AI Article Synopsis
- The study examined the enrollment of first-time adolescent mothers (aged 13-19) in the Family Nurse Partnership (FNP) program in England, aimed at reducing health disparities between mothers.
- Out of 110,520 eligible mothers, only 23.2% were enrolled, with significant variation in enrollment rates across 122 local sites, demonstrating that more vulnerable mothers, like those in deprived areas, were often overlooked.
- The findings suggest a mismatch between the number of available places in the FNP and the actual need, particularly in areas with high numbers of adolescent mothers, highlighting the need for improved targeting of these resources.
Article Abstract
Background: Intensive home visiting for adolescent mothers may help reduce health disparities. Given limited resources, such interventions need to be effectively targeted. We evaluated which mothers were enrolled in the Family Nurse Partnership (FNP), an intensive home-visiting service for first-time young mothers commissioned in >130 local authorities in England since 2007.
Methods: We created a population-based cohort of first-time mothers aged 13-19 years giving birth in English National Health Service hospitals between 1 April 2010 and 31 March 2017, using administrative hospital data linked with FNP programme, educational and social care data. Mothers living in a local authority with an active FNP site were eligible. We described variation in enrolment rates across sites, and identified maternal and FNP site characteristics associated with enrolment.
Results: Of 110 520 eligible mothers, 25 680 (23.2% (95% CI: 23.0% to 23.5%)) were enrolled. Enrolment rates varied substantially across 122 sites (range: 11%-68%), and areas with greater numbers of first-time adolescent mothers achieved lower enrolment rates. Mothers aged 13-15 years were most likely to be enrolled (52%). However, only 26% of adolescent mothers with markers of vulnerability (including living in the most deprived areas and ever having been looked after as a child) were enrolled.
Conclusion: A substantial proportion of first-time adolescent mothers with vulnerability markers were not enrolled in FNP. Variation in enrolment across sites indicates insufficient commissioning of places that is not proportional to level of need, with mothers in areas with large numbers of other adolescent mothers least likely to receive support.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9664100 | PMC |
| http://dx.doi.org/10.1136/jech-2021-217986 | DOI Listing |
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