Gregory D. Stevens|Michael Seid|Ritesh Mistry|Neal Halfon
Disparities in Primary Care for Vulnerable Children: The Influence of Multiple Risk Factors
analyze vulnerability profile multiple risk factors poor pediatric care based raceethnicity poverty status parent education insurance language profiles used examine disparities childadolescent health status primary care experiencecrosssectional data 19485 childrenadolescents 019 years age 2001 california health interview surveymultiple logistic regression models used examine risk profiles relation health status three aspects primary care access physician dental visit access surety continuity regular source care comprehensiveness ie health promotion counselingabout 43 percent 44 million children california two risk factors rf controlling age gender rfs associated poorer health status ie percent reporting excellentvery good health rfs81 percent 171 percent 257 percent 345 percent 435 percent 528 percent p001 controlling health status higher risk profiles associated poorer primary care access continuity greater comprehensiveness care example higher risk profile children less likely regular source care one rf prevalence ratio pr092 confidence interval ci 086098 two pr077 ci 069084 three pr055 ci 046065 four pr031 ci 022044 p001this study demonstrates doseresponse relationship higher risk profiles poorer child health status access continuity primary care gained access however adolescents higher risk profiles likely receive health promotion counseling higher profiles appear associated greater barriers accessing primary care children fair poor health suggesting vulnerable children greatest health care needs also greatest difficulty obtaining primary care