| Literature DB >> 26999316 |
Kayoko Ichikawa, Takeo Fujiwara, Takeo Nakayama.
Abstract
Entities:
Year: 2016 PMID: 26999316 PMCID: PMC4801169 DOI: 10.1371/journal.pone.0152354
Source DB: PubMed Journal: PLoS One ISSN: 1932-6203 Impact factor: 3.240
Baseline characteristics and outcomes of the home-visit program
| Characteristics | Whole sample | Propensity score-matched sample | |||||
|---|---|---|---|---|---|---|---|
| N. (%) | N. (%) | ||||||
| HOME VISIT PROGRAM(+) (n = 410) | HOME VISIT PROGRAM(-) (n = 554) | HOME VISIT PROGRAM(+) (n = 311) | HOME VISIT PROGRAM(-) (n = 311) | ||||
| Mother | Age, mean (SD), y | 30.5 (7.2) | 30.0 (7.0) | 0.23 | 30.2 (7.1) | 30.1 (7.2) | 0.88 |
| Marital status | |||||||
| Married | 296 (72.2) | 357 (64.4) | 215 (69.1) | 214 (68.8) | |||
| Unmarried | 114 (27.8) | 197 (35.6) | 0.01 | 96 (30.9) | 97 (31.2) | 0.93 | |
| Parity | |||||||
| 0 | 333 (81.2) | 313 (56.5) | 235 (75.6) | 233 (74.9) | |||
| 1≥ | 77 (18.8) | 241 (43.5) | <0.001 | 76 (24.4) | 78 (25.1) | 0.85 | |
| History of miscarriage | 94 (22.9) | 119 (21.5) | 0.59 | 62 (19.9) | 67 (21.5) | 0.62 | |
| History of stillbirth | 6 (1.5) | 26 (4.7) | <0.001 | 6 (1.9) | 6 (1.9) | 0.99 | |
| Late submission of notification of pregnancy (over 22week) | 17 (4.2) | 38 (6.9) | 0.07 | 14 (4.5) | 12 (3.9) | 0.69 | |
| Twin pregnancy | 45 (11.0) | 66 (11.9) | 0.65 | 39 (12.5) | 40 (12.9) | 0.90 | |
| Prenatal smoking | 46 (11.2) | 111 (20.0) | <0.001 | 40 (12.9) | 45 (14.5) | 0.56 | |
| Prenatal alcohol consumption | 41 (10.1) | 67 (12.6) | 0.23 | 33 (10.7) | 34 (11.0) | 0.90 | |
| Past or present disease* | 163 (40.0) | 142 (26.1) | <0.001 | 104 (33.6) | 104 (33.6) | 1.00 | |
| Present mental illness† | 54 (13.2) | 59 (10.7) | 0.23 | 38 (12.2) | 43 (13.8) | 0.55 | |
| Present physical disease‡ | 59 (14.4) | 73 (13.2) | 0.59 | 21 (6.8) | 20 (6.4) | 0.87 | |
| Foreign nationality§ | 29 (7.1) | 27 (4.9) | 0.15 | 17 (5.5) | 15 (4.8) | 0.72 | |
| Unhappy about pregnancy | 51 (12.6) | 111 (20.9) | 0.001 | 40 (13.1) | 42 (13.7) | 0.84 | |
| History of fertility treatment | 77 (19.2) | 65 (12.2) | 0.004 | 52 (17.1) | 51 (16.7) | 0.91 | |
| Having someone who can give advice on child rearing | |||||||
| Yes | 407 (99.3) | 525 (94.8) | 0.42 | 308 (99.0) | 307 (98.7) | 0.70 | |
| Partner | 275 (67.1) | 356 (64.3) | 0.36 | 211 (71.1) | 219 (70.4) | 0.86 | |
| Parents | 276 (67.3) | 372 (67.2) | 0.96 | 225 (72.4) | 220 (70.7) | 0.66 | |
| Step-parents | 129 (31.5) | 142 (25.6) | 0.05 | 100 (32.2) | 95 (30.6) | 0.67 | |
| Siblings | 117 (28.5) | 172 (31.1) | 0.40 | 99 (31.8) | 88 (28.3) | 0.34 | |
| Friends | 319 (77.8) | 374 (67.5) | <0.001 | 234 (75.2) | 237 (76.2) | 0.78 | |
| Having someone who can give support with child rearing | |||||||
| Yes | 407 (99.3) | 525 (94.8) | <0.001 | 308 (99.0) | 307 (98.7) | 0.70 | |
| Partner | 289 (70.5) | 282 (50.9) | <0.001 | 206 (66.2) | 206 (66.2) | 0.99 | |
| Parents | 253 (61.7) | 327 (59.0) | 0.40 | 205 (65.9) | 204 (65.6) | 0.93 | |
| Step-parents | 94 (22.9) | 103 (18.6) | 0.10 | 72 (23.2) | 72 (23.2) | 0.99 | |
| Siblings | 58 (14.2) | 92 (16.6) | 0.30 | 46 (14.8) | 44 (14.2) | 0.82 | |
| Friends | 45 (11.0) | 44 (7.9) | 0.11 | 31 (10.0) | 29 (9.3) | 0.79 | |
| Working at time of pregnancy registration | 195 (50.4) | 275 (53.0) | 0.44 | 164 (4.9) | 154 (51.7) | 0.44 | |
| Returning to hometown before deliver ‘Satogaeri’ | 178 (43.4) | 204 (36.8) | 0.04 | 138 (44.4) | 132 (42.4) | 0.63 | |
| Used child care services | |||||||
| Yes | 291 (73.1) | 446 (84.0) | 233 (76.6) | 239 (78.1) | |||
| Rarely | 80 (20.1) | 73 (13.8) | <0.001 | 60 (19.7) | 56 (18.3) | ||
| Never | 27 (6.8) | 12 (2.3) | 11 (3.6) | 11 (3.6) | 0.90 | ||
| Feeling unloved by parents when growing up | 35 (8.9) | 49 (9.5) | 0.76 | 25 (8.4) | 26 (8.7) | 0.89 | |
| Knowing someone who has experience in rearing a child | |||||||
| Yes, many people | 264 (66.0) | 407 (76.9) | 210 (68.9) | 225 (72.3) | |||
| Yes, a few people | 80 (20.0) | 76 (14.4) | 0.001 | 60 (19.7) | 51 (16.6) | ||
| No, do not know | 56 (14.0) | 46 (8.7) | 35 (11.5) | 31 (10.1) | 0.48 | ||
| Low capacity of child rearing | 8 (2.0) | 28 (5.1) | 0.01 | 7 (2.3) | 8 (2.6) | 0.79 | |
| Worrying about pregnancy due to previous negative experiences of delivery | 12 (2.9) | 28 (5.1) | 0.10 | 11 (3.5) | 7 (2.3) | 0.34 | |
| Worrying about: | |||||||
| Child rearing | 192 (46.8) | 213 (38.5) | 0.01 | 142 (45.7) | 140 (45.0) | 0.87 | |
| Money | 184 (44.9) | 250 (45.1) | 0.94 | 142 (45.7) | 146 (47.0) | 0.75 | |
| Disease | 89 (21.7) | 97 (17.5) | 0.10 | 62 (19.9) | 63 (20.3) | 0.92 | |
| Partner | 28 (6.8) | 52 (9.4) | 0.16 | 24 (7.7) | 28 (9.0) | 0.56 | |
| Supporters or advisers | 35 (8.5) | 34 (6.1) | 0.15 | 22 (7.1) | 26 (8.4) | 0.55 | |
| Job | 99 (24.2) | 130 (23.5) | 0.81 | 80 (25.7) | 77 (24.8) | 0.78 | |
| Relationships with neighbors | 64 (15.6) | 62 (11.2) | 0.04 | 45 (14.5) | 47 (15.1) | 0.82 | |
| Relationships with relatives | 16 (3.9) | 37 (6.7) | 0.06 | 15 (4.8) | 18 (5.8) | 0.59 | |
| Partner | Age, mean (SD), y | 33.9 (8.0) | 32.9 (7.8) | 0.07 | 33.4 (7.6) | 33.0 (7.9) | 0.55 |
| Knowing about partner's pregnancy | 397 (98.0) | 504 (96.0) | 0.08 | 298 (97.4) | 297 (97.7) | 0.80 | |
| Unhappy about partner’s pregnancy | 42 (10.7) | 85 (17.3) | 0.005 | 30 (10.2) | 32 (10.9) | 0.79 | |
| Family | Living with: | ||||||
| Partner | 292 (92.4) | 330 (83.8) | 0.001 | 210 (90.5) | 206 (90.4) | 0.95 | |
| Partner's parents | 107 (26.1) | 158 (28.5) | 0.41 | 86 (27.7) | 93 (29.9) | 0.54 | |
| Smoking during partner's pregnancy | 150 (36.6) | 212 (38.3) | 0.59 | 116 (37.3) | 116 (37.3) | 0.99 | |
| Economic problems | 112 (27.3) | 123 (22.2) | 0.07 | 72 (23.2) | 73 (23.5) | 0.92 | |
Note From the questionnaire: a "Do you have any disease that is currently under treatment or was treated in the past?"
b From risk assessment by public health nurses in first interview
c From risk assessment by public health nurses in first interview
d Prenatal mothers who emigrated to Japan or were staying in Japan long-term
e Abbreviations: LBW: low birth weight; SGA: small for gestational age
Effects of home-visit program on birth outcomes
| Model | BW | Gestational age | Z-score of birth weight | LBW | Preterm birth(<37 week) | SGA |
|---|---|---|---|---|---|---|
| Coefficient (95% CI) | Odds ratio (95% CI) | |||||
| Unadjusted | ||||||
| Multivariable adjusted | 0.09 | 0.81 | ||||
| (-0.05 to 0.22) | (0.50 to 1.32) | |||||
| Propensity score-matched | 0.47 | 0.73 | 0.96 | |||
| (-0.11 to 0.20) | (0.48 to 1.09) | (0.56 to 1.66) | ||||
| Propensity score-matched + multivariable adjusted | 0.01 | 0.26 | 0.71 | |||
| (-0.14 to 0.17) | (0.052 to 1.26) | (0.22 to 2.34) | ||||
Note a Abbreviations: BW: birth weight; LBW: low birth weight; SGA: small for gestational age