Abstract:
:This study extends mediation analysis techniques to explore whether and to what extent differential access to a medical home explains the black/white disparity in unmet healthcare needs among children with special healthcare needs (CSHCN). Data were obtained from the 2007 National Survey of Children's Health, with analyses limited to non-Hispanic white and black CSHCN (n = 14,677). The counterfactual approach to mediation analysis was used to estimate odds ratios for the natural direct and indirect effects of race on unmet healthcare needs. Overall, 43.0 % of white CSHCN and 60.4 % of black CSHCN did not have a medical home. Additionally, 8.8 % of white CSHCN and 15.3 % of black CSHCN had unmet healthcare needs. The natural indirect effect indicates that the odds of unmet needs among black CSHCN are elevated by approximately 20 % as a result of their current level of access to the medical home rather than access at a level equal to white CSHCN (OR(NIE) = 1.2, 95 % CI = 1.1, 1.3). The natural direct effect indicates that even if black CSHCN had the same level of access to a medical home as white CSHCN, blacks would still have 60 % higher odds of unmet healthcare needs than whites (OR(NDE) = 1.6, 95 % CI = 1.1, 2.4). The racial disparity in unmet healthcare needs among CSHCN is only partially explained by disparities in having a medical home. Ensuring all CSHCN have equal access to a medical home may reduce the racial disparity in unmet needs, but will not completely eliminate it.
journal_name
Matern Child Health Jjournal_title
Maternal and child health journalauthors
Bennett AC,Rankin KM,Rosenberg Ddoi
10.1007/s10995-012-1131-7subject
Has Abstractpub_date
2012-12-01 00:00:00pages
330-8eissn
1092-7875issn
1573-6628journal_volume
16 Suppl 2pub_type
杂志文章abstract:OBJECTIVES:Giving birth and adjusting to a new baby can be difficult and stressful for new mothers. Negative mood may occur during this time and can affect women, their parenting and the infant's development. This pilot study evaluated a brief online self-help intervention designed to promote positive mood in mothers o...
journal_title:Maternal and child health journal
pub_type: 杂志文章,随机对照试验
doi:10.1007/s10995-015-1755-5
更新日期:2015-11-01 00:00:00
abstract:OBJECTIVES:The pattern of gestational weight gain (GWG) reflects general nutrient availability to support growing fetal and maternal compartments and may contribute to later health, but how it relates to changes in maternal body composition is unknown. We evaluated how the pattern of GWG related to changes in maternal ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1747-5
更新日期:2015-10-01 00:00:00
abstract::This study aimed to examine whether the relative importance of maternal age as a correlate of adverse birth outcomes has changed and to investigate if social inequalities in birth outcomes have widened during the past decade when the marriage and fertility related social environment has undergone tremendous change in ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0611-x
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:Reproductive health inequalities tend to be more marked in large cities because they include neighbourhoods with unequal social and community networks, resources and opportunities. The aim was to describe social inequalities in fertility patterns among women who gave birth between 2007 and 2016 in the city o...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-02875-w
更新日期:2020-03-01 00:00:00
abstract::Objective Appropriate and timely complementary feeding practices are fundamental to a child's growth, health, and development during the first 2 years of life. This study aimed to understand (1) Ghanaian mother's complementary feeding practices, and (2) their perceived and observed impacts of complementary feeding on ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-1994-0
更新日期:2016-09-01 00:00:00
abstract::To assess validity of maternally-reported diabetes and hypertensive disorders, and reliability of BMI measurements during periconception and pregnancy compared with medical records when mothers are interviewed 2-5 years after delivery. To investigate whether reporting accuracy differed by child's case status (autism, ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1723-0
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVES:To describe the current unmet major depression and substance use disorder (SUD) treatment needs among reproductive age women METHODS: Data from the 2007 to 2014 National Survey on Drug Use and Health (NSDUH) were analyzed to determine proportions of women ages 18 to 44 years with unmet treatment need for dep...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-02904-8
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:A large body of research has established an association between parental support for children's physical activity (PA) and children's PA. However, there has been little attention to the relative influences of parent and child perceptions of that parental support. PURPOSE:To examine agreement among parent an...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1873-0
更新日期:2016-03-01 00:00:00
abstract:OBJECTIVE:Children with special health care needs (CSHCN) benefit from a medical home, however, a subset, those children with high intensity needs, have medical and social service issues beyond the capacity of most primary care practices. We describe a novel medical home center that is designed to meet the needs of chi...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-007-0271-7
更新日期:2008-09-01 00:00:00
abstract:OBJECTIVE:Postpartum depression (PPD) is a significant concern for new mothers and their infants, as well as the health professionals who care for them. Obesity may be a risk factor for depression, and therefore, for PPD specifically. We examined the occurrence and risk factors for PPD in a sample of overweight and obe...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0418-1
更新日期:2009-11-01 00:00:00
abstract::Objective To estimate the associations between neighborhood disadvantage and neighborhood affluence with breastfeeding practices at the time of hospital discharge, by race-ethnicity. Methods We geocoded and linked birth certificate data for 111,596 live births in New Jersey in 2006 to census tracts. We constructed ind...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-017-2423-8
更新日期:2018-04-01 00:00:00
abstract:OBJECTIVES:Community-based prenatal case management (PCM) is a means to improve birth outcomes for medically or socially high-risk pregnant women. To conduct national surveys of PCM programs, a useful sampling frame of existing programs is needed. However, as a relatively small optional Medicaid reimbursed program, PCM...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-008-0317-5
更新日期:2011-10-01 00:00:00
abstract::Given the unprecedented operational tempo of the Afghanistan and Iraq wars and the heavy involvement of the Reserve and National Guard, the stress that military families are exposed to is distinct from stress in earlier conflicts, with little empirical data to inform the impact on non-deployed military caregivers or "...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-011-0772-2
更新日期:2012-02-01 00:00:00
abstract::To investigate the relationship between gestational weight gain (GWG) and birthweight outcomes among a low-income population in Hawaii using GWG recommendations from the 2009 Institute of Medicine (IOM) guidelines. Data were analyzed for 19,130 mother-infant pairs who participated in Hawaii's Special Supplemental Nutr...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1342-6
更新日期:2014-07-01 00:00:00
abstract:OBJECTIVES:Assess risk of preterm birth associated with diabetes mellitus (DM) among American Indian and Alaska Natives (AI/AN), a population with increased risk of DM and preterm birth, and examine whether this association differed by state of residence. METHODS:We used surveillance data from the Pregnancy Risk Asses...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1761-7
更新日期:2015-11-01 00:00:00
abstract::Objective WHO and UNICEF recommend cup feeding for neonates unable to breastfeed in low-resource settings. In developed countries, cup feeding in lieu of bottle feeding in the neonatal period is hypothesized to improve breastfeeding outcomes for those initially unable to breastfeed. Our aim was to synthesize the entir...
journal_title:Maternal and child health journal
pub_type: 杂志文章,评审
doi:10.1007/s10995-016-1961-9
更新日期:2016-08-01 00:00:00
abstract::Objectives To determine whether affluent-born White mother's descending neighborhood income is associated with infant mortality rates (< 365 day, IMR). Methods Stratified and multilevel logistic regression analyses were completed on the Illinois transgenerational dataset of singleton births (1989-1991) to non-Latina W...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-018-2544-8
更新日期:2018-10-01 00:00:00
abstract::Objective To better understand the knowledge, attitudes and practices of obstetrician-gynecologists with respect to screening and treatment for iron deficiency anemia (IDA). Methods A total of 1,200 Fellows and Junior Fellows of the American College of Obstetricians and Gynecologists were invited to participate in a s...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2252-1
更新日期:2017-08-01 00:00:00
abstract:INTRODUCTION:According to many studies, anxiety in the perinatal period is widespread and has many detrimental effects. Thus, screening measures should not be limited to assessing depression symptoms. The widely used Edinburgh Postnatal Depression Scale (EPDS) might assess depression but also anxiety symptoms. This stu...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-020-02885-8
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVES:To review evaluations of changes in the delivery of antenatal care for Australian Indigenous women and the impact on care utilization and quality, birth outcomes and women's views about care. METHODS:Seven databases were searched electronically for articles describing evaluations of antenatal care programs ...
journal_title:Maternal and child health journal
pub_type: 杂志文章,评审
doi:10.1007/s10995-007-0216-1
更新日期:2008-01-01 00:00:00
abstract::In the original publication of the article, Figure 1 included footnotes which duplicated information appearing in the figure caption. Therefore the notes of "NOTES: ASD = autism spectrum disorder; MBDD = mental, behavioral, or developmental disorder. Indicators presented are unadjusted estimates. x Significantly diffe...
journal_title:Maternal and child health journal
pub_type: 已发布勘误
doi:10.1007/s10995-020-02900-y
更新日期:2020-06-01 00:00:00
abstract::To determine if, among overweight or obese women with gestational diabetes (GDM), weight loss after GDM diagnosis is associated with lower infant birth weight within levels of overweight or obesity class. Overweight and obese women with singleton pregnancies managed for GDM at a large diabetes and pregnancy program lo...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-1044-5
更新日期:2013-02-01 00:00:00
abstract::This study investigated whether and how different patterns of group exposure within residential contexts (i.e., living in a Mexican immigrant enclave, a Mexican ethnic enclave, a pan-Hispanic enclave, or a non-Hispanic white neighborhood) are associated with smoking during pregnancy among Mexican-origin mothers. Using...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-015-1696-z
更新日期:2015-08-01 00:00:00
abstract::The gestational weight gain (GWG) guidelines of the Institute of Medicine (IOM) aim to optimize birth outcomes and reduce pregnancy complications. The GWG guidelines are set based on the prepregnancy weight status and optimal weight gain at different trimesters of pregnancy. Dietary references intakes (DRIs) of the IO...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-013-1383-x
更新日期:2014-08-01 00:00:00
abstract::Objective To characterize cumulative physiologic dysfunction (CPD) in pregnancy as a measure of the biological effects of chronic stress and to examine its associations with gestational age and birth weight. Methods Women ≤28 weeks gestation were enrolled from obstetric clinics in Rochester, NY and followed through th...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2103-0
更新日期:2017-01-01 00:00:00
abstract::To estimate initiation of HPV vaccination among adolescent girls and examine the relationship between receiving care consistent with the medical home model in a population-based sample. We used the National Survey of Children's Health 2007, a nationally representative sample of children in the United States, to study ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-012-0975-1
更新日期:2013-02-01 00:00:00
abstract::To better understand if reported delayed/forgone care and dissatisfaction with care for children with special health care needs (CSHCN) are associated with the parent's perception of health care providers' cultural competency. National survey. Fifty United States and the District of Columbia yielding 750 families per ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0598-3
更新日期:2011-05-01 00:00:00
abstract::The National Center for Health Statistics (NCHS) references were used to analyse anthropometric data from the 1999 National Food Consumption Survey (NFCS) of South Africa. Since then, however, The Centers for Disease Control and Prevention (CDC) 2000 reference and the World Health Organization (WHO) 2006 standards wer...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0685-5
更新日期:2011-11-01 00:00:00
abstract::This paper discusses characteristics that are associated with enhanced maternal and child health (MCH) epidemiology functioning in state health agencies. The concept of the "MCH Epidemiology Effort" is introduced as "the epidemiologic work carried out by multiple units and agencies aimed at informing program planning ...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-010-0680-x
更新日期:2011-11-01 00:00:00
abstract::Objective The purpose of this study was to examine the association between prenatal smoking and small for gestational age (SGA) infants among adolescent women in West Virginia, taking into account sociodemographic and health-related factors. Methods Secondary data analysis was conducted using the 2005-2010 West Virgin...
journal_title:Maternal and child health journal
pub_type: 杂志文章
doi:10.1007/s10995-016-2040-y
更新日期:2016-12-01 00:00:00