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首页> 外文期刊>BMC Pediatrics >Predictors of well child care adherence over time in a cohort of urban Medicaid-eligible infants
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Predictors of well child care adherence over time in a cohort of urban Medicaid-eligible infants

机译：一组符合Medicaid资格的城市婴儿的长期良好育儿依从性预测因素

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Background Changes in well child care (WCC) adherence over time have not previously been examined. Our objective is to describe adherence rates to WCC over time in a low-income urban population of infants 0-24 months of age, and to identify predictors of WCC adherence in this population. Methods This is a secondary analysis of a cohort of Medicaid-eligible children followed from birth to 2 years between 2005 and 2008 with structured telephone surveys to assess maternal well-being, social support, and household and demographic information. For the 260 children attending 4 urban pediatric practices, WCC adherence was assessed based on visit data abstracted from electronic medical records. A random-intercept mixed effects logit model clustered on subject was used. Results 92% of the mothers were African-American, 27% had not finished high school, 87% were single, and 43% earned Conclusions Maternal education efforts should emphasize the importance of establishing WCC, especially for mothers of more than one child. Further studies using larger, more broadly defined populations are needed to confirm our findings that efforts to increase WCC adherence should be intensified after 6 months of age, particularly for children at higher risk.
机译：背景以前尚未检查过良好儿童保育（WCC）依从性的随时间变化。我们的目标是描述0-24个月以下的低收入城市人口中随时间推移对WCC的依从率，并确定该人群中WCC依从性的预测因素。方法这是对2005年至2008年从出生到2岁的符合医疗补助资格的一组儿童的第二次分析，并通过结构化电话调查来评估孕产妇的福祉，社会支持以及家庭和人口统计信息。对于260名参加4种城市儿童实践活动的儿童，根据从电子病历中提取的访问数据评估了WCC依从性。使用了基于对象的随机拦截混合效应logit模型。结果92％的母亲是非裔美国人，27％的人还没有完成高中毕业，87％的单身，并且有43％的人有结论。结论孕产妇教育工作应强调建立WCC的重要性，特别是对于一个以上孩子的母亲。需要使用更大，定义更广泛的人群进行进一步研究，以证实我们的发现，即6个月后应加大力度提高WCC依从性，特别是对于高危儿童。

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