Multilevel Interaction Effects of Family and Community Factors on Mothers' Engagement in Evidence-Based Home Visiting
Autor: | Anita C. Brown, Twanna Nelson, Junhan Cho, Darcey D. Terris, Rachael E. Glisson, Dayoung Bae |
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Rok vydání: | 2019 |
Předmět: |
Adult
030505 public health Evidence-based practice Family support Multilevel model Public Health Environmental and Occupational Health Mothers Mean age Sample (statistics) Interaction Disadvantaged Developmental psychology House Calls Young Adult 03 medical and health sciences 0302 clinical medicine Humans Family Female 030212 general & internal medicine Young adult 0305 other medical science Psychology |
Zdroj: | Family & Community Health. 42:203-212 |
ISSN: | 0160-6379 |
Popis: | Informed by ecological and family system frameworks, our study investigated the relationship between family- and community-level factors, and their cross-level interactions, with evidence-based home visiting program participation in a sample of 2409 mothers (mean age: 24.15 years). Using 2-level hierarchical linear modeling, we observed that mothers living in disadvantaged communities demonstrated less active engagement in evidence-based home visiting. Cross-level interaction effects revealed that mothers' unstable living conditions and psychiatric problems amplified the negative influence of disadvantaged communities on program engagement. Conversely, mothers who were first-time parents showed higher levels of participation in family support programs when they resided in disadvantaged communities. |
Databáze: | OpenAIRE |
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