Life Sciences & Biomedicine Pediatrics Science & Technology
Objectives.-The aim of this study was to 1) assess sociodemographic and health characteristics associated with having a continuous source of care (CSOC) among young children and 2) determine the relationship between having a CSOC and use of parenting practices.
Methods.-We conducted a prospective, community-based survey of women receiving prenatal care at Philadelphia community health centers. We conducted surveys at the first prenatal visit and at a mean age standard deviation of 3 +/- 1, 11 +/- 1, and 24 +/- 2 months postpartum, obtaining information on sociodemographic and health characteristics, child's health care provider, and 6 parenting practices. Group differences were tested between those with and without a CSOC by using the chi-square test for Categorical variables and the Student's t test for continuous variables. Logistic regression analysis was conducted to adjust for potential confounding variables.
Results.-Our sample consisted of 894 mostly young, African American, single women and their children. In the adjusted analysis, mothers of children with a CSOC, when compared with those without a CSOC, were more likely to have a high school education or less, be born in the United States, have a postpartum checkup, have stable child health insurance, and initiate care for their child at a site other than a community-based health center. Use of parenting practices was similar for children with and without a CSOC.
Conclusions.-Maternal nativity, postpartum care, child health insurance, and initial site of infant care were associated with CSOC, but infant health characteristics were not. Use of parenting practices did not differ for those with and without a CSOC.
Continuous source of care among young underserved children: Associated characteristics and use of recommended parenting practices
Creators
Esther K. Chung - Alfred I. duPont Hospital for Children
Leny Mathew - Drexel Univ, Coll Med, Dept Obstet & Gynecol, Philadelphia, PA 19104 USA
Kelly F. McCollum - Drexel University
Irma T. Elo - Univ Penn, Dept Sociol, Philadelphia, PA 19104 USA
Jennifer E. Culhane - Drexel Univ, Coll Med, Dept Obstet & Gynecol, Philadelphia, PA 19104 USA
Jennifer F Culhane
Publication Details
Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association, v 8(1)
Publisher
Elsevier
Number of pages
7
Grant note
TS-286-14/14 / ATSDR CDC HHS
R01HD036462 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH &HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
1-R01-HD36462-01A1 / NICHD NIH HHS; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Resource Type
Journal article
Language
English
Web of Science ID
WOS:000252598100008
Scopus ID
2-s2.0-38049131757
Other Identifier
991019339568404721
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