通过围产家庭访问来解决母亲和儿童健康差异
Joshua P Mersky1, Colleen Janczewski2, Davin Hami3
1Institute for Child and Family Well-being, Helen Bader School of Social Welfare, University of Wisconsin-Milwaukee, Milwaukee, Wisconsin, mersky@uwm.edu.
WMJ : official publication of the State Medical Society of Wisconsin
|February 5, 2025
概括
威斯康星 威斯康星 威斯康星 威斯康星 威斯康星 威斯康星
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 健康差异 在健康上的差异
背景情况:
- 围产期家庭访问是美国母婴健康的关键策略.
- 在不成比例地受影响的人群中,对家庭访问计划的理解有限.
- 健康的社会决定因素显著影响母亲和儿童的结果.
研究的目的:
- 评估威斯康星州家庭基金会家庭访问 (FFHV) 计划在多大程度上参与优先人口.
- 为了比较FFHV服务家庭与一般人口在健康风险方面的特征.
- 评估基于证据的家庭访问服务在低机会社区的覆盖范围.
主要方法:
- 来自威斯康星州FFHV计划 (2016-2023) 的6327个家庭的行政数据分析.
- 计算了代表有风险优先人口的家庭比例.
- 与一般人口估计数据进行比较,并分析低机会地区的服务和程度.
主要成果:
- FFHV计划成功地针对弱势群体:近三分之二的人口处于贫困水平以下,超过三分之一的人有滥用药物的历史,超过一半的人目前使用烟草.
- 观察到的种族/种族差异:服务护理人员的可能性是黑人/西班牙裔的两倍,美国印第安人/阿拉斯加土著人的可能性是白人的5倍.
- 在服务不足的地区有显著的覆盖率:69.1%的家庭在低机会的邮政编码,而威斯康星州所有邮政编码的36.5%.
结论:
- 该FFHV计划有效地将资源分配给容易受到母亲和婴儿健康差异影响的群体和社区.
- 威斯康星州的家庭访问服务正在到达高风险群体和服务不足的地区.
- 需要制定战略,在全国范围内扩大家庭访问计划,以解决健康不平等问题.
更多相关视频
03:19Author Spotlight: Studying the Impact of Maternal Dietary Deficiencies on Long-Term Offspring Health Outcomes
Published on: June 28, 2024
349
05:04A Common Marmoset Model of Mother-Infant Intervention for Breastfeeding Disorders in the Presence of Paternal Inhibition and Maternal Neglect
Published on: September 22, 2023
366
相关概念视频
01:29Documentation in Long-Term and Home Healthcare Setting
869
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
869
01:30Primary Healthcare Services
1.3K
Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
1.3K
01:26Methods Of Healthcare Delivery System
3.1K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.1K
01:26Levels of Health Promotion and Illness Prevention
12.0K
Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
In primary prevention, actions taken before disease onset prevent the disease from...
12.0K
01:25Models of Health Promotion and Illness Prevention I
2.0K
A model is a theoretical way to understand a concept or an idea. Models can overcome barriers to health regardless of diverse economic and cultural backgrounds. In addition, models make the task easier by providing different ways to approach complex issues. There are two major health promotion models: the health belief model and the health promotion model.
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
The health belief model (HBM) attempts to predict health-related behavior in specific belief patterns. According to the HBM, a person's...
2.0K
01:18Models of Health Promotion and Illness Prevention II
1.5K
The person's health status fluctuates continually, varying from being in good health to becoming ill and returning to being healthy. To understand the concept of illness prevention, there are two models. First, the health-illness continuum model is a graphic representation of an individual's wellness. It states that a person is considered healthy in the absence of physical disease and the presence of good emotional health.
The agent-host-environment model states that disease results...
The agent-host-environment model states that disease results...
1.5K