Healthcare access and adverse family impact among U.S. children ages 0–5 years by prematurity status
| Autor: | Dennis Z. Kuo, Karen Kuhlthau, Kristen M. Earl, Amy Shui, Morgan K. Crossman, James M. Perrin, Amber R. Kleven, Olivia J. Lindly |
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| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Male
Diseases Reproductive health and childbirth Infant Premature Diseases Low Birth Weight and Health of the Newborn Pediatrics Health Services Accessibility Infant Newborn Diseases 0302 clinical medicine Pregnancy Health care Infant Mortality Medicine 030212 general & internal medicine Early childhood Child Pediatric lcsh:RJ1-570 Healthcare access Health Services Premature birth Child Preschool Premature Birth Female Prematurity Family impact Research Article Medical home Average treatment effect Low Birthweight Population health Paediatrics and Reproductive Medicine 03 medical and health sciences Preterm Clinical Research 030225 pediatrics Humans Family Preschool Premature business.industry Prevention Infant Newborn Infant lcsh:Pediatrics Perinatal Period - Conditions Originating in Perinatal Period medicine.disease Newborn Adverse family impact Good Health and Well Being Cross-Sectional Studies Relative risk Pediatrics Perinatology and Child Health business Delivery of Health Care Demography |
| Zdroj: | BMC Pediatrics BMC Pediatrics, Vol 20, Iss 1, Pp 1-13 (2020) BMC pediatrics, vol 20, iss 1 |
| ISSN: | 1471-2431 |
| Popis: | BackgroundMany children and their families are affected by premature birth. Yet, little is known about their healthcare access and adverse family impact during early childhood. This study aimed to (1) examine differences in healthcare access and adverse family impact among young children by prematurity status and (2) determine associations of healthcare access with adverse family impact among young children born prematurely.MethodsThis was a secondary analysis of cross-sectional 2016 and 2017 National Survey of Children’s Health data. The sample included 19,482 U.S. children ages 0–5 years including 242 very low birthweight (VLBW) and 2205 low birthweight and/or preterm (LBW/PTB) children. Prematurity status was defined by VLBW (i.e., ResultsBivariate analysis results showed that VLBW and/or LBW/PTB children generally fared worse than other children in terms of medical home, having a parent cut-back or stop working, parental aggravation, and paternal health. Multivariable analysis results only showed, however, that VLBW children had a significantly higher risk than other children of having a parent cut-back or stop work. Adequate health insurance and medical home were each associated with reduced adjusted relative risk of ≥$1000 in annual out-of-pocket costs, having a parent cut-back or stop work, and parental aggravation among children born prematurely.ConclusionsThis study’s findings demonstrate better healthcare access is associated with reduced adverse family impact among U.S. children ages 0–5 years born prematurely. Population health initiatives should target children born prematurely and their families. |
| Databáze: | OpenAIRE |
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