DELAYED OR MISSING PREVENTATIVE CARE AND PROBLEMS GETTING SPECIALIST CARE IN CHILDREN WITH MENTAL HEALTH DISORDERS

Purpose/hypothesis: The purpose of this study was to use the National Survey of Children's Health 2011/2012 (NSCH 2011/12) data set to determine if children with diagnosed mental health disorders (MHD) (depression and/or anxiety) have delayed or missed preventative healthcare services (medical, dental, vision care), and if their parents reported difficulty getting them the care they need at a different rate than children without MHD. Population of interest: Children (0-18 years of age) and their guardians who completed the survey were included in the analyses. Methods: For both hypotheses, we defined subject’s exposure (having MHD) and outcome (missed or delayed care/problem getting care) based on parental response to interview questions (N = 73,632,881). Covariates adjusted for in our models included child/parent demographics, insurance status, household employment, and DHHS poverty level. Both research questions were evaluated using multi-variable logistic regression (adjusted as necessary using the correct sampling methods as suggested by the NSCH). Results: The odds of having missing or delayed care for a child with MHD were 2.24 times higher (95% CI: 1.82-2.77) than a child without MHD. The odds of the parent reporting problems getting care for a child with MHD were 2.11 times higher (95% CI: 1.74-2.60) than a child without MHD. Clinical Relevance: These findings highlight a need to focus on finding ways to promote and provide all of the healthcare that a child needs. Children with MHD have many healthcare needs that other children may not, but they still need adequate preventative care. This may bring the specific needs of a population needing extra help to the attention of healthcare providers and outreach programs.

Grantor dc:publisher

Temple University. Libraries

Year dc:date.issued

2017

Author dc:creator

• Paoletti, Andrew Michael

Advisor dc:contributor.advisor

• Wu, Jingwei

Committee member dc:contributor.committeemember

• DeLago, Cynthia

• Epidemiology
• Children
• Healthcare
• Mental health
• NSCH
• Pediatrics
• Preventive care

Statement dc:rights

• IN COPYRIGHT- This Rights Statement can be used for an Item that is in copyright. Using this statement implies that the organization making this Item available has determined that the Item is in copyright and either is the rights-holder, has obtained permission from the rights-holder(s) to make their Work(s) available, or makes the Item available under an exception or limitation to copyright (including Fair Use) that entitles it to make the Item available.

Licence dc:rights.uri

• http://rightsstatements.org/vocab/InC/1.0/

Language dc:language.iso

eng

Handle dc:identifier.uri

http://hdl.handle.net/20.500.12613/2094

OAI identifier oai:identifier

oai:scholarshare.temple.edu:20.500.12613/2094