The effect of home visiting programmes on uptake of childhood immunization: a systematic review and meta-analysis
The effect of home visiting programmes on uptake of childhood immunization: a systematic review and meta-analysis
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DOI：
10.1093/pubmed/22.1.90
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发表时间：
2000-03-01
期刊：
影响因子：
--
通讯作者：
Brummell, K
中科院分区：
文献类型：
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作者：
Kendrick, D;Hewitt, M;Brummell, K
研究背景本研究的目的是评价家访计划在儿童免疫接种方面的有效性。方法对至少一次产后家访的对照研究文献进行系统综述，其中包括英国健康访问范围内的任务和报告与英国健康访问相关的结果。对11项研究进行了审议，其中9项研究使用了社会经济上处于不利地位的家庭。结果11项研究报告了儿童免疫接种情况。9项研究的效应大小包括在荟萃分析中。固定效应模型显示，家访对所有研究和几个亚组研究都有显著的影响，但影响大小有显著的异质性。随机效应模型未能证明家访的效果。结论家访计划在增加免疫接种率方面并未显示出有效的效果。还需要探索增加吸纳量和减少吸纳量不平等的其他方法。
Background The aim of the study was to evaluate the effectiveness of home visiting programmes on the uptake of childhood immunization.Methods A systematic review was carried out of the literature of controlled studies evaluating home visiting programmes involving at least one post-natal visit, which included tasks within the remit of British health visiting and reporting outcomes relevant to British health visiting. Eleven studies were considered, nine of which used socio-economically disadvantaged families. The outcome measure was uptake of a range of childhood immunizations.Results Eleven studies reported uptake of immunization. Effect sizes from nine studies were included in the metaanalysis. Fixed effects models demonstrated a significant effect of home visiting for all studies and also for several subgroups of studies, but with significant heterogeneity of effect sizes. A random effects model failed to demonstrate an effect of home visiting.Conclusions Home visiting programmes have not been shown to be effective in increasing the uptake of immunization. Other methods of increasing uptake and reducing inequalities in uptake will need to be explored.