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Healthcare utilisation and measles, mumps and rubella vaccination rates among children with an extended postnatal home visiting programme in a disadvantaged area in Stockholm, Sweden - A 3‐year follow‐up
Department of Public Health Sciences Equity and Health Policy Research Group Karolinska Institutet Stockholm Sweden;Centre for Epidemiology and Community Medicine Stockholm County Council Health Services Stockholm Sweden.ORCID iD: 0000-0001-5770-9422
Rinkeby Child Health Care Centre Stockholm County Council Health Services Stockholm Sweden.
Department of Public Health Sciences Equity and Health Policy Research Group Karolinska Institutet Stockholm Sweden.ORCID iD: 0000-0003-4698-5135
Department of Public Health Sciences Equity and Health Policy Research Group Karolinska Institutet Stockholm Sweden.
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2020 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 109, no 9, p. 1847-1853Article in journal (Refereed) Published
Abstract [en]

Aim

To follow up healthcare utilisation and measles, mumps and rubella (MMR) vaccination rates among children 0-36 months, receiving an extended postnatal home visiting programme in a disadvantaged area with poorer child health, and in control groups, in Stockholm, Sweden.

Methods

We analysed electronic child health records regarding outpatient visits, inpatient episodes and MMR vaccination for children 0-36 months receiving the home visiting programme (Intervention Group) and in control groups (Control Group and Rinkeby Comparison Group).

Results

Children in the Intervention Group had significantly higher MMR vaccination rate than children in the Rinkeby Comparison Group. Healthcare utilisation was similar in the Intervention Group and the control groups. In stratified analyses by number of home visits received, children receiving the recommended six home visits had significantly fewer inpatient episodes and somewhat fewer emergency visits than those receiving fewer home visits.ConclusionThe extended home visiting programme had a positive impact on the MMR vaccination rate. Children receiving the recommended six home visits had lower use of inpatient care. In addition to being positively perceived by parents in an area with greater healthcare needs, the programme may have a positive impact on their children's healthcare utilisation.

Place, publisher, year, edition, pages
Wiley , 2020. Vol. 109, no 9, p. 1847-1853
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hig:diva-37995DOI: 10.1111/apa.15176PubMedID: 31957046OAI: oai:DiVA.org:hig-37995DiVA, id: diva2:1639460
Funder
Stockholm County Council, ALF/PPG 20160299Available from: 2022-02-21 Created: 2022-02-21 Last updated: 2022-02-21Bibliographically approved

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Marttila, Anneli

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CiteExportLink to record
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Citation style
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  • de-DE
  • Other locale
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Output format
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