Disparities in provider elicitation of parents' developmental concerns for US children.

Authors, Primary Guerrero,A. D.;Rodriguez,M. A.;Flores,G.
Title Primary Disparities in provider elicitation of parents' developmental concerns for US children.
Periodical Full Pediatrics
Pub Year 2011
Volume 128
issue 5
Start Page 901-909
Abstract OBJECTIVE: To examine factors associated with provider elicitation of parents' developmental concerns among US children. METHODS: The 2007 National Survey of Children's Health was used to examine factors associated with parents' reports of provider elicitation of developmental concerns in the previous 12 months. Independent variables included child characteristics, sociodemographic factors, insurance status, and having a medical home. RESULTS: One-half of US parents reported provider elicitation of developmental concerns. African-American (41%) and Latino (49% in households with English as the primary language and 33% with a non-English primary language) parents were significantly less likely than white parents (55%) to report elicitation of developmental concerns. With multivariate adjustment, African-American (odds ratio [OR]: 0.67 [95% confidence interval [CI]: 0.55-0.81]) and Latino (OR: 0.61 [95% CI: 0.44-0.84]) parents, compared with white parents, had significantly lower adjusted odds of provider elicitation of developmental concerns. Lack of insurance (OR: 0.61 [95% CI: 0.44-0.85]) and having a medical home (OR: 1.42 [95% CI: 1.21-1.67]) were associated with elicitation of developmental concerns. Parents of African-American and Latino children who received family-centered care had almost twice the odds of provider elicitation. For Latino parents in households with a non-English primary language, other medical home components, including having a personal provider (OR: 1.51 [95% CI: 1.08-2.11]) and a usual source of care (OR: 1.76 [95% CI: 1.13-2.74]), were significantly associated with elicitation of developmental concerns. CONCLUSIONS: Racial/ethnic and linguistic disparities exist in provider elicitation of developmental concerns. Addressing lack of insurance, medical homes, and specific medical-home components might reduce disparities.
Publisher Not Available
Place of Publication United States
Author/Address Center for Healthier Children, Families, and Communities, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA 90024, USA. aguerrero@mednet.ucla.edu
PubMed Link
Reference Type(s) Journal Article
Topic Tag(s) Patient-Centered Care;Outcomes;Disparities
Special Population(s) Children with Special Needs
Case Study No
Commentary/Opinion Piece No
Historical Publication No
Key/Foundational Article No
Literature Review No
Article Rating No
Summary of Article Rating No