通过在瑞典多元文化郊区延长产后家访计划来增强韧性：父亲努力寻求稳定。

Strengthening resilience through an extended postnatal home visiting program in a multicultural suburb in Sweden: fathers striving for stability.

机构信息

Department of Public Health Sciences (PHS) K9, Karolinska Institutet, 171 77, Stockholm, Sweden.

Center for Epidemiology and Community Medicine, Stockholm County Council, Stockholm, Sweden.

出版信息

BMC Public Health. 2019 Jan 22;19(1):102. doi: 10.1186/s12889-019-6440-y.

DOI:10.1186/s12889-019-6440-y

PMID:30670034

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6343238/

Abstract

BACKGROUND

To improve prerequisites for better health development among children growing up in multicultural suburbs in Stockholm County, where poorer health is displayed in several aspects including child health, early support was initiated for first-time parents in one of the suburbs. An extended postnatal home visiting program during the child's first 15 months was offered to families with first-time mothers during 2013-2014 and consisted of six home visits by a child health care nurse and a parental advisor from social services. Almost all invited families (94%) participated in the program and the program evaluation. Fathers' participation in two or more home visits within the program was 53%. The aim of this study was to explore the experiences of fathers participating in the program, with respect to their role as a first-time parent from a resilience perspective.

METHODS

In-depth interviews were conducted with nine fathers. Constructivist grounded theory (GT) was applied in the analysis.

RESULTS

The fathers' experiences formed the core category of the study, 'striving for stability in living conditions', as well as three categories: 'everyday life conditions', 'adjustment to fatherhood in Sweden' and 'channels of support'. The fathers perceived that the home visiting program strengthened their parental confidence and increased their knowledge of societal services and local resources for their family.

CONCLUSIONS

In terms of resilience, the extended postnatal home visiting program benefitted the interviewed migrant fathers on an individual level by meeting part of their need for support regarding knowledge and parental confidence; on a structural level the program helped fathers gain information about available societal services and resources in their local area.

TRIAL REGISTRATION

The study was retrospectively registered (11 August 2016) in the ISRCTN registry (ISRCTN11832097 DOI: https://doi.org/10.1186/ISRCTN11832097 ).

摘要

背景

为了改善在斯德哥尔摩市多元文化郊区成长的儿童的健康发展的先决条件，在那里，儿童健康等多个方面都表现出较差的健康状况，因此，在 2013-2014 年，在其中一个郊区为初次为人父母者启动了早期支持。向有初次生育的母亲的家庭提供了一项扩展的产后家庭访视计划，该计划在孩子的头 15 个月内进行，包括由儿童保健护士和社会服务部门的家长顾问进行六次家访。几乎所有受邀家庭（94%）都参加了该计划和计划评估。父亲在该计划内参加两次或更多次家访的比例为 53%。本研究的目的是从弹性的角度探讨参与该计划的父亲的经验，了解他们作为初次父母的角色。