School of Social Work, Virginia Commonwealth University, Richmond, VA, USA.
Department of Psychiatry, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA.
Clin Pediatr (Phila). 2023 Nov;62(11):1375-1379. doi: 10.1177/00099228231158367. Epub 2023 Mar 15.
The American Academy of Pediatrics (AAP) recognizes the benefit of home visiting programs in promoting positive birth outcomes. Despite this recommendation, previous studies have found mixed results with respect to the impact of home visits on birth outcomes. We evaluated the impact of the Comprehensive Health Investment Project (CHIP) home visiting services on improving birth outcomes among low-income families. The present study used a sample of 1,110 children and families to examine how a team-based home visiting program influenced 2 significant birth outcomes, namely, birth weight and preterm birth. Using propensity score matching, the current study found that the home visited group had significantly lower rates of low birth weight compared with a propensity-matched comparison group ( < .01). Home visiting programs may play an important role in promoting positive birth outcomes, particularly when they are provided during pregnancy.
美国儿科学会（AAP）认识到家庭探访计划在促进积极生育结果方面的好处。尽管有此建议，但以前的研究发现家庭探访对生育结果的影响结果不一。我们评估了综合健康投资项目（CHIP）家庭探访服务对改善低收入家庭生育结果的影响。本研究使用了 1110 名儿童和家庭的样本，研究了基于团队的家庭探访计划如何影响 2 个重要的生育结果，即出生体重和早产。使用倾向得分匹配，本研究发现，与倾向得分匹配的对照组相比，接受家访的组的低出生体重率显著降低（<.01）。家庭探访计划可能在促进积极生育结果方面发挥重要作用，尤其是在怀孕期间提供时。
