Geographic, Racial/Ethnic, and Sociodemographic Disparities in Parent-Reported Receipt of Family-Centered Care among US Children.
Geographic, Racial/Ethnic, and Sociodemographic Disparities in Parent-Reported Receipt of Family-Centered Care among US Children.
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DOI：
10.1155/2015/168521
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发表时间：
2015-01-01
期刊：
影响因子：
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通讯作者：
Kogan, Michael D
中科院分区：
文献类型：
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作者：
Azuine, Romuladus E;Singh, Gopal K;Kogan, Michael D
本研究探讨了地理，种族/民族和社会人口学的差异，在父母报告的接收家庭为中心的护理（FCC）及其组件之间的美国0-17岁的儿童。我们使用了2011-2012年全国儿童健康调查，通过协变量估计了未接受FCC的患病率和几率。根据家长报告，33.4%的美国儿童没有接受FCC。亚利桑那州、密西西比州、内华达州、加州州、新泽西州、弗吉尼亚州、佛罗里达州和纽约州的儿童不接受FCC的调整后几率至少是佛蒙特州儿童的1.51倍。非西班牙裔黑人和西班牙裔儿童不接受FCC的几率分别比非西班牙裔白色儿童高2.11和1.58倍。来自非英语家庭的儿童总体上没有接受FCC的调整几率分别是来自英语家庭的儿童的2.23倍和2.35倍，他们的医生没有花足够的时间照顾他们。来自低教育和低收入家庭的儿童更有可能得不到公平竞争教育。在美国南部和西部的几个州，没有接受联邦医疗保险及其组成部分的儿童，以及来自贫困、无保险和有公共保险的儿童和少数族裔背景的儿童聚集在一起，这是在联邦政策面前减少医疗保健差距的一个令人担忧的原因。
This study examined geographic, racial/ethnic, and sociodemographic disparities in parental reporting of receipt of family-centered care (FCC) and its components among US children aged 0-17 years. We used the 2011-2012 National Survey of Children's Health to estimate the prevalence and odds of not receiving FCC by covariates. Based on parent report, 33.4% of US children did not receive FCC. Children in Arizona, Mississippi, Nevada, California, New Jersey, Virginia, Florida, and New York had at least 1.51 times higher adjusted odds of not receiving FCC than children in Vermont. Non-Hispanic Black and Hispanic children had 2.11 and 1.58 times higher odds, respectively, of not receiving FCC than non-Hispanic White children. Children from non-English-speaking households had 2.23 and 2.35 times higher adjusted odds of not receiving FCC overall and their doctors not spending enough time in their care than children from English-speaking households, respectively. Children from low-education and low-income households had a higher likelihood of not receiving FCC. The clustering of children who did not receive FCC and its components in several Southern and Western US states, as well as children from poor, uninsured, and publicly insured and of minority background, is a cause for concern in the face of federal policies to reduce health care disparities.