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Kim, Bang, Yoo, Kim, Tak, and Huh: A Study to Assess the Need of Customized Visiting Health Care Services for Children according to Socioeconomic Status in a Province
Original Article

Journal of Korean Academy of Community Health Nursing 2011; 22(2): 212-222.

Published online: 4 April 2014

DOI: https://doi.org/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

Hee Ja Kim1, Kyung-Sook Bang2, Jae Soon Yoo1, Hyun Sook Kim3, Yang Ju Tak4, Bo Yun Huh5

1Professor, Department of Nursing, Chungju National University, Korea.

2Associated Professor, College of Nursing · The Research Institute of Nursing Science, Seoul National University, Korea.

3Professor, Department of Social Welfare, Chungju National University, Korea.

4Assistant Professor, Department of Emergency Medical Service, Chungju National University, Korea.

5The Research Institute of Nursing Science, Seoul National University, Korea.

Address reprint requests to: Bang, Kyung-Sook, College of Nursing, Seoul National University, 28 Yeongeon-dong, Jongno-gu, Seoul 110-799, Korea. Tel: 82-2-740-8819, Fax: 82-2-765-4103, ksbang@snu.ac.kr

Received 16 May 2011       Revised 21 June 2011       Accepted 21 June 2011

© 2011 Korean Academy of Community Health Nursing

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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.

Keywords: Visiting health care services, Child, Poverty, Health

Figures and Tables

Table 1
Comparisons of General Characteristics (N=237)
jkachn-22-212-i001

BG=beneficiary group; LG=low-income group; GG=general group.

Note. No respondents were excluded.

Table 2
Comparison of Health Management Behaviors (N=237)
jkachn-22-212-i002

BG=beneficiary group; LG=low-income group; GG=general group.

Note. No respondents were excluded.

Table 3
Rate of Home Safety Compliance according to Socioeconomic Status (N=237)
jkachn-22-212-i003

BG=beneficiary group; LG=low-income group; GG=general group.

Note. No respondents were excluded.

Table 4
Need on The Education Program and Confidence in Child Rearing (N=237)
jkachn-22-212-i004

BG=beneficiary group; LG=low-income group; GG=general group.

Note. No respondents were excluded.

Table 5
Needs on The Visiting Health Care Services for Children (N=237)
jkachn-22-212-i005

BG=beneficiary group; LG=low-income group; GG=general group.

Note. No respondents were excluded.

Notes

This study was supported by a grant of Chungchungbook-do.

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