Reference Catalog

Association of Maternal and Community Factors with Enrollment in Home Visiting Among At-Risk, First-Time Mothers

Neera K. Goyal, Eric S. Hall, David E. Jones, Jareen K. Meinzen-Derr, Jodie A. Short, Robert T. Ammerman, and Judith B. Van Ginkel

• Healthy Families America (HFA)
• Other Models

Objectives: We identified individual and contextual factors associated with referral and enrollment in home visiting among at-risk, first-time mothers. Methods: We retrospectively studied referral and enrollment in a regional home visiting program from 2007 to 2009 in Hamilton County, Ohio. Using linked vital statistics and census tract data, we obtained individual and community measures on first-time mothers meeting eligibility criteria for home visiting (low income, unmarried, or age < 18 years). Generalized linear modeling was performed to determine factors associated with relative risk (RR) of (1) referral to home visiting among eligible mothers and (2) enrollment after referral. Results: Of 8187 first-time mothers eligible for home visiting, 2775 were referred and 1543 were enrolled. Among referred women, high school completion (RR = 1.10) and any college (RR = 1.17) compared with no high school completion were associated with increased enrollment, and enrollment was less likely for those living in communities with higher socioeconomic deprivation (RR = 0.71; P< .05). Conclusions: Barriers to enrollment in home visiting persisted at multiple ecological levels. Ongoing evaluation of enrollment in at-risk populations is critical as home visiting programs are implemented and expanded. (author abstract)

Finished

• Participant Characteristics
• Program Quality, Continuous Quality Improvement, and Fidelity