Unique Profiles of Postpartum Family Needs and Evidence of Racial and Ethnic Disparities: Insights from Community Implementation of Family Connects.

Autor: Bai Y; Sanford School of Public Policy, Duke University, 201 Science Drive, Durham, NC, 27708, USA. yb17@duke.edu., Milojevich H; Sanford School of Public Policy, Duke University, 201 Science Drive, Durham, NC, 27708, USA., Dodge KA; Sanford School of Public Policy, Duke University, 201 Science Drive, Durham, NC, 27708, USA., Benjamin Goodman W; Sanford School of Public Policy, Duke University, 201 Science Drive, Durham, NC, 27708, USA., O'Donnell K; Center for Child & Family Health, Duke University, 3518 Westgate Drive, Durham, NC, 27710, USA.
Jazyk: angličtina
Zdroj: Journal of racial and ethnic health disparities [J Racial Ethn Health Disparities] 2024 Apr 29. Date of Electronic Publication: 2024 Apr 29.
DOI: 10.1007/s40615-024-02013-0
Abstrakt: Objectives: To delineate specific family needs during the postpartum period using data from Family Connects (FC), a universal home-visiting initiative, and to scrutinize potential racial and ethnic disparities in these needs.
Method: FC implementation data spanned from July 1, 2009, to August 31, 2021, in seven counties across the USA. Data encompassed nurse-led in-home assessments for 34,119 families. Nurses evaluated needs across four domains (healthcare, parenting/childcare, safe home, and parent support) comprising 12 risk factors.
Findings: Overall, families reported high levels of need, and community connections were facilitated for 57% of visited families. Significant differences in need profiles between whites and minority groups were revealed, reflecting both disparity and uniqueness. Employing the Oaxaca decomposition approach, we found that racial/ethnic disparities in socioeconomic attributes were associated with racial/ethnic gaps in the need profiles.
Conclusions: The event of giving birth is both high risk and high opportunity for preventive intervention. Home-visiting programs, as an evidence-based approach, must address the diverse spectrum of familial needs comprehensively.
(© 2024. W. Montague Cobb-NMA Health Institute.)
Databáze: MEDLINE
Externí odkaz: