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Improving Child Health and Healthcare Use Outcomes: How Risk and Resilience Intersect in Pediatric Care
Kaela Byers1, Emma Monahan2, Julie S McCrae2
1School of Social Welfare, University of Kansas, Lawrence, KS, USA. kaela@ku.edu.
Summary
Pediatric clinics can identify family risk and resilience profiles to predict children's health outcomes. Early screening for social needs in infants helps tailor preventive healthcare strategies effectively.
Area of Science:
- Public Health
- Pediatric Health
- Social Determinants of Health
Background:
- Preventive healthcare requires comprehensive strategies to address social determinants of health (SDOH).
- Pediatric healthcare settings offer opportunities to screen for social needs impacting child well-being.
- Understanding risk and resilience factors is crucial for effective health interventions.
Purpose of the Study:
- To examine risk and resilience profiles in families with infants.
- To determine the association between these profiles and later child health status and social support needs.
- To inform preventive healthcare strategies in pediatric settings.
Main Methods:
- Latent profile analysis (LPA) of data from 888 parents of infants (birth to 6 months).
- Study conducted in pediatric clinics serving low-income families across three states (2018-2020).
- Follow-up assessment of child health and family unmet social needs at 1 year.
Main Results:
- Identified four distinct family profiles based on risk and resilience.
- Families with high household/relational risk and lower strengths showed worse health outcomes.
- Heightened need for public benefits (income, housing, food assistance) persisted across groups, except the low-risk, high-strength group.
Conclusions:
- Risk and resilience profiles are predictive of future health needs in pediatric populations.
- Integrating risk and resilience screening into pediatric healthcare can improve outcome prediction.
- Early identification and intervention for social needs are vital for lifelong health and well-being.
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