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Related Experiment Video

Updated: Aug 6, 2025

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels

Noninvasive Sampling of Mucosal Lining Fluid for the Quantification of In Vivo Upper Airway Immune-mediator Levels

Published on: August 7, 2017

Multilevel Factors Associated With Participation in Group Well-Child Care.

Carlin F Aloe¹, Kelly L Hall², Rafael Pérez-Escamilla²

¹Department of Pediatrics (CF Aloe, MS Rosenthal, AM Fenick, and M Sharifi), Yale School of Medicine, New Haven, Conn.

Academic Pediatrics

|March 18, 2023

Summary

This summary is machine-generated.

Group well-child care (GWCC) participation is influenced by maternal language, number of children, and infant race. Initiating GWCC is linked to increased primary care visits, offering opportunities to reduce health inequities.

Keywords:

patient care pediatrics preventive medicine shared medical appointments

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Published on: January 12, 2018

Area of Science:

Pediatrics
Public Health
Health Services Research

Background:

Group well-child care (GWCC) offers a unique model for preventive health services.
Understanding factors influencing participation is crucial for optimizing its reach and impact.
Previous research has not fully elucidated the socio-demographic and temporal predictors of GWCC engagement.

Purpose of the Study:

To identify maternal and infant characteristics associated with initiating and continuing group well-child care (GWCC).
To examine the relationship between GWCC initiation and subsequent primary care visit attendance.
To inform targeted recruitment strategies for GWCC programs.

Main Methods:

Retrospective analysis of electronic health record data from mother-infant dyads (n=2046) born between 2013-2018.
Chi-square analysis and multivariate logistic regression were used to assess predictors of GWCC initiation and engagement.
Association between GWCC initiation and primary care attendance was evaluated.

Main Results:

11.6% of eligible dyads initiated GWCC.
Higher odds of initiation were observed for mothers with Spanish primary language, those with one child, and non-Hispanic Black infants.
Initiation rates decreased in later birth years (2016, 2018).
Continued engagement was associated with maternal age (20-30+ years) and having one child.
GWCC initiators showed significantly higher odds (5.06 times) of attending >9 primary care appointments in the first 18 months.

Conclusions:

Socio-economic, demographic, and cultural factors significantly influence GWCC participation.
Targeted recruitment considering these factors can enhance program reach.
Increased GWCC participation among marginalized groups presents opportunities for health promotion and mitigating health disparities.