Emotional and informational social support from health visitors and breastfeeding outcomes in the UK

International Breastfeeding Journal, Journal Year: 2023, Volume and Issue: 18(1)

Published: March 7, 2023

Abstract Background Shorter breastfeeding duration is associated with detrimental consequences for infant health/development and maternal health. Previous studies suggest social support essential in maintaining breast/chest-feeding helping to improve general feeding experiences. Public health bodies therefore work the UK, yet UK rates continue be one of lowest globally. With this, a better understanding effectiveness quality required. In visitors (community public nurses specialising working families child aged 0–5 years) have been positioned as key providers support. Research evidence suggests that both inadequate informational poor/negative emotional can lead poor experiences early cessation. Thus, this study tests hypothesis from moderates relationship between duration/infant experience among mothers. Methods We ran cox binary logistic regression models on data 565 mothers, collected part 2017–2018 retrospective online survey feeding. Results Informational support, compared was less important predictor experience. Supportive unhelpful or absent hazard cessation before 3 months. followed similar trends, where positive supportive Negative were consistent; however, higher probability negative found when types reported unsupportive. Conclusions Our findings point importance providing bolster continuation encourage subjective The emphasis our results encourages increased allocation resources training opportunities ensure are able provide enhanced Lowering caseloads allow personalised care just actionable example may outcomes UK.

Language: Английский

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Risk factors for early language delay in children within a minority ethnic, bilingual, deprived environment (Born in Bradford’s Better Start): a UK community birth cohort study

BMJ Paediatrics Open, Journal Year: 2023, Volume and Issue: 7(1), P. e001764 - e001764

Published: March 1, 2023

Background Preschool language skills and delay predict academic socioemotional outcomes. Children from deprived environments are at a higher risk of delay, both minority ethnic bilingual children can experience gap in school entry. However, research that examines late talking (preschool delay) an ethnically diverse, bilingual, environment age 2 is scarce. Methods Data Born Bradford’s Better Start birth cohort were used to identify rates (≤10th percentile on the Oxford-Communicative Development Inventory: Short) 2-year-old within predominantly UK region (N=712). The relations between known demographic, maternal, distal proximal child factors, tested using hierarchical linear logistic regression. Results A total 24.86% classified as talkers. Maternal demographic factors (ethnicity, born UK, education, financial security, employment, household size, age) predicted 3.12% variance children’s expressive vocabulary. Adding maternal (maternal native language, home languages) perinatal (birth weight, gestation) model 3.76% variance. (child sex, 11.06%, adding (receptive vocabulary, hearing concerns) 49.51%. Significant for male sex (OR 2.07, 95% CI 1.38 3.09), receptive vocabulary 8.40, 4.99 14.11) parent-reported concerns 7.85, 1.90 32.47). Protective increased size 0.85, 0.77 0.95) 0.82, 0.70 0.96). Conclusions Almost one four living diverse area have early delay. Demographic explained little whereas held more predictive value. results indicate further warranted vulnerable groups.

Language: Английский

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Technology-Based Mental Health Interventions for Domestic Violence Victims Amid COVID-19

International Journal of Environmental Research and Public Health, Journal Year: 2022, Volume and Issue: 19(7), P. 4286 - 4286

Published: April 3, 2022

Domestic violence is a threat to human dignity and public health. Mounting evidence shows that domestic erodes personal health, spawning issues such as lifelong mental health challenges. To further compound the situation, COVID-19 societies' poor response pandemic have not only worsened crisis but also disrupted services for victims. While technology-based solutions can overcome physical constraints posed by offer timely support address victims' issues, there dearth of research in literature. bridge gap, this study, we aim examine victims amid COVID-19.

Language: Английский

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Local area variation in health visiting contacts across England for children under age 5: a cross-sectional analysis of administrative data in England 2018-2020

International Journal for Population Data Science, Journal Year: 2024, Volume and Issue: 9(2)

Published: May 13, 2024

The health visiting service in England leads the government's Healthy Child Programme (HCP) for children under five years. Local authorities and their provider partners deliver this differently across England.

Language: Английский

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The impact of COVID-19 lockdown on postpartum mothers in London, England: An online focus group study

Journal of Public Health, Journal Year: 2023, Volume and Issue: 32(8), P. 1577 - 1589

Published: May 15, 2023

This study examines the impact of COVID-19 lockdown on postpartum mothers in England, with aim identifying opportunities to improve maternal experience and wellbeing. The postpartum/postnatal period is widely acknowledged as a time when require greater levels support from multiple sources. However, stay-at-home orders, commonly known "lockdown," deployed some countries limit transmission reduced access support. In many navigated household isolation within an intensive mothering expert parenting culture. Examining may reveal strengths weaknesses current policy practice.We conducted online focus groups involving 20 living London, "lockdown babies," following up our earlier survey social We thematically analysed group transcripts, identified key themes around Lockdown Experience Determinants Experience.Participants raised positives lockdown, including fostering connections protection external expectations, but also negatives, isolation, institutional abandonment, intense relationships household. Potential reasons behind variations include physical environments, timing birth, number children. Our findings reflect how systems be "trapping" families into male-breadwinner/female-caregiver family model, while culture increasing stress undermining responsive mothering.Facilitating partners stay at home during (e.g., paternity leave flexible working) establishing peer/community decentre reliance professional experts promote positive wellbeing.The version contains supplementary material available 10.1007/s10389-023-01922-4.

Language: Английский

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What does leadership mean to specialist community public health nurses?

Journal of Health Visiting, Journal Year: 2024, Volume and Issue: 12(2), P. 62 - 70

Published: March 2, 2024

Using the results of a survey practice educators and assessors at higher education institute, this article discusses leadership styles in context specialist community public health nursing

Language: Английский

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How did the Covid-19 pandemic affect wellbeing of staff working in child and family teams?

Journal of Health Visiting, Journal Year: 2024, Volume and Issue: 12(3), P. 108 - 114

Published: April 1, 2024

During the height of Covid-19 pandemic, child and family health teams were required to adapt prioritise services, which increasing in demand. This investigation aimed understand how changes service delivery workload, as a consequence impacted wellbeing staff these teams. Using two datasets, quantitative secondary analysis anonymised routine patient data qualitative primary interpretive data, collected via focus groups an interview with staff, conducted. The confirmed that universal contacts have increased dramatically since pandemic all tiers duration. Three themes identified having greatest impact on wellbeing: redeployment, workload remote working. Staff need supportive opportunities share their experiences identify specific dimensions stresses felt individually during times pressure services.

Language: Английский

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Health visiting in the UK in light of the COVID-19 pandemic experience: (RReHOPE) findings from a realist review

Health and Social Care Delivery Research, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 50

Published: Sept. 1, 2024

Background Child health programmes in the United Kingdom offer every child and their family an evidence-based programme to support development. During COVID-19 pandemic, visiting services many areas were reduced a partial service, with significant variability between within four countries. This study investigated impact of pandemic on developed recommendations for policy practice. Objectives Conduct realist review relevant literature. Engage key stakeholders policy, practice research across Kingdom. Identify improving organisation delivery services, focus being equitable, effective efficient. Review methods The followed Pawson’s five iterative steps involved stakeholder representatives at step. We searched electronic databases references included articles, as well organisational websites, find quantitative, qualitative, mixed-methods grey literature related during pandemic. An assessment relevance our initial theory determined inclusion review. Data extracted, organised presented draft context, mechanism outcome configurations. These iteratively refined through meetings 6 people lived experience caring babies 23 professional stakeholders. Context, configurations then translated into findings recommendations. Results One hundred eighteen documents contributed collectively revealed far-reaching, uneven enduring families. uncovered concerns families practitioners amidst along service’s corresponding actions. responses underscored critical importance fostering sustaining trusting relationships visitors families, conducting holistic assessments early intervention. Although we found minimal evidence decision-making organisational/managerial levels, data illustrated diverse complex nature work need flexibility resourcefulness. Limitations primary limitation this was lack specific from nations other than England. There also focusing changes local management level. Conclusions needs babies, children them, not prioritised phase response. Our show that service concerned maintaining visibility all children, especially supporting new baby. Health adapted numerous ways respond these concerns. Implications are presented, identified analysis discussions Future RReHOPE is part jigsaw evidence, which will provide much stronger base future presents several research, including how level; optimise limited resources; factors affecting differing uptake different regions; effectiveness using large cohort studies. Funding article independent funded by National Institute Care Research (NIHR) Social Delivery under award number NIHR134986.

Language: Английский

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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 of Public Health, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 16, 2024

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

Language: Английский

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How Do Health Visitors and Parents Interact in the UK Child Health Clinics around Infant Weight in the Context of Overweight and Obesity: An Interpretative Research Study

Health & Social Care in the Community, Journal Year: 2024, Volume and Issue: 2024(1)

Published: Jan. 1, 2024

Background . In 2020, figures estimated that 39 million preschool children worldwide, experienced overweight or obesity. Global prevalence has almost tripled in the last 40–50 years. The number of impacted makes it severe enough to be one most serious public health challenges for 21st century, which could addressed during infancy, improved short‐ and long‐term outcomes. Objective Research a local Trust providing visiting services northeast England aimed describe interpret interaction between UK parents visitors around infant weight (0–2) delivering Healthy Child Programme. Methods research paradigm was social construction, interpretative phenomenology enabled interpretation experiences self everyday situational encounters participants lived experiences. applied theoretical perspectives hermeneutic symbolic interactionism. Purposive sampling recruited 14 20 visitors, 4 focus groups 8 semistructured interviews were completed. Data analysis thematic. Findings Interaction complex. Assumptions made, open misinterpretation. This integrity conversation. Managing superseded by other needs parents. There no obvious approach assessment might exceeding normal growth centiles, whole family approaches, risk assessment. Infant remained an emotive subject this governed how addressed. Conclusion While existing emphasised is sensitive issue raise with parents, unique, detailed implications recommendations future management within are transferrable professionals communicating infants weight.

Language: Английский

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