A comparison of the outcomes of families with children aged less than 2 who received universal versus sustained nurse home visiting services in Korea: a cross-sectional study
OBJECTIVES This study aimed to compare maternal outcomes and the home environment between non‑vulnerable families with children under 2 receiving universal home visiting services and vulnerable families receiving sustained home visiting services. METHODS This study was conducted in Seoul, Korea, whe...
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Korean Society of Epidemiology
2025-02-01
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| Series: | Epidemiology and Health |
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| Online Access: | http://www.e-epih.org/upload/epih-47-e2025004.pdf |
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| author | Yu-Mi Kim Sun Hwa Park Kyung Ja June Sung-Hyun Cho Ji Yun Lee Hong-Jun Cho Young-Ho Khang |
| author_facet | Yu-Mi Kim Sun Hwa Park Kyung Ja June Sung-Hyun Cho Ji Yun Lee Hong-Jun Cho Young-Ho Khang |
| author_sort | Yu-Mi Kim |
| collection | DOAJ |
| description | OBJECTIVES This study aimed to compare maternal outcomes and the home environment between non‑vulnerable families with children under 2 receiving universal home visiting services and vulnerable families receiving sustained home visiting services. METHODS This study was conducted in Seoul, Korea, where the country’s first nurse‑led early childhood home visiting program was introduced. A total of 551 mother‑child dyads participated in cross‑sectional surveys conducted at various child ages (6±2 weeks, 6±1 months, 12±1 months, and 24±1 months). Universal home visiting services were provided within six weeks postpartum to non‑vulnerable families, while vulnerable families received sustained services consisting of 25 visits over 24 months. Maternal knowledge of sudden infant death syndrome (SIDS) and childcare, maternal distress, and the Korean Infant‑Toddler Home Observation for Measurement of Environment (K‑IT‑HOME) were assessed. RESULTS Overall, the universal home visitation group demonstrated higher levels of maternal knowledge regarding SIDS and childcare compared to the sustained home visitation group (all p-values <0.05), while the sustained home visitation group reported higher levels of maternal distress (p<0.001). The total K‑IT‑HOME score was 1.47 points higher in the universal home visitation group than in the sustained home visitation group (p<0.001). No significant differences were observed in the acceptance, organization, or involvement subscales of the K‑IT‑HOME (all p-values >0.05). CONCLUSIONS This study demonstrated that disparities in maternal outcomes and home environments persisted in early childhood between the sustained and universal home visitation groups. |
| format | Article |
| id | doaj-art-3b7ca92fbbda4aa193c0bd23034d7a8a |
| institution | DOAJ |
| issn | 2092-7193 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Korean Society of Epidemiology |
| record_format | Article |
| series | Epidemiology and Health |
| spelling | doaj-art-3b7ca92fbbda4aa193c0bd23034d7a8a2025-08-20T03:07:20ZengKorean Society of EpidemiologyEpidemiology and Health2092-71932025-02-014710.4178/epih.e20250041567A comparison of the outcomes of families with children aged less than 2 who received universal versus sustained nurse home visiting services in Korea: a cross-sectional studyYu-Mi Kim0Sun Hwa Park1Kyung Ja June2Sung-Hyun Cho3Ji Yun Lee4Hong-Jun Cho5Young-Ho Khang6 Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea Department of Nursing, Chung Cheong University, Cheongju, Korea Department of Nursing, Soonchunhyang University, Cheonan, Korea College of Nursing, Research Institute of Nursing Science, Seoul National University, Seoul, Korea Department of Nursing, Kangwon National University, Chuncheon, Korea Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea Institute of Health Policy and Management, Seoul National University Medical Research Center, Seoul, KoreaOBJECTIVES This study aimed to compare maternal outcomes and the home environment between non‑vulnerable families with children under 2 receiving universal home visiting services and vulnerable families receiving sustained home visiting services. METHODS This study was conducted in Seoul, Korea, where the country’s first nurse‑led early childhood home visiting program was introduced. A total of 551 mother‑child dyads participated in cross‑sectional surveys conducted at various child ages (6±2 weeks, 6±1 months, 12±1 months, and 24±1 months). Universal home visiting services were provided within six weeks postpartum to non‑vulnerable families, while vulnerable families received sustained services consisting of 25 visits over 24 months. Maternal knowledge of sudden infant death syndrome (SIDS) and childcare, maternal distress, and the Korean Infant‑Toddler Home Observation for Measurement of Environment (K‑IT‑HOME) were assessed. RESULTS Overall, the universal home visitation group demonstrated higher levels of maternal knowledge regarding SIDS and childcare compared to the sustained home visitation group (all p-values <0.05), while the sustained home visitation group reported higher levels of maternal distress (p<0.001). The total K‑IT‑HOME score was 1.47 points higher in the universal home visitation group than in the sustained home visitation group (p<0.001). No significant differences were observed in the acceptance, organization, or involvement subscales of the K‑IT‑HOME (all p-values >0.05). CONCLUSIONS This study demonstrated that disparities in maternal outcomes and home environments persisted in early childhood between the sustained and universal home visitation groups.http://www.e-epih.org/upload/epih-47-e2025004.pdfmaternal-child health servicehome visitsnursehome environmentcross-sectional study |
| spellingShingle | Yu-Mi Kim Sun Hwa Park Kyung Ja June Sung-Hyun Cho Ji Yun Lee Hong-Jun Cho Young-Ho Khang A comparison of the outcomes of families with children aged less than 2 who received universal versus sustained nurse home visiting services in Korea: a cross-sectional study Epidemiology and Health maternal-child health service home visits nurse home environment cross-sectional study |
| title | A comparison of the outcomes of families with children aged less than 2 who received universal versus sustained nurse home visiting services in Korea: a cross-sectional study |
| title_full | A comparison of the outcomes of families with children aged less than 2 who received universal versus sustained nurse home visiting services in Korea: a cross-sectional study |
| title_fullStr | A comparison of the outcomes of families with children aged less than 2 who received universal versus sustained nurse home visiting services in Korea: a cross-sectional study |
| title_full_unstemmed | A comparison of the outcomes of families with children aged less than 2 who received universal versus sustained nurse home visiting services in Korea: a cross-sectional study |
| title_short | A comparison of the outcomes of families with children aged less than 2 who received universal versus sustained nurse home visiting services in Korea: a cross-sectional study |
| title_sort | comparison of the outcomes of families with children aged less than 2 who received universal versus sustained nurse home visiting services in korea a cross sectional study |
| topic | maternal-child health service home visits nurse home environment cross-sectional study |
| url | http://www.e-epih.org/upload/epih-47-e2025004.pdf |
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