{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:56:03Z","timestamp":1790571363252,"version":"4.1.0"},"reference-count":19,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T00:00:00Z","timestamp":1790467200000},"content-version":"vor","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Child"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Reducing inequalities in early childhood support is a central public health and prevention challenge because services are most effective when families with high psychosocial burden can access them. This study examined a potential need\u2013access gap in Early Support Services (Fr\u00fche Hilfen) in Southern Germany by analysing overall service use and use within a subgroup of highly burdened parents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>Cross\u2010sectional data from the Junge Familien in Bayern (JuFaBY) cohort of families with young children were used. High need was defined as membership in the highest cut\u2010off category of the Eltern\u2010Belastungs\u2010Inventar (EBI), indicating clinically significant parenting stress. Multivariable logistic regression models with robust standard errors were estimated, adjusting for socio\u2010economic position, family structure, parental mental health, parenting behaviour difficulties, child health, childcare hours, labour status, survey year and non\u2010linear child age effects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      In the full sample (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u200920\u2009216), Early Support use was positively associated with several need indicators, including parenting stress, parenting behaviour difficulties, single parenthood and chronic child illness. A socio\u2010economic gradient was also observed: Lower household income was associated with higher uptake, while higher parental education was associated with higher use. In the high\u2010need subgroup (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20093232), income differences attenuated, but disparities by parental education and migration proxy persisted.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Early Support Services appear broadly need\u2010responsive, while selective access barriers may remain among families with high support needs. In particular, educational and migration\u2010related differences in uptake within highly burdened families indicate potential inequalities in access despite comparable levels of need.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/cch.70346","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T03:59:13Z","timestamp":1790567953000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Who Uses Services Overall and Within High\u2010Need Families? Social Inequalities in Access to Early Support Services in Southern Germany"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9149-3765","authenticated-orcid":false,"given":"Sonja","family":"Herrmann","sequence":"first","affiliation":[{"name":"Chair of Social Pediatrics, TUM School of Medicine and Health Technical University of Munich  Munich Germany"},{"name":"Faculty of Psychology and Educational Sciences Ludwig Maximilian University  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8190-687X","authenticated-orcid":false,"given":"Ina","family":"Nehring","sequence":"additional","affiliation":[{"name":"Chair of Social Pediatrics, TUM School of Medicine and Health Technical University of Munich  Munich Germany"},{"name":"HMU Health and Medical University  Potsdam Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker","family":"Mall","sequence":"additional","affiliation":[{"name":"Chair of Social Pediatrics, TUM School of Medicine and Health Technical University of Munich  Munich Germany"},{"name":"German Center for Child and Adolescent Health (DZKJ), Munich Partner Site  Munich Germany"},{"name":"kbo Children's Centre  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5359-4760","authenticated-orcid":false,"given":"Anna","family":"Friedmann","sequence":"additional","affiliation":[{"name":"Chair of Social Pediatrics, TUM School of Medicine and Health Technical University of Munich  Munich Germany"},{"name":"German Center for Child and Adolescent Health (DZKJ), Munich Partner Site  Munich Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,27]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1207\/s15374424jccp2104_12"},{"key":"e_1_2_13_3_1","volume-title":"Parenting Stress Index: Professional Manual","author":"Abidin R. R.","year":"1995"},{"issue":"1","key":"e_1_2_13_4_1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2307\/2137284","article-title":"Revisiting the Behavioral Model and Access to Medical Care: Does It Matter","volume":"36","author":"Andersen R. M.","year":"1995","journal-title":"Journal of Health and Social Behavior"},{"issue":"10064","key":"e_1_2_13_5_1","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1016\/S0140-6736(16)31389-7","article-title":"Early Childhood Development Coming of Age: Science Through the Life Course","volume":"389","author":"Black M. M.","year":"2017","journal-title":"Lancet (London, England)"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468\u20102850.1998.tb00152.x"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00103\u2010016\u20102422\u20108"},{"key":"e_1_2_13_8_1","unstructured":"Friedmann A. V.Mall I.Nehring et\u00a0al.2022. \u201cYoung Families in Bavaria (JuFaBY): Detection of Psychosocial Stress and Utilization of Support Measures in Families With Children From 0 to 6 Years Across Bavaria [Preregistration].\u201d December 23.https:\/\/doi.org\/10.17605\/OSF.IO\/8AJ6K."},{"key":"e_1_2_13_9_1","unstructured":"Fullerton B. A.Sann andA.Eickhorst.2018. \u201cKenntnis und Nutzung von Unterst\u00fctzungsangeboten durch Familien mit Migrationshintergrund (Faktenblatt 6 zur Pr\u00e4valenz\u2010 und Versorgungsforschung der Bundesinitiative Fr\u00fche Hilfen).\u201d Nationales Zentrum Fr\u00fche Hilfen (NZFH) K\u00f6ln.https:\/\/doi.org\/10.17623\/NZFH:FB6\u2010PVF."},{"key":"e_1_2_13_10_1","doi-asserted-by":"crossref","DOI":"10.1016\/j.childyouth.2026.108964","article-title":"Effectiveness of an Intervention for the Cross\u2010Sectoral Care of Families With Psychosocial Burden: A Controlled Trial","volume":"185","author":"Glattacker M.","year":"2026","journal-title":"Children and Youth Services Review"},{"issue":"2","key":"e_1_2_13_11_1","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1086\/730140","article-title":"Increasing Home Visiting Enrollment Through Enhanced Outreach","volume":"98","author":"Jacob R. T.","year":"2024","journal-title":"Social Service Review"},{"issue":"6","key":"e_1_2_13_12_1","first-page":"613","article-title":"An Ultra\u2010Brief Screening Scale for Anxiety and Depression: The PHQ\u20104","volume":"50","author":"Kroenke K.","year":"2009","journal-title":"Psychosomatics"},{"key":"e_1_2_13_13_1","doi-asserted-by":"crossref","DOI":"10.1186\/1475-9276-12-18","article-title":"Patient\u2010Centred Access to Health Care: Conceptualising Access at the Interface of Health Systems and Populations","volume":"12","author":"Levesque J.\u2010F.","year":"2013","journal-title":"International Journal for Equity in Health"},{"key":"e_1_2_13_14_1","unstructured":"Nationales Zentrum Fr\u00fche Hilfen (NZFH).2024. \u201cMonitoring Fr\u00fche Hilfen: Wissenschaftlicher Bericht 2023 zur Bundesstiftung Fr\u00fche Hilfen. K\u00f6ln.\u201dhttps:\/\/doi.org\/10.17623\/NZFH:Bericht\u2010BSFH\u201020233."},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00103\u2010016\u20102424\u20106"},{"issue":"1","key":"e_1_2_13_16_1","doi-asserted-by":"crossref","first-page":"e232","DOI":"10.1542\/peds.2011-2663","article-title":"The Lifelong Effects of Early Childhood Adversity and Toxic Stress","volume":"129","author":"Shonkoff J. P.","year":"2012","journal-title":"Pediatrics"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.3205\/zhwi000024"},{"key":"e_1_2_13_18_1","volume-title":"Eltern\u2010Belastungs\u2010Inventar (EBI): Deutsche Version des Parenting Stress Index (PSI) von R. R. Abidin [Test Manual]","author":"Tr\u00f6ster H.","year":"2011"},{"key":"e_1_2_13_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/17405629.2016.1182017"},{"key":"e_1_2_13_20_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13158\u2010025\u201000435\u20103"}],"container-title":["Child: Care, Health and Development"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cch.70346","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/cch.70346","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/cch.70346","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T04:25:12Z","timestamp":1790569512000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/cch.70346"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9]]},"references-count":19,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,9]]}},"alternative-id":["10.1111\/cch.70346"],"URL":"https:\/\/doi.org\/10.1111\/cch.70346","archive":["Portico"],"relation":{},"ISSN":["0305-1862","1365-2214"],"issn-type":[{"value":"0305-1862","type":"print"},{"value":"1365-2214","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9]]},"assertion":[{"value":"2026-04-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-27","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70346"}}