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Continuous source of care among young underserved children: associated characteristics and use of recommended

Esther K Chung1, Leny Mathew, Kelly F McCollum

  • 1Department of Pediatrics, Alfred I. duPont Hospital for Children, Wilmington, Delaware, USA. echung@nemours.org

Ambulatory Pediatrics : the Official Journal of the Ambulatory Pediatric Association
|January 15, 2008
PubMed

Insights

Maternal nativity, postpartum care, child health insurance, and initial infant care site are linked to a continuous source of care (CSOC) for young children. Parenting practices were not associated with having a CSOC.

Area of Science:

  • Pediatrics
  • Public Health
  • Health Services Research

Background:

  • A continuous source of care (CSOC) is crucial for child health and development.
  • Understanding factors associated with CSOC is essential for improving healthcare access for young children.
  • The relationship between CSOC and parenting practices requires further investigation.

Purpose of the Study:

  • To assess sociodemographic and health characteristics linked to a CSOC in young children.
  • To determine the association between having a CSOC and the utilization of parenting practices.

Main Methods:

  • Prospective, community-based survey of 894 women receiving prenatal care in Philadelphia.
  • Data collected at prenatal visits and at 3, 11, and 24 months postpartum.
  • Logistic regression analysis used to identify factors associated with CSOC and parenting practices.

Main Results:

  • Mothers of children with CSOC were more likely to have lower education, be US-born, have postpartum checkups, stable child health insurance, and initiate care outside community health centers.
  • No significant differences in parenting practices were observed between children with and without a CSOC.
  • Infant health characteristics were not associated with CSOC.

Conclusions:

  • Maternal nativity, postpartum care, child health insurance, and initial site of infant care are significant predictors of CSOC.
  • CSOC does not appear to influence the use of parenting practices.
  • Targeted interventions focusing on these factors may improve continuous healthcare access for young children.
Abstract

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