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[Knowledge and use of different support programs in the context of early prevention in relation to family-related
Andreas Eickhorst1, Andrea Schreier2, Christian Brand3
1Fachgruppe Nationales Zentrum Frühe Hilfen, Deutsches Jugendinstitut e. V., Nockherstr. 2, 81541, München, Deutschland. eickhorst@dji.de.
Insights
A national survey revealed disparities in how educated and less-educated families access early prevention programs. While some services favor higher education, family midwives are utilized by a broader socioeconomic spectrum.
Area of Science:
- Public Health
- Sociology
- Family Studies
Background:
- The Federal Initiative for Early Prevention supports families with psychosocial burden.
- A national survey was conducted due to a lack of representative data on psychosocial burden in families with young children (0-3 years).
Purpose of the Study:
- To investigate the relationship between family psychosocial burden and awareness/utilization of assistance programs.
- To identify disparities in program access across different educational groups.
Main Methods:
- A national survey involving 8063 parents recruited via pediatricians.
- Data collected through questionnaires on objective/subjective burden, and program knowledge/use.
- Statistical analyses, including chi-squared tests and regression analyses, were performed.
Main Results:
- Significant differences in program knowledge and use were found between educational groups.
- Higher educated families predominantly used many programs, with notable exceptions like family midwives.
- Less-educated families formed the largest user group for family midwives, despite small overall group differences.
Conclusions:
- Results highlight barriers to accessing early prevention programs and their alignment with families' needs.
- Understanding these disparities is crucial for equitable service provision in early prevention efforts.
Background:
The Federal Initiative for Early Prevention (funded by German ministry BMFSFJ), through the development of specific assistance programmes, supports families that suffer from psychosocial burden. As nationally representative data are missing, the National Centre for Early Prevention carried out a national survey on the psychosocial burden experienced by families with children aged 0-3 years.
Aims:
Ascertainment of the connections between family-related psychosocial burden and knowledge and use of different assistance programmes.
Data And Methods:
Via paediatricians, 8063 parents were recruited to complete a questionnaire on objective burden, subjective experience of burden as well as knowledge and use of assistance programmes. Differences in knowledge and use between educational groups were tested by means of chi-squared tests. Very good knowledge of available assistance programmes and the offer and acceptance of aid by family midwives were subjected to regression analyses.
Results:
Clear differences in knowledge and use of individual assistance programmes between educational groups were observed. Many programmes are predominantly used by better educated families, although there are exceptions, for example in the case of family midwives. Despite generally small group differences, less-educated families are the proportionally largest user group of family midwives. Furthermore we present average predicted percentages of knowledge and use for specific groups of psychosocially burdened parents as derived from the regression analyses.
Discussion:
The results are discussed in the context of barriers to access for individual assistance programmes as well as their match with families' needs in the practice of early prevention.
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