any college (RR = 1.17) compared with no high school completion were associated with increased enrollment, and enrollment was less likely for those living in communities with higher socioeconomic deprivation (RR = 0.71; P < .05). Barriers to enrollment in home visiting persisted at multiple ecological levels. Ongoing evaluation of enrollment in at-risk populations is critical as home visiting programs are impleme...Continue Reading

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Citations

Aug 22, 2015·Prevention Science : the Official Journal of the Society for Prevention Research·Alonzo T FolgerRobert T Ammerman
Feb 26, 2016·Journal of Epidemiology and Community Health·Neera K GoyalRobert T Ammerman
Nov 26, 2014·Western Journal of Nursing Research·Omar M Al-RawajfahJeanne Beauchamp Hewitt
Dec 25, 2017·Maternal and Child Health Journal·Eric S HallKeith Marsolo
May 12, 2017·Journal of Perinatology : Official Journal of the California Perinatal Association·E S HallJ M Greenberg
May 30, 2019·The European Journal of Health Economics : HEPAC : Health Economics in Prevention and Care·Jemimah Ride
Oct 14, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·N K GoyalR T Ammerman
May 22, 2020·Prevention Science : the Official Journal of the Society for Prevention Research·Kelly M BowerDeborah Gross
Jun 13, 2021·Prevention Science : the Official Journal of the Society for Prevention Research·Venice Ng WilliamsGregory Jackson Tung

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