Youth Access to Medical Homes and Medical Home Components by Race and Ethnicity

Weller, Bridget E.; Faubert, Sarah J.; Ault, Anna K

doi:10.1007/s10995-019-02831-3

Cited by 19 publications

(6 citation statements)

References 22 publications

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“…Other factors that could hinder lower income parents from seeking vaccinations for their children include transportation challenges, a lack of pediatric and family medicine practices that serve as medical homes for routine pediatric care, and higher COVID-19 vaccine hesitancy among some parents (8,9). Access to a medical home could help address parental concerns about COVID-19 vaccines and improve vaccination uptake among pediatric populations.…”

Section: Discussionmentioning

confidence: 99%

Disparities in First Dose COVID-19 Vaccination Coverage among Children 5–11 Years of Age, United States

Murthy¹,

Zell²,

Fast³

et al. 2022

Emerg. Infect. Dis.

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A lthough more common among adults, severe coronavirus disease (COVID-19) and hospitalization can occur in children. Among >8,300 hospitalized children 5-11 years of age, 1/3 required intensive care (1,2). Children can transmit severe acute respiratory syndrome coronavirus 2 to others, highlighting the need for pediatric COVID-19 vaccinations. On November 2, 2021, the US Centers for Disease Control and Prevention (CDC) recommended the use of the Pfizer-BioNTech COVID-19 vaccine (Pfizer Inc., https://www.pfizer.com) in children 5-11 years of age. We analyzed first-dose vaccination coverage among children 5-11 years of age and stratified coverage by age group, sex, race/ ethnicity, and jurisdiction. The StudyWe analyzed COVID-19 vaccine administration data among children 5-11 years of age in the United States during November 2-December 31, 2021. We collected data that were reported to CDC from jurisdictions, pharmacies, and federal entities through immunization information systems, the Vaccine Administration Management System, and direct data submission by January 21, 2022 (Appendix, https://wwwnc.cdc. gov/EID/article/28/5/22-0166.pdf). We calculated daily and cumulative total numbers of children receiving the first dose of Pfizer-BioNTech COVID-19 vaccine. We calculated vaccination coverage by dividing the number of children who received the first vaccine dose by the total population of children in the corresponding age group living in the defined jurisdiction. We stratified vaccine coverage by jurisdiction, age group (5-6, 7-8, and 9-11 years), and sex. We obtained the population size for children 5-11 years of age from the US Census Bureau 2020 Population Estimates (3). Among 82.1% of children 5-11 years of age for whom race and ethnicity data were available, we calculated the percentage of children receiving their first COVID-19 vaccine dose by race/ ethnicity and compared this with the racial and ethnic makeup of the US population 5-11 years of age.We did not conduct tests for statistical significance because these data reflect US population and not population samples. We used SAS version 9.4 (SAS Institute, Inc., https://www.sas.com) to perform analyses. This study was reviewed by CDC and conducted consistent with applicable federal law and CDC policy.

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Section: Discussionmentioning

confidence: 99%

Disparities in First Dose COVID-19 Vaccination Coverage among Children 5–11 Years of Age, United States

Murthy¹,

Zell²,

Fast³

et al. 2022

Emerg. Infect. Dis.

View full text Add to dashboard Cite

show abstract

“…Covariates. Consistent with previous research using data from the NSCH, we included the following control variables: gender, income based on federal poverty level, highest level of education, and primary language spoken in the home (e.g., Butler et al, 2015;Weller et al, 2018;Weller et al, 2019).…”

Section: Indicators Of Social Determinants Of Healthmentioning

confidence: 99%

Latent Class Analysis: A Guide to Best Practice

Weller

Bowen

Faubert

2020

Journal of Black Psychology

Self Cite

898

697

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Latent class analysis (LCA) is a statistical procedure used to identify qualitatively different subgroups within populations who often share certain outward characteristics. The assumption underlying LCA is that membership in unobserved groups (or classes) can be explained by patterns of scores across survey questions, assessment indicators, or scales. The application of LCA is an active area of research and continues to evolve. As more researchers begin to apply the approach, detailed information on key considerations in conducting LCA is needed. In the present article, we describe LCA, review key elements to consider when conducting LCA, and provide an example of its application.

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“…This provides reason for optimism regarding telemedicine's potential to be used equitably within primary care practices among patients with a usual source of care. However, there are substantial inequities in the characteristics of respondents who reported that their children did versus did not have a usual source of primary care across educational attainment, income, child insurance, and race/ethnicity, echoing inequities in having a usual source of care in prior studies [25][26][27][28][29]. Together, these findings indicate that in order to advance equitable use of primary care telemedicine across these sociodemographic characteristics, the largest impact may be through ensuring equitable access to a usual source of pediatric care.…”

Section: Discussionmentioning

confidence: 99%

Parent-Reported Use of Pediatric Primary Care Telemedicine: Survey Study

Ray¹,

Wittman²,

Burns³

et al. 2023

J Med Internet Res

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Background Telemedicine delivered from primary care practices became widely available for children during the COVID-19 pandemic. Objective Focusing on children with a usual source of care, we aimed to examine factors associated with use of primary care telemedicine. Methods In February 2022, we surveyed parents of children aged ≤17 years on the AmeriSpeak panel, a probability-based panel of representative US households, about their children’s telemedicine use. We first compared sociodemographic factors among respondents who did and did not report a usual source of care for their children. Among those reporting a usual source of care, we used Rao-Scott F tests to examine factors associated with parent-reported use versus nonuse of primary care telemedicine for their children. Results Of 1206 respondents, 1054 reported a usual source of care for their children. Of these respondents, 301 of 1054 (weighted percentage 28%) reported primary care telemedicine visits for their children. Factors associated with primary care telemedicine use versus nonuse included having a child with a chronic medical condition (87/301, weighted percentage 27% vs 113/753, 15%, respectively; P=.002), metropolitan residence (262/301, weighted percentage 88% vs 598/753, 78%, respectively; P=.004), greater internet connectivity concerns (60/301, weighted percentage 24% vs 116/753, 16%, respectively; P=.05), and greater health literacy (285/301, weighted percentage 96% vs 693/753, 91%, respectively; P=.005). Conclusions In a national sample of respondents with a usual source of care for their children, approximately one-quarter reported use of primary care telemedicine for their children as of 2022. Equitable access to primary care telemedicine may be enhanced by promoting access to primary care, sustaining payment for primary care telemedicine, addressing barriers in nonmetropolitan practices, and designing for lower health-literacy populations.

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Youth Access to Medical Homes and Medical Home Components by Race and Ethnicity

Cited by 19 publications

References 22 publications

Disparities in First Dose COVID-19 Vaccination Coverage among Children 5–11 Years of Age, United States

Disparities in First Dose COVID-19 Vaccination Coverage among Children 5–11 Years of Age, United States

Latent Class Analysis: A Guide to Best Practice

Parent-Reported Use of Pediatric Primary Care Telemedicine: Survey Study

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