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Delayed medical care due to transportation barriers among US children with atopic dermatitis

David X Zheng1, Thomas B Cwalina1, Kathleen M Mulligan1

  • 1Department of Dermatology, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio, USA.

Pediatric Dermatology
|August 25, 2022
PubMed

Insights

Transportation barriers delay medical care for many children with atopic dermatitis (AD). Lower socioeconomic status increases this risk, highlighting the need for targeted interventions to reduce health disparities in pediatric AD care.

Area of Science:

  • Pediatric dermatology
  • Health services research
  • Social determinants of health

Background:

  • Atopic dermatitis (AD) is a common chronic skin condition in children.
  • Access to consistent medical care is crucial for managing pediatric AD.
  • Transportation barriers can impede healthcare access for vulnerable populations.

Purpose of the Study:

  • To determine the prevalence of delayed medical care due to transportation issues in US children with AD.
  • To identify predictors of these transportation-related delays.
  • To inform interventions addressing healthcare access disparities in pediatric AD.

Main Methods:

  • Analysis of data from the National Health Interview Survey (1998-2018).
  • Focus on a nationally representative sample of US households.
  • Examination of reported instances of transport-delayed care among children diagnosed with AD.

Main Results:

  • In 2018, 3.4% of US children with AD experienced transport-delayed care, affecting an estimated 279,000 children annually.
  • Delayed care due to transportation was more prevalent among children from lower socioeconomic status backgrounds.
  • These findings underscore significant healthcare access challenges for pediatric AD patients.

Conclusions:

  • Transportation barriers represent a significant obstacle to timely medical care for children with atopic dermatitis.
  • Socioeconomic status is a key predictor of these transportation-related healthcare delays.
  • Interventions targeting transportation assistance are essential to mitigate health disparities in pediatric AD management.

Keywords:
National Health Interview Surveyatopic dermatitisbundled interventionstransportation insecurity

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