Attendance at Well-Child Visits After Reach Out and Read

被引:21
|
作者
Needlman, Robert D. [1 ]
Dreyer, Benard P. [2 ,3 ]
Klass, Perri [2 ,3 ]
Mendelsohn, Alan L. [2 ,3 ]
机构
[1] Case Western Reserve Univ, Cleveland, OH 44106 USA
[2] NYU, New York, NY USA
[3] Bellevue Hosp Ctr, New York, NY 10016 USA
关键词
well-child care adherence; Reach Out and Read; literacy promotion; primary care; IMMUNIZATION RATES; CARE; SERVICES; GUIDELINES; QUALITY; PARENTS; ALOUD;
D O I
10.1177/0009922818822975
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Attendance at well-child visits (WCVs) is a sine qua non of preventive care. We hypothesized that Reach Out and Read (ROR) would be associated with better WCV attendance. Parents of children 76 to 72 months at 8 clinics who did not yet have ROR reported how many WCVs their child had attended in the previous year; separate samples at the same clinics were interviewed 16 months after the ROR program was instituted. Comparing 267 parents before ROR and 254 after, the percentage who had attended the minimum number of WCVs required by the American Academy of Pediatrics periodicity schedule rose from 67.4% (180/267) to 78.3% (199/254; P < .01). This difference remained significant after controlling for multiple potential confounding factors (estimated odds ratio = 2.1, 95% confidence interval = 1.3-3.5). The largest differences were among Latino children and children of less-educated parents. Programs to enhance early literacy may increase attendance at WCVs among at-risk families.
引用
收藏
页码:282 / 287
页数:6
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