{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,24]],"date-time":"2026-06-24T11:09:42Z","timestamp":1782299382989,"version":"3.54.5"},"reference-count":43,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T00:00:00Z","timestamp":1664928000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"NIHR Children and Families Policy Research Unit","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"DOI":"10.13039\/100010269","name":"Wellcome","doi-asserted-by":"publisher","award":["212953\/Z\/18\/Z"],"award-info":[{"award-number":["212953\/Z\/18\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100019256","name":"NIHR Great Ormond Street Hospital Biomedical Research Centre","doi-asserted-by":"crossref","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/501100019256","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100002001","name":"Health Services and Delivery Research Programme","doi-asserted-by":"publisher","award":["17\/99\/19"],"award-info":[{"award-number":["17\/99\/19"]}],"id":[{"id":"10.13039\/501100002001","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100023699","name":"Health Data Research UK","doi-asserted-by":"crossref","award":["LOND1"],"award-info":[{"award-number":["LOND1"]}],"id":[{"id":"10.13039\/501100023699","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["J Epidemiol Community Health"],"accepted":{"date-parts":[[2022,9,24]]},"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Intensive home visiting for adolescent mothers may help reduce health disparities. Given limited resources, such interventions need to be effectively targeted. We evaluated which mothers were enrolled in the Family Nurse Partnership (FNP), an intensive home-visiting service for first-time young mothers commissioned in &gt;130 local authorities in England since 2007.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>We created a population-based cohort of first-time mothers aged 13\u201319 years giving birth in English National Health Service hospitals between 1 April 2010 and 31 March 2017, using administrative hospital data linked with FNP programme, educational and social care data. Mothers living in a local authority with an active FNP site were eligible. We described variation in enrolment rates across sites, and identified maternal and FNP site characteristics associated with enrolment.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of 110 520 eligible mothers, 25 680 (23.2% (95% CI: 23.0% to 23.5%)) were enrolled. Enrolment rates varied substantially across 122 sites (range: 11%\u201368%), and areas with greater numbers of first-time adolescent mothers achieved lower enrolment rates. Mothers aged 13\u201315 years were most likely to be enrolled (52%). However, only 26% of adolescent mothers with markers of vulnerability (including living in the most deprived areas and ever having been looked after as a child) were enrolled.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>A substantial proportion of first-time adolescent mothers with vulnerability markers were not enrolled in FNP. Variation in enrolment across sites indicates insufficient commissioning of places that is not proportional to level of need, with mothers in areas with large numbers of other adolescent mothers least likely to receive support.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/jech-2021-217986","type":"journal-article","created":{"date-parts":[[2022,10,5]],"date-time":"2022-10-05T13:22:00Z","timestamp":1664976120000},"page":"991-998","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":8,"title":["Characteristics of enrolment in an intensive home-visiting programme among eligible first-time adolescent mothers in England: a linked administrative data cohort study"],"prefix":"10.1136","volume":"76","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9641-8780","authenticated-orcid":false,"given":"Francesca L","family":"Cavallaro","sequence":"first","affiliation":[{"name":"Population Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Gilbert","sequence":"additional","affiliation":[{"name":"Population Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1222-2922","authenticated-orcid":false,"given":"Linda PMM","family":"Wijlaars","sequence":"additional","affiliation":[{"name":"Population Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eilis","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Children, Young Adults and Families Directorate, Tavistock and Portman NHS Foundation Trust, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emma","family":"Howarth","sequence":"additional","affiliation":[{"name":"School of Psychology, University of East London, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Kendall","sequence":"additional","affiliation":[{"name":"Centre for Health Services Studies, University of Kent, Canterbury, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jan","family":"van der Meulen","sequence":"additional","affiliation":[{"name":"Department of Health Services Research & Policy, London School of Hygiene and Tropical Medicine, Faculty of Public Health and Policy, London, UK"},{"name":"Clinical Effectiveness Unit, Royal College of Surgeons of England, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Andreea","family":"Calin","sequence":"additional","affiliation":[{"name":"Family Nurse Partnership and Intensive Parenting National Unit, Office for Health Improvement and Disparities, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynne","family":"Reed","sequence":"additional","affiliation":[{"name":"Family Nurse Partnership and Intensive Parenting National Unit, Office for Health Improvement and Disparities, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katie","family":"Harron","sequence":"additional","affiliation":[{"name":"Population Policy and Practice, UCL Great Ormond Street Institute of Child Health, London, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2022,10,5]]},"reference":[{"key":"2025100308111774000_76.12.991.1","doi-asserted-by":"crossref","DOI":"10.1136\/bmj.323.7326.1428","article-title":"Teenage pregnancy is not a public health problem","volume":"323","author":"Lawlor","year":"2001","journal-title":"BMJ"},{"key":"2025100308111774000_76.12.991.2","unstructured":"Wiggins M , Oakley A , Sawtell M . 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