Disparities in pediatric preventive care in the United States, 1993-2002.

Disparities in pediatric preventive care in the United States, 1993-2002. Research Abstract Details 

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Disparities in pediatric preventive care in the United States, 1993-2002. Abstract Text:

Simon J Hambidge,Caroline Bublitz Emsermann,Steven Federico,John F Steiner,

OBJECTIVES: To quantify physician-reported preventive counseling and screening during well-child visits (WCVs) and to examine racial and ethnic disparities in these activities. DESIGN: Cross-sectional study using the National Ambulatory Medical Care Survey, January 1993 through December 2002. SETTING: Office-based physician practices. PARTICIPANTS: Children from birth to 18 years old who were seen by a physician for a WCV. MAIN OUTCOME MEASURE: Preventive counseling and screening. RESULTS: Well-child visits were shorter for Latino children than for white or black children. At WCVs, white children were more likely to receive preventive counseling than were black or Latino children (72% vs 61% vs 61%, respectively; P = .01) but not more likely to receive screening for elevated blood pressure, anemia, vision and hearing acuity, or lead toxicity. There were no differences in secondary diagnoses made at WCVs for white, black, or Latino children (15% vs 17% vs 14%, respectively; P = .65). The children who received the least counseling were Latino children in the public sector non-health maintenance organization setting (counseled at 39% of visits) and Latino children who self-paid for the visits (counseled at 26% of visits). After adjusting for possible confounders, including medications prescribed at the visit, black and Latino children were less likely to receive counseling than were white children (odds ratios, 0.68 and 0.63; 95% confidence interval, 0.48-0.97 and 0.44-0.90, respectively), and black children were less likely to receive preventive screening services (odds ratios, 0.65; 95% confidence interval, 0.45-0.93). CONCLUSIONS: By physician report in a nationally representative sample, black and Latino children received less counseling at WCVs than did white children. These disparities were unexplained by the competing demands of other secondary diagnoses or medications prescribed or dispensed.

Disparities in pediatric preventive care in the United States, 1993-2002. Publishing Authors By Initials

SJ Hambidge,CB Emsermann,S Federico,JF Steiner,

For similar geographic locations: americas: north america: united states research abstracts see: geographic locations: americas: north america: united states research

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Disparities in pediatric preventive care in the United States, 1993-2002. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Archives of pediatrics & adolescent medicine

VOLUME: 161

Page Numbers: 30-6

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ISSN: 1072-4710

DAY: 3

MONTH: Jan

YEAR: 2007

Disparities in pediatric preventive care in the United States, 1993-2002. Information

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LANGUAGE: eng

NlmUniqueID: 9422751

Disparities in pediatric preventive care in the United States, 1993-2002. Keywords Mesh Terms:

KEYWORDS: United States

MESH TERMS: trends

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Grant and Affiliation Information for Disparities in pediatric preventive care in the United States, 1993-2002.

AFFILIATION: Denver Health Medical Center, Denver Community Health Services, 777 Bannock Street, Denver, CO 80204, USA. simon.hambidge@uchsc.edu

Country: United States

AGENCY: United States PHS

GRANT: D55 HP 05157

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MEDLINETA: Arch Pediatr Adolesc Med

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