Status of Breastfeeding and Child Immunization Outcomes in Clients of the Nurse–Family Partnership
| Autor: | Nick Mader, Emily R. Wiegand, Dustin W. Currie, William Thorland, Joe Walsh |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male Program evaluation medicine.medical_specialty Adolescent Epidemiology Breastfeeding Mothers Logistic regression Cohort Studies 03 medical and health sciences 0302 clinical medicine Nursing 030225 pediatrics Humans Medicine 030212 general & internal medicine Early childhood Poverty business.industry Public health Racial Groups Infant Newborn Public Health Environmental and Occupational Health Infant Obstetrics and Gynecology Middle Aged House Calls Parity Child immunization Breast Feeding General partnership Pediatrics Perinatology and Child Health Cohort Female Immunization Nurse-Patient Relations business Program Evaluation |
| Zdroj: | Maternal and Child Health Journal. 21:439-445 |
| ISSN: | 1573-6628 1092-7875 |
| DOI: | 10.1007/s10995-016-2231-6 |
| Popis: | Background The Nurse-Family Partnership (NFP) is a home visiting program serving first-time, low-income mothers, with an area of focus on healthy early childhood development. Previous foundational trials of program effect on breastfeeding and immunizations have shown a mix of neutral and positive results. The present evaluation investigates these effects following program scale-up, using a large contemporary cohort of clients. Methods Nurse-Family Partnership client breastfeeding and immunization status were compared to National Survey of Children's Health data and National Immunization Survey data, respectively. Sample differences in demographic covariates were adjusted using logistic regression. Results Nurse-Family Partnership clients were significantly more likely to have ever breastfed (adjusted prevalence ratio [aPR: 1.20 (1.17, 1.23)] and maintain breastfeeding at 6 [aPR: 1.17 (1.10, 1.24)] and 12 [aPR: 1.39 (1.25, 1.53)] months, but less likely to exclusively breastfeed at 6 months [aPR: 0.84 (0.70, 0.95)] NFP clients were significantly more likely to be up-to-date on immunizations at 6 [aPR: 1.23 (1.22, 1.25)], 18 [aPR: 1.33 (1.30,1.35)], and 24 [aPR: 1.15 (1.14, 1.16)] months of age than the reference cohort, with no significant difference at 12 months. Discussion Nurse-Family Partnership clients had more beneficial breastfeeding and immunization outcomes than children of mothers with demographically similar profiles. However, exclusive breastfeeding at 6 months lags behind the reference sample and represents a potential area for further improvement. |
| Databáze: | OpenAIRE |
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