Area-Level Socioeconomic Factors Are Associated With Noncompletion of Pediatric Preventive Services.
cross_sectional · Level IV
Where this comes from
- Record sourced from PubMed, PMID 26883436.
- Also identified by DOI 10.1177/2150131916632361 and PMC identifier 4891221.
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Abstract
We examined 4872 infants born consecutively, 2011-2012, and seen at 3 primary care centers to determine whether area-based socioeconomic measures were associated with noncompletion of common preventive services within the first 15 months. Addresses were geocoded and linked to census tract poverty, adult educational attainment, and household vehicle ownership rates. The quartile of patients in the highest poverty (adjusted odds ratio [aOR] 1.25; 95% confidence interval [CI] 1.01-1.54) and lowest vehicle ownership tracts (aOR 1.32; 95% CI 1.07-1.63) had significantly increased odds of service noncompletion. There were significant spatial clusters of low completion in Cincinnati's urban core. These findings have implications for preventive service delivery.
Medical subject headings
- Healthcare Disparities
- Maternal-Child Health Services
- Poverty
- Preventive Health Services
- Primary Health Care
- Urban Population