Intensive Home Visiting Is Associated With Decreased Risk of Infant Death

Author:

Donovan Edward F.1,Ammerman Robert T.1,Besl John1,Atherton Harry1,Khoury Jane C.1,Altaye Mekibib1,Putnam Frank W.1,Van Ginkel Judith B.1

Affiliation:

1. Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio; Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio

Abstract

OBJECTIVE. The goal was to test the hypothesis that participation in a community-based home-visiting program is associated with a decreased risk of infant death. METHODS. A retrospective, case-control design was used to compare the risk of infant death among participants in Cincinnati's Every Child Succeeds program and control subjects matched for gestational age at birth, previous pregnancy loss, marital status, and maternal age. The likelihood of infant death, adjusted for level of prenatal care, maternal smoking, maternal education, race, and age, was determined with multivariate logistic regression. The interaction between race and program participation and the effect of home visiting on the risk of preterm birth were explored. RESULTS. Infants whose families did not receive home visiting (n = 4995) were 2.5 times more likely to die in infancy compared with infants whose families received home visiting (n = 1665). Black infants were at least as likely to benefit from home visiting as were nonblack infants. No effect of program participation on the risk of preterm birth was observed. CONCLUSION. The current study is consistent with the hypothesis that intensive home visiting reduces the risk of infant death.

Publisher

American Academy of Pediatrics (AAP)

Subject

Pediatrics, Perinatology and Child Health

Reference15 articles.

1. American Academy of Pediatrics, Council on Child and Adolescent Health. The role of home-visitation programs in improving health outcomes for children and families. Pediatrics. 1998;101:486–489

2. Olds D, Henderson C, Tatelbaum R, Chamberlin R. Improving the delivery of prenatal care and outcomes of pregnancy: a randomized trial of nurse home visitation. Pediatrics. 1986;77:16–28

3. Olds D, Henderson C, Chamberlin R, Tatelbaum R. Preventing child abuse and neglect: a randomized trial of nurse home visitation. Pediatrics. 1986;78:65–78

4. Olds D, Hill P, O'Brien R, Racine D, Moritz P. Taking preventive intervention to scale: the Nurse-Family Partnership. Cogn Behav Pract. 2004;10:278–290

5. Daro D, Harding K. Healthy Families America: using research to enhance practice. Future Child. 1999;9:152–176

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