Routine assessment of family and community health risks: parent views and what they receive.
Open accessAbstract
Objective. To examine the prevalence of parent–provider discussions of family and community health risks during well-child visits and the gaps between which issues are discussed and which issues parents would like to discuss. Methods. Data came from the National Survey of Early Childhood Health, a nationally representative sample of parents of 2068 children aged 4 to 35 months. The outcome measures were 1) the reported discussions with pediatric clinicians about 7 family and community health risks and 2) whether the parent believes that pediatric clinicians should ask parents about each risk. Results. Most parents believe that pediatric providers should discuss topics such as smoking in the household, financial difficulties, and emotional support available to the parent. However, with the exception of “household smoking,” fewer than half of parents have been asked about these topics by their child’s clinician. Parents of black and Hispanic children were more likely than parents of white children to be asked about several of these issues, as were parents of the youngest children and those with publicly financed health insurance. The greatest gap between parents’ views and their reports of discussion with the clinician occur for parents of white children and older children. Among parents who hold the view that a topic should be discussed, parents of white and older children are less likely than others to report discussing some or all family and community health risks. Conclusion. The low frequency of discussions for many topics indicates potential unmet need. More universal surveillance of parents with young children might ensure that needs are not missed, particularly given that strong majorities of parents view family and community topics, with the exception of community violence, as appropriate for discussion in clinic visits.
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Pediatri Asistanlarının Çocuk Gelişimine ve Gelişimsel Zorluklara Yaklaşımlarının Değerlendirilmesi
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- Authors
- Kogan, M. D., Schuster, M. A., Yu, S. M., Park, C. H., Olson, L. M., Inkelas, M., Bethell, C., Chung, P. J., & Halfon, N.
- Affiliations
- Health Resources and Services Administration (US)
- RAND Corporation (US)
- Ansys (United States) (US)
- American Academy of Pediatrics (US)
- University of California, Los Angeles (US)
- Kaiser Permanente Center for Health Research (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2004-06-01
- Volume
- 113
- Issue
- Supplement_5
- Pages
- 1934-1943
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- OpenAlex
- W1914741716
- Cited by
- 60
- References
- 21
- Citations by year
- 2025: 1 · 2024: 1 · 2023: 4 · 2022: 3 · 2021: 6 · 2020: 1 · 2019: 4 · 2017: 6 · 2016: 2 · 2015: 4 · 2014: 2 · 2013: 1 · 2012: 3
- FWCI
- 9.24
- Type
- journal article
- Language
- en
- Open access
- green
- escholarship.org
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- U.S. Public Health Service (5-U05MC-00010200)
- Topics
- Health Sciences › Health Professions › General Health Professions › Child and Adolescent Health
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Health Sciences › Health Professions › Speech and Hearing › Adolescent and Pediatric Healthcare
- Keywords
- parent-provider communication, well-child visits, pediatric primary care, household smoking, financial hardship, emotional support for parents, community violence, racial and ethnic disparities, child health monitoring
- MeSH terms
- Analysis of Variance, Attitude to Health, Child Guidance, Child Welfare, Child, Preschool, Ethnicity, Family Relations, Health Surveys, Humans, Infant, Parents, Pediatrics, Professional-Family Relations, Quality of Health Care, Risk-Taking, Socioeconomic Factors, United States, Health Behavior, Logistic Models, Risk Assessment, Health Care Surveys
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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