Influences on the receipt of well-child visits in the first two years of life
To determine demographic and health care system factors associated with children receiving an adequate number of well-child visits (WCVs). Information on 4385 children and their families was obtained via birth certificates, parent interviews, chart review of outpatient sites of care, and insurance r...
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| Veröffentlicht in: | Pediatrics (Evanston) 1999-04, Vol.103 (4), p.864-869 |
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| creator | FREED, G. L CLARK, S. J PATHMAN, D. E SCHECTMAN, R |
| description | To determine demographic and health care system factors associated with children receiving an adequate number of well-child visits (WCVs).
Information on 4385 children and their families was obtained via birth certificates, parent interviews, chart review of outpatient sites of care, and insurance records.
Only 77% of children received at least five WCVs by age 2. In regression analysis, the factors most strongly associated with children's total number of WCVs were delay in the initiation of prenatal care (odds ratio = 0.6) and receipt of all outpatient care in private physician offices (odds ratio = 4.2 to 5.6). Having an adequate number of WCVs was associated with being up to date for immunizations.
Children of mothers who delay prenatal care are at high risk for not receiving adequate numbers of WCVs. Recognition of this marker can allow for targeted interventions that aim to ensure that children receive appropriate preventive care. |
| format | Article |
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Information on 4385 children and their families was obtained via birth certificates, parent interviews, chart review of outpatient sites of care, and insurance records.
Only 77% of children received at least five WCVs by age 2. In regression analysis, the factors most strongly associated with children's total number of WCVs were delay in the initiation of prenatal care (odds ratio = 0.6) and receipt of all outpatient care in private physician offices (odds ratio = 4.2 to 5.6). Having an adequate number of WCVs was associated with being up to date for immunizations.
Children of mothers who delay prenatal care are at high risk for not receiving adequate numbers of WCVs. Recognition of this marker can allow for targeted interventions that aim to ensure that children receive appropriate preventive care.</description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>PMID: 10103323</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>Elk Grove Village, IL: American Academy of Pediatrics</publisher><subject>Adolescent ; Adult ; Babies ; Biological and medical sciences ; Care and treatment ; Child Health Services - utilization ; Child, Preschool ; Children ; Cohort Studies ; Demographic aspects ; Demographics ; Humans ; Immunization - utilization ; Infant ; Infant, Newborn ; Insurance, Health - statistics & numerical data ; Marriage - statistics & numerical data ; Maternal Age ; Medical sciences ; Medicine, Preventive ; North Carolina ; Odds Ratio ; Pediatrics ; Physical examinations ; Prenatal Care - utilization ; Prevention and actions ; Preventive health services ; Preventive Health Services - supply & distribution ; Preventive health services for children ; Preventive medicine ; Primary Health Care - utilization ; Private Practice - statistics & numerical data ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Random Allocation ; Regression Analysis ; Socioeconomic Factors ; Specific populations (family, woman, child, elderly...) ; Vaccination ; Vaccination of children</subject><ispartof>Pediatrics (Evanston), 1999-04, Vol.103 (4), p.864-869</ispartof><rights>1999 INIST-CNRS</rights><rights>COPYRIGHT 1999 American Academy of Pediatrics</rights><rights>COPYRIGHT 1999 American Academy of Pediatrics</rights><rights>Copyright American Academy of Pediatrics Apr 1999</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1747175$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10103323$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>FREED, G. L</creatorcontrib><creatorcontrib>CLARK, S. J</creatorcontrib><creatorcontrib>PATHMAN, D. E</creatorcontrib><creatorcontrib>SCHECTMAN, R</creatorcontrib><title>Influences on the receipt of well-child visits in the first two years of life</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description>To determine demographic and health care system factors associated with children receiving an adequate number of well-child visits (WCVs).
Information on 4385 children and their families was obtained via birth certificates, parent interviews, chart review of outpatient sites of care, and insurance records.
Only 77% of children received at least five WCVs by age 2. In regression analysis, the factors most strongly associated with children's total number of WCVs were delay in the initiation of prenatal care (odds ratio = 0.6) and receipt of all outpatient care in private physician offices (odds ratio = 4.2 to 5.6). Having an adequate number of WCVs was associated with being up to date for immunizations.
Children of mothers who delay prenatal care are at high risk for not receiving adequate numbers of WCVs. Recognition of this marker can allow for targeted interventions that aim to ensure that children receive appropriate preventive care.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Babies</subject><subject>Biological and medical sciences</subject><subject>Care and treatment</subject><subject>Child Health Services - utilization</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Cohort Studies</subject><subject>Demographic aspects</subject><subject>Demographics</subject><subject>Humans</subject><subject>Immunization - utilization</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Insurance, Health - statistics & numerical data</subject><subject>Marriage - statistics & numerical data</subject><subject>Maternal Age</subject><subject>Medical sciences</subject><subject>Medicine, Preventive</subject><subject>North Carolina</subject><subject>Odds Ratio</subject><subject>Pediatrics</subject><subject>Physical examinations</subject><subject>Prenatal Care - utilization</subject><subject>Prevention and actions</subject><subject>Preventive health services</subject><subject>Preventive Health Services - supply & distribution</subject><subject>Preventive health services for children</subject><subject>Preventive medicine</subject><subject>Primary Health Care - utilization</subject><subject>Private Practice - statistics & numerical data</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Random Allocation</subject><subject>Regression Analysis</subject><subject>Socioeconomic Factors</subject><subject>Specific populations (family, woman, child, elderly...)</subject><subject>Vaccination</subject><subject>Vaccination of children</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1999</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0V1LHDEUBuBBKrra_oUSSileOJDJ12QuZbEqrHhjr4ds5mSMZJNtkqn6782yW2RlOReB8JCc856jatbgTtaMtPxLNcOYNjXDmJ9WZyk9Y4wZb8lJddrgBlNK6Ky6v_PGTeA1JBQ8yk-AImiw64yCQS_gXK2frBvQP5tsTshujbExZZRfAnoDFdPGOmvga3VslEvwbXeeV39-Xz_Ob-vFw83d_GpRjwzLXDOhxFIMw0CJGjTDRjMDQgIxRmrGtByE4pp0IBlTWnJCKeWAqWgwkUvd0PPq1_bddQx_J0i5X9mkS7PKQ5hSLzohWkl5gT8-wecwRV966wmRVPBObNDlFo3KQW-9CTkqPYKHqFzwYGy5vuKMlcS6zef1AV5qgJXVh_zFni8kw2se1ZRSL28We_TyENXBORihLxnOH_b4991003IFQ7-OdqXiW_9_vQX83AGVtHImKq9t-nAta5uW03cq-KrO</recordid><startdate>19990401</startdate><enddate>19990401</enddate><creator>FREED, G. 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Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Random Allocation</topic><topic>Regression Analysis</topic><topic>Socioeconomic Factors</topic><topic>Specific populations (family, woman, child, elderly...)</topic><topic>Vaccination</topic><topic>Vaccination of children</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FREED, G. L</creatorcontrib><creatorcontrib>CLARK, S. J</creatorcontrib><creatorcontrib>PATHMAN, D. 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E</au><au>SCHECTMAN, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Influences on the receipt of well-child visits in the first two years of life</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>1999-04-01</date><risdate>1999</risdate><volume>103</volume><issue>4</issue><spage>864</spage><epage>869</epage><pages>864-869</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract>To determine demographic and health care system factors associated with children receiving an adequate number of well-child visits (WCVs).
Information on 4385 children and their families was obtained via birth certificates, parent interviews, chart review of outpatient sites of care, and insurance records.
Only 77% of children received at least five WCVs by age 2. In regression analysis, the factors most strongly associated with children's total number of WCVs were delay in the initiation of prenatal care (odds ratio = 0.6) and receipt of all outpatient care in private physician offices (odds ratio = 4.2 to 5.6). Having an adequate number of WCVs was associated with being up to date for immunizations.
Children of mothers who delay prenatal care are at high risk for not receiving adequate numbers of WCVs. Recognition of this marker can allow for targeted interventions that aim to ensure that children receive appropriate preventive care.</abstract><cop>Elk Grove Village, IL</cop><pub>American Academy of Pediatrics</pub><pmid>10103323</pmid><tpages>6</tpages></addata></record> |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Adolescent Adult Babies Biological and medical sciences Care and treatment Child Health Services - utilization Child, Preschool Children Cohort Studies Demographic aspects Demographics Humans Immunization - utilization Infant Infant, Newborn Insurance, Health - statistics & numerical data Marriage - statistics & numerical data Maternal Age Medical sciences Medicine, Preventive North Carolina Odds Ratio Pediatrics Physical examinations Prenatal Care - utilization Prevention and actions Preventive health services Preventive Health Services - supply & distribution Preventive health services for children Preventive medicine Primary Health Care - utilization Private Practice - statistics & numerical data Public health. Hygiene Public health. Hygiene-occupational medicine Random Allocation Regression Analysis Socioeconomic Factors Specific populations (family, woman, child, elderly...) Vaccination Vaccination of children |
| title | Influences on the receipt of well-child visits in the first two years of life |
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