Anticipatory Guidance

Schuster, Mark A.; Duan, Naihua; Regalado, Michael; Klein, David J.

doi:10.1001/archpedi.154.12.1191

Cited by 162 publications

(28 citation statements)

References 60 publications

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“…The considerably lower rates of having a continuous health care provider for children in lower income families is disconcerting given the important role that such an individual could play as a long-term developmental advocate for the child [33]. Receiving primary care from the same physician has been associated with more frequent discussions about child health supervision topics and more preventive health visits [34–36]. Sizable income disparities were also noted for unmet health needs (medical, dental, prescription) and use of routine and preventive health services and these disparities remained in models that included controls for health insurance status suggesting that although universal health coverage may be a necessary first step toward achieving equity in children’s access to health care, it may not be sufficient to close the large gaps in service between children in low- and high-income families.…”

Section: Discussionmentioning

confidence: 99%

Family Income Gradients in the Health and Health Care Access of US Children

Larson

Halfon

2009

Matern Child Health J

154

112

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This study sought to examine the shape and magnitude of family income gradients in US children’s health, access to care, and use of services. We analyzed cross-sectional data from the 2003 National Survey of Children’s Health, a telephone survey of 102,353 parents of children aged 0–17 years. Associations between family income [Below 100% Federal Poverty Level (FPL), 100–199% FPL, 200–299% FPL, 300–399% FPL, 400% FPL or Greater] and a set of 32 health and health care indicators were examined using linear polynomial testing and multivariate logistic regression. The percentage of children in better health increased with family income for 15 health outcomes. In multivariate logistic regression models that controlled for health insurance coverage and socio-demographic confounders, odds ratios >2 comparing the lowest to the highest income groups were noted for health conditions across both physical and developmental domains (diabetes, headaches, ear infections, learning disabilities, behavior/conduct problems, speech problems). Parent-reported global child health status, activity limitation, and oral health status showed steeper gradients than specific chronic and acute conditions. Ten measures of health care access and utilization were associated with family income in multivariate logistic regression models. Income gradients are pervasive across many health indicators at an early age. Social and health policy interventions are needed to address the multitude of factors that can affect children’s health and initiate disparities in development.

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Section: Discussionmentioning

confidence: 99%

Family Income Gradients in the Health and Health Care Access of US Children

Larson

Halfon

2009

Matern Child Health J

154

112

View full text Add to dashboard Cite

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“…(47, 50) Additionally, the primary care that minority children and children from limited English proficient (LEP) families receive is generally of lower quality than that of white children,(11) so minority families may not receive all recommended services even when care is accessed. For instance, minority and LEP families are less likely to receive desired anticipatory guidance or family-centered care,(51–53) which are associated with improved identification of developmental issues. (54) This may be particularly the case for children with developmental disorders: in a study using the National Survey of Children with Special Health Care Needs, Montes and colleagues showed that family-centered care is lower among African-American children with ASDs than among white children with ASDs.…”

Section: Access To Db Services In the Primary And Specialty Care Settmentioning

confidence: 99%

Racial, Ethnic, and Language Disparities in Early Childhood Developmental/Behavioral Evaluations

Zuckerman

Mattox

Sinche

et al. 2013

Clin Pediatr (Phila)

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“…The WIC program is another major source of nutrition information for parents of young children in households at or below 185% Federal Poverty Level (FPL); WIC serves more than 8 million parents of infants each month [15]. Receiving professional advice has been shown to influence parents’ breastfeeding initiation [16], and parents report valuing pediatric advice during early childhood [17]. Understanding patterns of professional advice is important because prior studies suggest that the timing of the introduction of solid foods is associated with family factors including maternal ethnicity, cultural beliefs, education, breastfeeding status and duration, participation in the Supplementary Nutrition Program for Women, Infants and Children (WIC), and also whether a provider discussion of the introduction of solid foods had occurred [3, 18, 19].…”

Section: Introductionmentioning

confidence: 99%

Introduction of Solid Food to Young Infants

Kuo¹,

Inkelas²,

Slusser

et al. 2010

Matern Child Health J

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Timing of the first introduction of solid food during infancy may have potential effects on life-long health. To understand the characteristics that are associated with the timing of infants’ initial exposure to solid foods. The 2000 National Survey of Early Childhood Health (NSECH) was a nationally representative telephone survey of 2,068 parents of children aged 4–35 months, which profiled content and quality of health care for young children. African-American and Latino families were over-sampled. Analyses in this report include bivariate tests and logistic regressions. 62% of parents reported introducing solids to their child between 4–6 months of age. African-American mothers (OR = 0.5 [0.3, 0.9]), English-speaking Latino mothers (OR = 0.4 [0.2, 0.7]), White mothers with more than high school education (OR = 0.5 [0.2, 1.0]), and mothers who breastfed for 4 months or longer (OR = 0.4 [0.3, 0.7]) were less likely to introduce solids early. Most parents (92%) of children 4–9 months of age reported that their pediatric provider had discussed introduction of solids with them since the child’s birth, and provider discussion of feeding was not associated with the timing of introduction of solids. Although most parents recall discussing the introduction of solid foods with their child’s physician, several subgroups of mothers introduce solid foods earlier than the AAP recommendation of 4–6 months. More effective discussion of solid food introduction linked to counseling and support of breastfeeding by the primary health care provider may reduce early introduction of solids.

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Anticipatory Guidance

Abstract: Objective: To determine whether parents are receiving anticipatory guidance, whether they could use more information on anticipatory guidance topics, and how receipt of anticipatory guidance relates to satisfaction with care.

Cited by 162 publications

References 60 publications

Family Income Gradients in the Health and Health Care Access of US Children

Family Income Gradients in the Health and Health Care Access of US Children

Racial, Ethnic, and Language Disparities in Early Childhood Developmental/Behavioral Evaluations

Introduction of Solid Food to Young Infants

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