A comparison of the outcomes of families with children aged less than 2 who received universal versus sustained nurse home visiting services in Korea: a cross-sectional study

• 발행기관: 한국역학회
• 저자명: Yu-Mi Kim Sun Hwa Park Kyung Ja June Sung-Hyun Cho Ji Yun Lee Hong-Jun Cho Young-Ho Khang
• 간행물 정보: 『Epidemiology and Health』47, 1~28쪽, 전체 28쪽
• 주제분류: 의약학 > 면역학
• 파일형태: PDF
• 발행일자: 2025.01.31

국문 초록

Objectives This study aimed to compare maternal outcomes and the home environment between non‑vulnerable families with children under 2 receiving universal home visiting services and vulnerable families receiving sustained home visiting services. Methods This study was conducted in Seoul, Korea, where the country’s first nurse‑led early childhood home visiting program was introduced. A total of 551 mother‑child dyads participated in cross‑sectional surveys conducted at various child ages (6±2 weeks, 6±1 months, 12±1 months, and 24±1 months). Universal home visiting services were provided within six weeks postpartum to non‑vulnerable families, while vulnerable families received sustained services consisting of 25 visits over 24 months. Maternal knowledge of sudden infant death syndrome (SIDS) and childcare, maternal distress, and the Korean Infant‑Toddler Home Observation for Measurement of Environment (K‑IT‑HOME) were assessed. Results Overall, the universal home visitation group demonstrated higher levels of maternal knowledge regarding SIDS and childcare compared to the sustained home visitation group (all p-values < 0.05), while the sustained home visitation group reported higher levels of maternal distress p<0.0001). The total K‑IT‑HOME score was 1.47 points higher in the universal home visitation group than in the sustained home visitation group (p<0.0001). No significant differences were observed in the acceptance, organization, or involvement subscales of the K‑IT‑HOME (all p-values > 0.05). Conclusions This study demonstrated that disparities in maternal outcomes and home environments persisted in early childhood between the sustained and universal home visitation groups.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

CONCLUSIONS

REFERENCES

키워드

Maternal-child health service Home visits Nurse Home environment Cross-sectional study