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Preventive Health Care for Children With and Without Special Health Care Needs
Open accessAbstract
OBJECTIVE. The objective of this study was to compare the receipt of preventive health services for children with and without special health care needs and to identify predictors of these health services for children with special health care needs using nationally representative data. METHODS. Data from the 2002 and 2003 Medical Expenditure Panel Surveys were analyzed. A total of 18279 children aged 3 to 17 years were included in our study. The Child Preventive Health Supplement was used to identify caregiver recall of specific health screening measures and anticipatory guidance during the previous 12 months. Odds ratios were calculated for predictive factors of preventive services for children with special health care needs. RESULTS. The prevalence of special health care needs in children aged 3 to 17 years was 21.6%. Based on caregiver reports, 87.5% of children with special health care needs had ≥1 health screening measure checked in the past year compared with 73.1% of children without special health care needs. Receipt of ≥1 topic of anticipatory guidance was reported for 69.8% of children with special health care needs compared with 55.2% of children without special health care needs. Black and Hispanic caregivers of children with special health care needs were more likely than others to report receipt of all 6 categories of anticipatory guidance measured in this study. CONCLUSIONS. We found that caregivers of children with special health care needs were more likely to report receipt of anticipatory guidance and health screening than were caregivers of children without special health care needs. Although a majority of these caregivers reported receiving some health screening and anticipatory guidance on an annual basis, there are clear gaps in the delivery of preventive health services. This study identifies areas for improvement in the delivery of preventive health services for children with special health care needs and children in general.
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In primary care, many families report not discussing desired topics on development and behavior.
“In primary care, many families report not discussing desired topics on development and behavior [60–62].”
From Family-Centered Care: Current Applications and Future Directions in Pediatric Health Care (2012) · cites this paper as [62]
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References 21 · Cited by 45
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Metadata
- Authors
- Houtrow, A. J., Kim, S. E., Chen, A. Y., & Newacheck, P. W.
- Affiliations
- Department of Pediatrics
- University of California, San Francisco (US)
- University of Southern California (US)
- Venue
- Pediatrics
- Publisher
- American Academy of Pediatrics (AAP)
- Published
- 2007-04-01
- Volume
- 119
- Issue
- 4
- Pages
- e821-e828
- ISSN
- 0031-4005 (ISSN-L)
- 1098-4275
- PMC
- PMC2367154
- OpenAlex
- W2034518603
- Cited by
- 45
- References
- 21
- Citations by year
- 2026: 1 · 2022: 1 · 2021: 2 · 2020: 2 · 2019: 1 · 2018: 1 · 2017: 2 · 2016: 3 · 2014: 1 · 2013: 2 · 2012: 7
- FWCI
- 13.30
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- PEDIATRICS (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- Health Resources and Services Administration
- Agency for Healthcare Research and Quality
- U.S. Public Health Service (R40 MC03619-02)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (K23HD047270)
- Topics
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Adolescent and Pediatric Healthcare
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health and Medical Studies
- Keywords
- preventive medicine, children with special health care needs, anticipatory guidance, health screening, racial and ethnic disparities
- MeSH terms
- Adolescent, California, Child, Child Health Services, Child Welfare, Child, Preschool, Female, Health Services Needs and Demand, Humans, Male, Pediatrics, Preventive Medicine, Reference Values, Socioeconomic Factors, Prevalence, Confidence Intervals, Odds Ratio, Outcome Assessment, Health Care, Risk Assessment, Health Care Surveys, Children with Disabilities, Disabled Children, Needs Assessment
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