Enduring effects of prenatal and infancy home visiting by nurses on maternal life course and government spending: follow-up of a randomized trial among children at age 12 years.
Enduring effects of prenatal and infancy home visiting by nurses on maternal life course and government spending: follow-up of a randomized trial among children at age 12 years.
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DOI：
10.1001/archpediatrics.2010.49
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发表时间：
2010-05
影响因子：
--
通讯作者：
Stevenson, Amanda J.
中科院分区：
文献类型：
--
作者：
Olds, David L.;Kitzman, Harriet J.;Cole, Robert E.;Hanks, Carole A.;Arcoleo, Kimberly J.;Anson, Elizabeth A.;Luckey, Dennis W.;Knudtson, Michael D.;Henderson, Charles R., Jr.;Bondy, Jessica;Stevenson, Amanda J.
在城市主要是非洲裔美国人的样本中，测试护士产前和婴儿期家访对母亲生育能力、伴侣关系和经济自给自足的影响，以及对政府在头胎孩子12岁之前的支出的影响。随机对照试验。田纳西州孟菲斯的公共产科和儿科护理系统。共有594名城市主要是非洲裔美国人的经济困难的母亲（其中743人在怀孕期间登记）。护士进行产前和婴儿家访。母亲与儿童生父的同居和婚姻、亲密伴侣暴力、伴侣关系的持续时间（稳定性）、酗酒和其他毒品使用造成的角色损害、福利金的使用和费用、逮捕、控制、儿童寄养安置以及随后的累计生育。到第一个孩子12岁时，与对照组相比，护士访问的母亲报告说，由于酒精和其他药物使用而造成的角色损害较少（0.0%对2.5%，P = 0.04），更长的伴侣关系（59.58对52.67个月，P = 0.02），更大的掌控感（101.04对99.60，P = 0.005）。在这12年期间，政府每年在食品券、医疗补助、对有受抚养子女的家庭的援助和对需要护理的家庭的临时援助方面的支出低于对照家庭（8772美元对9797美元，P = 0.02）;这表示与11511美元的计划成本相比，节省了12300美元的折扣，两者均以2006年美元表示。在母亲的婚姻、与孩子生父的伙伴关系、亲密伴侣暴力、酒精和其他毒品使用、逮捕、监禁、心理困扰或儿童寄养安置报告方面，没有发现统计学上显著的计划影响。该计划改善了产妇的生命历程，减少了政府对12岁以下儿童的支出。
To test, among an urban primarily African American sample, the effects of prenatal and infancy home visiting by nurses on mothers’ fertility, partner relationships, and economic self-sufficiency and on government spending through age 12 years of their firstborn child. Randomized controlled trial. Public system of obstetric and pediatric care in Memphis, Tennessee. A total of 594 urban primarily African American economically disadvantaged mothers (among 743 who registered during pregnancy). Prenatal and infancy home visiting by nurses. Mothers’ cohabitation with and marriage to the child’s biological father, intimate partner violence, duration (stability) of partner relationships, role impairment due to alcohol and other drug use, use and cost of welfare benefits, arrests, mastery, child foster care placements, and cumulative subsequent births. By the time the firstborn child was 12 years old, nurse-visited mothers compared with control subjects reported less role impairment owing to alcohol and other drug use (0.0% vs 2.5%, P = .04), longer partner relationships (59.58 vs 52.67 months, P = .02), and greater sense of mastery (101.04 vs 99.60, P = .005). During this 12-year period, government spent less per year on food stamps, Medicaid, and Aid to Families with Dependent Children and Temporary Assistance for Needy Families for nurse-visited than control families ($8772 vs $9797, P = .02); this represents $12 300 in discounted savings compared with a program cost of $11 511, both expressed in 2006 US dollars. No statistically significant program effects were noted on mothers’ marriage, partnership with the child’s biological father, intimate partner violence, alcohol and other drug use, arrests, incarceration, psychological distress, or reports of child foster care placements. The program improved maternal life course and reduced government spending among children through age 12 years.
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影响因子：
8
作者：
Olds, David L.;Kitzman, Harriet;Bondy, Jessica
通讯作者：
Bondy, Jessica
DOI：
10.1001/archpediatrics.2009.240
发表时间：
2010-01-01
影响因子：
--
作者：
Eckenrode, John;Campa, Mary;Olds, David
通讯作者：
Olds, David
影响因子：
8
作者：
Olds, DL;Kitzman, H;Holmberg, J
通讯作者：
Holmberg, J
影响因子：
120.7
作者：
Olds, D;Henderson, CR;Powers, J
通讯作者：
Powers, J
影响因子：
8
作者：
Olds, DL;Robinson, J;Henderson, CR
通讯作者：
Henderson, CR