Association of Parent Preventive Care with their Child's Recommended Well-Child Visits

Heather Angier, Jorge Kaufmann, John Heintzman, Jean O'Malley, Laura Moreno, Sophia Giebultowicz, Miguel Marino

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Receipt of recommended well-child care is lowest for children without insurance, many of whom receive care in community health centers (CHCs). Objective: To understand if there is an association between parent preventive care and their children's well-child visits. Methods: We used electronic health record data to identify children and link them to parents both seen in an OCHIN network (CHC; n = 363 clinics from 17 states), randomly selected a child aged 3 to 17 with ≥1 ambulatory visit between 2015 and 2018. We employed a retrospective, cohort study design and used general estimating equations Poisson regression to estimate yearly rates of well-child visits based on parent preventive care adjusted for relevant covariates and stratified by child age for 3 linked samples: mother only, father only, and two parents. Results: We included 75,398 linked mother only pairs, 12,438 in our father only, and 4,156 in our 2-parent sample. Children in the mother only sample had a 6% greater rate of yearly well-child visits when their mother received preventive care (adjusted rate ratio [ARR] = 1.06; 95% CI = 1.03–1.08) compared to no preventive care. Children in the father only sample had a 7% greater rate of yearly well-child visits when their father received preventive care (ARR = 1.07; 95% CI = 1.04–1.11) versus no preventive care. Children in the two parent sample had an 11% greater rate of yearly well-child visits when both parents received preventive care (ARR = 1.11; 95% CI = 1.03–1.19) compared to neither receiving preventive care. Conclusions: These findings suggest focusing on receipt of healthcare for the whole family may improve well-child visit rates.

Original languageEnglish (US)
JournalAcademic Pediatrics
DOIs
StateAccepted/In press - 2022

Keywords

  • child health
  • family health
  • health service research
  • well-child visits

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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