Assessing the Association Between Maternal Education and Access to Pediatric Specialty Care

Julie Sanville1,2, Annie Gjelsvik1, Patrick Vivier1,2,3

  • 1Brown University, Providence, RI, USA.

Clinical Pediatrics
|September 24, 2019
PubMed

Insights

Children whose mothers have a high school education or less are 41% more likely to experience unmet pediatric specialty care needs. Maternal education level is a key factor in identifying children at risk for these unmet needs.

Area of Science:

  • Pediatric Health
  • Health Services Research
  • Sociology of Health

Background:

  • Access to pediatric specialty care remains a significant challenge.
  • Unmet needs for specialized pediatric services impact child health outcomes.
  • Identifying barriers to care is crucial for improving healthcare access.

Purpose of the Study:

  • To determine factors associated with unmet pediatric specialty care needs.
  • To investigate the specific association between maternal education level and unmet needs.
  • To identify maternal education as a potential risk indicator for access issues.

Main Methods:

  • Utilized data from the 2011-2012 National Survey of Children's Health.
  • Identified a subset of children with documented unmet specialty care needs.
  • Employed logistic regression models to analyze the relationship between maternal education and unmet needs.

Main Results:

  • Approximately 12.5% of US children experienced unmet specialty care needs.
  • Children with mothers educated at a high school level or below were 41% more likely to have unmet needs.
  • This association remained significant after controlling for confounding variables.

Conclusions:

  • Maternal education level is a significant predictor of unmet pediatric specialty care needs.
  • Lower maternal education is a risk factor for children facing barriers to specialized care.
  • Educational attainment can serve as a screening tool for identifying at-risk children.

Related Concept Videos

Specialized Care Centers and Settings-II01:30

Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
1.2K
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption01:23

Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption

Understanding the physiological differences in the pediatric population is crucial for effective pharmacotherapy. Neonates, infants, and children exhibit significant variations in gastric pH, gastric emptying time, intestinal transit time, and biliary function. These variations profoundly affect oral drug absorption, necessitating a nuanced approach to pediatric dosing.Neonates present with a unique physiological profile, having a gastric pH greater than 4 and faster and more irregular gastric...
249
Pharmacokinetics in Pediatric Patients: Drug Distribution01:17

Pharmacokinetics in Pediatric Patients: Drug Distribution

Drug distribution in the pediatric population exhibits unique challenges and considerations due to the physiological differences between children, particularly neonates and infants, and adults. A crucial aspect of pediatric pharmacology is understanding how these differences impact the pharmacokinetics of various drugs, necessitating age-specific dosing strategies to ensure efficacy and safety.Neonates and infants have a higher total body water content, ~75%–90% of their body weight,...
258
Pathophysiology of Diabetes01:20

Pathophysiology of Diabetes

Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.2K
Secondary Healthcare System01:11

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
2.0K
Specialized Care Centers and Settings-I01:30

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
Daycare centers
They provide several functions. Some facilities care for healthy newborns and children whose parents work, while others are medically focused and care for...
1.4K