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<p>Home visiting programs (HVPs) provide services to pregnant individuals and parents of young children to improve families’ health and well-being. However, little is known about these families’ social contexts. This study explores the social networks and dietary intake of mothers enrolled in a HVP, focusing on health support and health undermining. Cross-sectional data from 76 mothers enrolled in a HVP in Los Angeles County were collected by interview, using validated measures. Almost all mothers (95.7%) had one or more health supporters, while 55.1% had one or more health underminers. Some key findings related to health support were that mothers with higher income had more health supporters in their network (<i>b</i> = 1.36, <i>p</i> = 0.03), and network members were more likely to be health supporters if they were a romantic partner (OR = 3.41, <i>p</i> &lt; 0.001), a resource-based connection (OR = 3.46, <i>p</i> &lt; 0.01), or if they lived in the same neighborhood as the mother (OR = 1.68, <i>p</i> &lt; 0.05). Further, having a health supporter who lived in the same neighborhood was associated with consuming more (1 + daily servings) vegetables (OR = 3.0, <i>p</i> &lt; 0.05) and no sugar-sweetened beverages (OR = 0.29, <i>p</i> &lt; 0.05). There were fewer findings related to health undermining: network members more likely to be underminers were romantic partners (OR = 8.93, <i>p</i> &lt; .0001), and those perceived as having overweight or obesity (OR = 3.98, <i>p</i> &lt; 0.001), but health undermining did not predict dietary intake. Overall, a broad set of network features were linked with health support, and given that some types of support were linked with better diet, network-based diet interventions leveraging health support may be effective in this priority population.</p>

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Social Networks, Health Support, and Dietary Intake in Mothers Receiving Home Visiting Services

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年1月22日

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  • Sydney Miller,
  • Sarah-Jeanne Salvy,
  • Nenette Caceres,
  • Trevor Pickering,
  • Wandi Bruine de Bruin,
  • Tom W. Valente,
  • John P. Wilson,
  • Kayla de la Haye

摘要

Home visiting programs (HVPs) provide services to pregnant individuals and parents of young children to improve families’ health and well-being. However, little is known about these families’ social contexts. This study explores the social networks and dietary intake of mothers enrolled in a HVP, focusing on health support and health undermining. Cross-sectional data from 76 mothers enrolled in a HVP in Los Angeles County were collected by interview, using validated measures. Almost all mothers (95.7%) had one or more health supporters, while 55.1% had one or more health underminers. Some key findings related to health support were that mothers with higher income had more health supporters in their network (b = 1.36, p = 0.03), and network members were more likely to be health supporters if they were a romantic partner (OR = 3.41, p < 0.001), a resource-based connection (OR = 3.46, p < 0.01), or if they lived in the same neighborhood as the mother (OR = 1.68, p < 0.05). Further, having a health supporter who lived in the same neighborhood was associated with consuming more (1 + daily servings) vegetables (OR = 3.0, p < 0.05) and no sugar-sweetened beverages (OR = 0.29, p < 0.05). There were fewer findings related to health undermining: network members more likely to be underminers were romantic partners (OR = 8.93, p < .0001), and those perceived as having overweight or obesity (OR = 3.98, p < 0.001), but health undermining did not predict dietary intake. Overall, a broad set of network features were linked with health support, and given that some types of support were linked with better diet, network-based diet interventions leveraging health support may be effective in this priority population.