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Related Experiment Videos

Association between child behavior problems and frequent physician visits

B Zuckerman1, K A Moore, D Glei

  • 1Department of Pediatrics, Boston University School of Medicine, Mass., USA.

Archives of Pediatrics & Adolescent Medicine
|February 1, 1996
PubMed
Summary

Children with behavior problems visit the doctor more often, especially those who are physically healthy. This study highlights the link between behavioral health and healthcare utilization in children.

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Area of Science:

  • Pediatric Health Services Research
  • Child Psychology and Psychiatry
  • Public Health and Epidemiology

Background:

  • Parent-reported behavior problems are common in children.
  • Understanding factors influencing healthcare utilization is crucial for resource allocation and intervention planning.
  • The relationship between behavioral issues and healthcare access, particularly in seemingly healthy children, requires further investigation.

Purpose of the Study:

  • To examine the association between parent-reported behavior problems and healthcare utilization among children.
  • To specifically investigate this association in physically healthy children.
  • To determine if specific behavior syndromes (antisocial, anxious/depressed) are linked to frequent physician visits.

Main Methods:

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  • Utilized data from the 1988 National Health Interviews Survey--Child Health Supplement.
  • Analyzed a sample of 11,840 children aged 5 to 17 years.
  • Employed bivariate and multivariate analyses using the Behavior Problems Index, comparing children in the highest quartile of behavior problems with others.

    • Main Results:

    • Children in the top quartile for behavior problems were significantly more likely to have four or more physician visits annually.
    • This association was particularly pronounced among physically healthy children.
    • Both anxious/depressed and antisocial behavior subscales showed independent significant links to increased physician visits.

    Conclusions:

    • Parent-reported behavior problems are a significant predictor of increased physician visits in children.
    • This association persists even after controlling for sociodemographic and health status variables.
    • The findings underscore the importance of considering behavioral health in pediatric healthcare utilization, especially for healthy children.