Associations between maternal and child health status and patterns of medical care use

Cynthia S. Minkovitz, Patricia J. O'Campo, Yi Hua Chen, Holly A. Grason

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Objective.-To determine associations in health status and health care utilization between mothers and their children. Methods.-Cross-sectional analysis of the 1996-97 Community Tracking Study Household Survey. Separate logistic regression models describing each type of service use were conducted and adjusted for child age, health status, mother age, race, education, and respondent type. Models incorporated maternal health care use, employment, poverty, child's insurance status, and family type as independent variables. Results.-Sample included 9803 mother-child pairs, for a weighted sample of 35651 048 pairs. Compared to mothers reporting excellent health, mothers reporting very good to good health status and fair or poor health were more likely to have children in good, fair, or poor health (odds ratio 2.00, 95% confidence interval 1.63-2.45; and odds ratio 4.16, 3.36-5.15, respectively). For each of 5 types of service use, mothers' and children's use were strongly associated: 1+ physician visits (2.42, 2.07-2.84); 6+ physician visits (2.07, 1.80-2.37); emergency department use (2.01, 1.75-2.31); hospitalizations (1.56, 1.10-2.22); and mental health visits (7.07, 5.67-8.82). Conclusions.-Associations in health service use were noted across a broad array of services for women and their children. These associations may reflect similar tendencies to seek care and suggest the need to consider patterns of maternal use in trying to understand and improve patterns of health care utilization for children.

Original languageEnglish
Pages (from-to)85-92
Number of pages8
JournalAmbulatory Pediatrics
Volume2
Issue number2
DOIs
Publication statusPublished - 2002
Externally publishedYes

Fingerprint

Health Status
Mothers
Patient Acceptance of Health Care
Health
Logistic Models
Odds Ratio
Health Fairs
Physicians
Insurance Coverage
Poverty
Child Health
Maternal Health
Health Services
Hospital Emergency Service
Mental Health
Hospitalization
Cross-Sectional Studies
Confidence Intervals
Delivery of Health Care
Education

Keywords

  • Child health services
  • Utilization

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Associations between maternal and child health status and patterns of medical care use. / Minkovitz, Cynthia S.; O'Campo, Patricia J.; Chen, Yi Hua; Grason, Holly A.

In: Ambulatory Pediatrics, Vol. 2, No. 2, 2002, p. 85-92.

Research output: Contribution to journalArticle

Minkovitz, Cynthia S. ; O'Campo, Patricia J. ; Chen, Yi Hua ; Grason, Holly A. / Associations between maternal and child health status and patterns of medical care use. In: Ambulatory Pediatrics. 2002 ; Vol. 2, No. 2. pp. 85-92.
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