Anje C Van Berckelaer|Nandita Mitra|Susmita Pati
Predictors of well child care adherence over time in a cohort of urban Medicaid-eligible infants
Robert Wood Johnson Foundation|University of Pennsylvania|University of Pennsylvania|University of Pennsylvania
changes well child care wcc adherence time previously examined objective describe adherence rates wcc time lowincome urban population infants 024 months age identify predictors wcc adherence populationthis secondary analysis cohort medicaideligible children followed birth 2 years 2005 2008 structured telephone surveys assess maternal wellbeing social support household demographic information 260 children attending 4 urban pediatric practices wcc adherence assessed based visit data abstracted electronic medical records randomintercept mixed effects logit model clustered subject used92 mothers africanamerican 27 finished high school 87 single 43 earned500month mean age 23 wcc adherence decreased 88 6 months 47 12 mo 44 18 mo 67 24 mo difference across time periods statistically significant p0001 married 171 p002 primiparous 189 p0001 mothers significantly greater odds adherence along women reported adherent prenatal care visits 149 p003 lowest household income 140 p003maternal education efforts emphasize importance establishing wcc especially mothers one child studies using larger broadly defined populations needed confirm findings efforts increase wcc adherence intensified 6 months age particularly children higher risk