J Korean Acad Community Health Nurs.  2011 Jun;22(2):212-222. 10.12799/jkachn.2011.22.2.212.

A Study to Assess the Need of Customized Visiting Health Care Services for Children according to Socioeconomic Status in a Province

Affiliations
  • 1Department of Nursing, Chungju National University, Korea.
  • 2College of Nursing, Seoul National University, Korea. ksbang@snu.ac.kr
  • 3The Research Institute of Nursing Science, Seoul National University, Korea.
  • 4Department of Social Welfare, Chungju National University, Korea.
  • 5Department of Emergency Medical Service, Chungju National University, Korea.

Abstract

PURPOSE
This study was conducted to survey children's health status and need of customized visiting health care services in one province.
METHODS
The participants in this study were 237 caregivers of infants and preschoolers. Data were collected at the participant's home or public health center.
RESULTS
Many of the children did not receive developmental screening tests or dental examinations. In the beneficiary group, the prenatal checkup rate and children's vaccination rate were lower, and caregivers had more health problems than the other groups. On the assessment of home safety, unsafe conditions were more frequently found in the beneficiary group. The caregivers in the beneficiary group showed lower child rearing confidence than the other groups, and wanted customized visiting health care services most in the areas of developmental screening, regular health check-up and counseling, nutritional supplementation, and oral health care.
CONCLUSION
These results indicate that it is necessary for children and parents in poverty to be provided with professional home visiting interventions for the promotion of child health and prevention of developmental problems and diseases. These findings can be used for developing future customized visiting health care service programs for infants and children in this community area.

Keyword

Visiting health care services; Child; Poverty; Health

MeSH Terms

Caregivers
Child Rearing
Child Health
Child*
Counseling
Delivery of Health Care*
House Calls
Humans
Infant
Mass Screening
Oral Health
Parents
Poverty
Public Health
Social Class*
Vaccination

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