Maternal help-seeking for child developmental concerns: Associations with socio-demographic factors

Abstract

Aim: To examine socio-demographic factors associated with maternal help-seeking for child developmental concerns in a longitudinal birthcohort study. An understanding of these factors is critical to improving uptake of services to maximise early identification and intervention fordevelopmental concerns.Methods: A birth cohort was recruited from the post-natal war ds of two teaching hospitals and through community nurses in South Wes tern Sydne y,Austr alia, between Nov em ber 2011 and April 2013. Of the 4047 mothers appr oached, 2025 consented to participate (respo nse rate = 50 %). Socio-demographic and service use information was collected after the child’s birth and when the child was 18 months of age. Sources of help wer e dividedinto three categories (formal health services, other formal services and informal supports) and compound variables were created by summing the num-ber of different sour ces identified by mothers .Results: Significantly more sources of help were intended to be used and/or actually accessed by mothers born in Australia, whose primary lan-guage was English, with higher levels of education and annual household income, and among mothers of first-born children.Conclusions: Developmental concerns are known to increase with increased psychosocial adversity. Our findings of reduced intent to accessand use of services by socio-economically disadvantaged families and those from culturally and linguistically diverse backgrounds suggests thatan inverse care effect is in operation whereby those children with the greatest health needs may have the least access to services. Possibleexplanations for this, and recommendations for improving service accessibility for these populations through targeted and culturally appropriateservices, are discussed.