Parents' health and demographic characteristics predict noncompliance with well-child visits
Parents' health and demographic characteristics predict noncompliance with well-child visits
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DOI：
10.3122/jabfm.17.5.324
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发表时间：
2004-09-01
期刊：
影响因子：
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通讯作者：
Gjerdingen, DK
中科院分区：
文献类型：
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作者：
Jhanjee, I;Saxeena, D;Gjerdingen, DK
背景资料：本研究的目的是调查相关因素，以及儿童访问不遵守在种族多元化的家庭诊所population.Methods：参与者包括146名父母（131名母亲和15名父亲）的儿童年龄为0至24个月的照顾在圣保罗住院诊所。参与者完成了电话调查，询问他们的人口特征，对儿童访问的态度，是否最近计划的儿童访问已被保存，以及他们自己和他们的孩子的健康characteristics.Results：所有参与者都认为，儿童访问是重要的，与免疫接种的重要性是最高评级的原因。14%的父母说他们错过了最近的一次健康儿童访问，主要是因为他们忘记了。超过四分之三的父母认为拜访提醒是有帮助的，最喜欢的提醒方式是电话。不遵守良好的儿童访问与父母的抑郁症状，交通困难，工作在一份工作，有私人（与公共）健康保险，并正在老年人（与年轻）。结论：这些结果表明，良好的儿童访问的遵守可能会加强访问提醒和改善交通。如果在其他人群中得到证实，那么健康儿童不依从父母抑郁症状的关系表明，需要对不安排或不保持健康儿童探视的儿童/家庭进行更大程度的监测。
Background: The purpose of this study was to investigate factors related to well-child visit noncompliance in an ethnically diverse family practice clinic population.Methods: Participants included 146 parents ( 131 mothers and 15 fathers) of children aged 0 to 24 months who received care at a St. Paul residency clinic. Participants completed telephone surveys that asked about their demographic characteristics, attitudes toward well-child visits, whether the most recent planned well-child visit had been kept, and their own and their child's health characteristics.Results: All participants thought that well-child visits were important, with immunizations being the highest rated reason for importance. Fourteen percent of parents said they had missed a recent well-child visit, mostly because they forgot. More than three fourths of parents believed visit reminders were helpful, and the preferred type of reminder was a telephone call. Noncompliance with well-child visits was associated with the parent's depressive symptoms, transportation difficulties, working at a job, having private ( vs public) health insurance, and being older ( vs younger).Conclusions: These results suggest that well-child visit compliance might be enhanced by visit reminders and improved access to transportation. The relationship of well-child visit noncompliance to parental depressive symptoms, if verified in other populations, points to a need for greater surveillance of children/families who do not schedule or keep well-child visits.