How does health visiting in the first year of life vary by family characteristics? A longitudinal analysis of administrative data

C. Bunting; A. Clery; L. McGrath-Lone; M. Liu; S. Kendall; H. Bedford; F. Cavallaro; E. C. Saloniki; K. Harron; J. Woodman

doi:10.1093/pubmed/fdae259

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How does health visiting in the first year of life vary by family characteristics? A longitudinal analysis of administrative data

Journal article

Open access

Peer reviewed

How does health visiting in the first year of life vary by family characteristics? A longitudinal analysis of administrative data

C. Bunting, A. Clery, L. McGrath-Lone, M. Liu, S. Kendall, H. Bedford, F. Cavallaro, E. C. Saloniki, K. Harron and J. Woodman

Journal of public health (Oxford, England), Vol.47(1), pp.82-89

2024

DOI: https://doi.org/10.1093/pubmed/fdae259

PMID: 39285663

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Abstract

Life Sciences & Biomedicine

Public, Environmental & Occupational Health

Science & Technology

Background: The health visiting service in UK promotes the health and wellbeing of families with young children and comprises a universal offer (three mandated contacts between birth and 12 months) and additional contacts based on need. We aimed to understand how the level of health visiting support received varies by family characteristics. Methods: Using the Community Services Data Set linked to Hospital Episode Statistics, we identified 52 555 children in 10 local authorities with complete health visiting data for 12 months between April 2016 and March 2020. We analysed variation in health visiting contacts by deprivation, child ethnicity, maternal age, adversity and previous live births. Results: 41 340/52 555 children (79%) received the universal service; 63% received >= 1 additional contact and 25% received >= 3 additional contacts. The likelihood of receiving >= 3 additional contacts was greatest for children whose mothers had a history of hospital admissions relating to mental health, violence, self-harm or substance misuse (adjusted relative risk = 1.55, 95% confidence interval 1.26-1.92). Conclusions: Most families received health visiting support in addition to the universal service. Policymakers and commissioners should consider how health visiting services can be expanded or targeted more effectively to ensure all families receive the support they need.

Details

Title: How does health visiting in the first year of life vary by family characteristics? A longitudinal analysis of administrative data
Authors/Creators: C. Bunting - University College London
A. Clery - University College London
L. McGrath-Lone - UCL, Social Res Inst, UCL, London WC1H0AA, England
M. Liu - University College London
S. Kendall - University of Kent
H. Bedford - University College London
F. Cavallaro - Health Foundation
E. C. Saloniki - University College London
K. Harron - University College London
J. Woodman - University College London
Publication Details: Journal of public health (Oxford, England), Vol.47(1), pp.82-89
Publisher: Oxford University Press on behalf of Faculty of Public Health.
Number of pages: 8
Grant note: NIHR203450 / Policy Research Programme PR-PRU-1217-21301; NIHR206114 / Policy Research Unit NIHR ARC North Thames NIHR129901 / National Institute for Health and Care Research (NIHR) Public Health Research Programme NIHR Great Ormond Street Hospital Biomedical Research Centre
Identifiers: 991005707062807891
Murdoch Affiliation: Ngangk Yira Institute for Change
Language: English
Resource Type: Journal article

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Collaboration types: Domestic collaboration
Citation topics: 1 Clinical & Life Sciences; 1.72 Obstetrics & Gynecology; 1.72.1072 Perinatal Mental Health
Web Of Science research areas: Public, Environmental & Occupational Health
ESI research areas: Social Sciences, general