Adversity and patterns of health visiting in England: Evidence from linked administrative data and expert-by-experience workshops
Rattachement africain : gb, us. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Abstract Background Health visiting in England is a universal service designed to identify family need and offer more support where needed (proportionate universalism). We know little about how local areas deliver services for families facing adversity or their associated outcomes. Methods Using linked Community Services Data Set and Hospital Episode Statistics data (2018-20) for 57/152 areas, we (a) described health visiting service delivery for children whose mother had a previous hospital admission with mental health issues, alcohol/substance misuse or violence/abuse recorded (study definition of ‘adversity’), (b) identified common service delivery patterns using latent class analysis; and (c) tested whether patterns were associated with child and maternal outcomes, overall and in terms of inequalities for families facing adversity. We conducted four experts-by-experience workshops to aid interpretation. Results Three service delivery patterns for families facing adversity emerged, distinguished primarily by the intensity and age-distribution of contacts. In areas where health visiting was delivered with a high intensity across the whole 0-5 years age range (rather than targeted primarily at babies), children were more likely to meet expected levels of development at age 2-2½ years (OR adj : 0.79, 95% CI:0.63-0.99) and child inequalities in injury-related hospital admissions and some developmental domains were reduced. Conclusions We found that a pattern of health visiting aligned with proportionate universalism was associated with mitigating disadvantage for families facing adversity. With limited outcomes and forms of adversity captured in our study, we cannot say which service delivery pattern is ‘best’, but our findings evidence health visiting’s potential to reduce inequalities.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Adversity and patterns of health visiting in England: Evidence from linked administrative data and expert-by-experience workshops
- Date Crossref
- 15/09/2026
- Éditeur
- openRxiv
- Type
- posted-content
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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UK Dementia Research Institute pays non établi dans la noticeStructure de recherche
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University College London pays non établi dans la noticeUniversité ou école supérieure
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Great Ormond Street Hospital pays non établi dans la noticeÉtablissement de santé
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University of Oxford Department of Social Policy and Intervention pays non établi dans la noticeUniversité ou école supérieure
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University of Kent Centre for Health Services Research pays non établi dans la noticeUniversité ou école supérieure
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Oxford Brookes University pays non établi dans la noticeUniversité ou école supérieure
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Center for Global Health pays non établi dans la noticeOrganisme public
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UCL Great Ormond Street Institute of Child Health pays non établi dans la noticeStructure de recherche
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Royal Borough of Greenwich pays non établi dans la noticeInstitution
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Oxford School of Nursing and Midwifery pays non établi dans la noticeUniversité ou école supérieure
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Global Business School for Health pays non établi dans la noticeInstitution
UK Dementia Research Institute, University College London et Great Ormond Street Hospital, avec 8 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.