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Factors that influence receipt of recommended preventive pediatric health and dental care.

Abstract：

OBJECTIVE:This study examined the factors that affect children's receipt of recommended well-child and dental visits using nationally representative data. METHODS:We analyzed the Child Public Use File of the 1999 National Survey of America's Families, including 35 938 children who were younger than 18 years. Bivariate and multivariate analyses were conducted to examine the relationship between dependent variables, including receipt of well-child visits as recommended by the American Academy of Pediatrics' periodicity schedule and dental visits as recommended by the American Academy of Pediatric Dentistry and Bright Futures, and independent variables, including health status and sociodemographic and economic indicators. RESULTS:Overall, 23.4% of children did not receive the recommended well-child visits, whereas 46.8% did not receive the recommended number of dental visits. The factors that predict nonreceipt of care differed for well-child and dental care and with child's age. Logistic regression reveals that children who were young (<10 years old), uninsured, non-Hispanic white, had a parent who was less than college educated, or in poor health were least likely to meet the recommendations for well-child care. Children who did not meet the dental recommendation were more likely to be black, uninsured, from families with low incomes, have a parent who was less than college educated, and have postponed dental care in the last year. These risk factors increased with children's age. CONCLUSIONS:A substantial proportion of US children do not receive preventive care according to professionally recommended standards, particularly dental care. Publicly insured children experience higher rates of recommended well-child visits; however, much improvement is needed among public programs in providing recommended dental care, especially among adolescents and children in poor general health.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Yu SM,Bellamy HA,Kogan MD,Dunbar JL,Schwalberg RH,Schuster MA

doi

10.1542/peds.110.6.e73

subject

Has Abstract

pub_date

2002-12-01 00:00:00

pages

e73

issue

eissn

0031-4005

issn

1098-4275

journal_volume

110

pub_type

杂志文章

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Factors that influence receipt of recommended preventive pediatric health and dental care.