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Multilevel Interaction Effects of Family and Community Factors on Mothers' Engagement in Evidence-Based Home Visiting
Dayoung Bae1, Junhan Cho, Darcey D Terris
1Center for Family Research, University of Georgia, Athens (Drs Bae, Terris, and Brown and Ms Glisson); Department of Preventive Medicine, Keck School of Medicine, University of Southern California, Los Angeles (Dr Cho); and Georgia Department of Public Health, Atlanta (Ms Nelson).
Abstract:
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.
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