[Knowledge and use of different support programs in the context of early prevention in relation to family-related psychosocial burden].
BACKGROUND
The Federal Initiative for Early Prevention (funded by German ministry BMFSFJ), through the development of specific assistance programmes, supports families that suffer from psychosocial burden. As nationally representative data are missing, the National Centre for Early Prevention carried out a national survey on the psychosocial burden experienced by families with children aged 0-3 years.


OBJECTIVE
Ascertainment of the connections between family-related psychosocial burden and knowledge and use of different assistance programmes.


METHODS
Via paediatricians, 8063 parents were recruited to complete a questionnaire on objective burden, subjective experience of burden as well as knowledge and use of assistance programmes. Differences in knowledge and use between educational groups were tested by means of chi-squared tests. Very good knowledge of available assistance programmes and the offer and acceptance of aid by family midwives were subjected to regression analyses.


RESULTS
Clear differences in knowledge and use of individual assistance programmes between educational groups were observed. Many programmes are predominantly used by better educated families, although there are exceptions, for example in the case of family midwives. Despite generally small group differences, less-educated families are the proportionally largest user group of family midwives. Furthermore we present average predicted percentages of knowledge and use for specific groups of psychosocially burdened parents as derived from the regression analyses.


CONCLUSIONS
The results are discussed in the context of barriers to access for individual assistance programmes as well as their match with families' needs in the practice of early prevention.
Fachgruppe Nationales Zentrum Frühe Hilfen, Deutsches Jugendinstitut e. V., Nockherstr. 2, 81541, München, Deutschland. eickhorst@dji.de.
Andreas
A
Eickhorst
Fachgruppe Nationales Zentrum Frühe Hilfen, Deutsches Jugendinstitut e. V., Nockherstr. 2, 81541, München, Deutschland.
Andrea
A
Schreier
Department of Health Services Research and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Christian
C
Brand
Erziehungs- und Familienberatungsstelle Ingolstadt, Ingolstadt, Deutschland.
Katrin
K
Lang
Fachgruppe Nationales Zentrum Frühe Hilfen, Deutsches Jugendinstitut e. V., Nockherstr. 2, 81541, München, Deutschland.
Christoph
C
Liel
Nationales Zentrum Frühe Hilfen in der Bundeszentrale für gesundheitliche Aufklärung, Köln, Deutschland.
Ilona
I
Renner
Nationales Zentrum Frühe Hilfen in der Bundeszentrale für gesundheitliche Aufklärung, Köln, Deutschland.
Anna
A
Neumann
Fachgruppe Nationales Zentrum Frühe Hilfen, Deutsches Jugendinstitut e. V., Nockherstr. 2, 81541, München, Deutschland.
Alexandra
A
Sann
D002653:Child Behavior Disorders / Q000453:epidemiology / Q000517:prevention & control*; D002662:Child Health Services; D017281:Cost of Illness; D005260:Female; D005858:Germany / Q000453:epidemiology; D057220:Health Literacy / Q000706:statistics & numerical data*; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010290:Parents; D015995:Prevalence; D011315:Preventive Medicine / Q000706:statistics & numerical data*; D011584:Psychology; D012944:Social Support; D014600:Utilization Review
Early prevention; Educational groups; Family midwive; Psychosocial burden; Usage