The scope of unmet maternal health needs in pediatric settings.
Previous work has focused attention on the prevalence of specific maternal health problems known to affect children, such as smoking or depression.
However, the cumulative health burden experienced by mothers and the potential for a practical pediatric health services response have not been examined.
The aims of this study were to characterize : 1) the prevalence and cumulative burden of maternal health behaviors and conditions, 2) maternal access to a source of comprehensive adult primary care, and 3) maternal perceptions of a pediatric role in screening and referral.
We surveyed 559 consecutive women bringing a child 18 months of age or less to one of four pediatric primary care sites between July 1996 and May 1997.
The pediatric sites included one outpatient program in an academic hospital, one in a community health center, and two in-staff model practices of a managed care organization (these last two were combined for analysis).
The self-administered questionnaire contained previously validated questions to assess health behaviors and conditions (smoking, alcohol abuse, depression, violence, risk for unintended pregnancy, serious illness, self-reported health) and access to care (regular source, regular provider, health insurance, care delayed or not received).
Maternal attitudes toward a pediatric role in screening and referral were also elicited.
In the three settings, response rates ranged from 75% to 84%. (...)
Mots-clés Pascal : Consultation, Pédiatrie, Santé, Mère, Tabagisme, Alcoolisme, Mère pathologie, Soin santé primaire, Accessibilité, Etats Unis, Amérique du Nord, Amérique, Adulte, Homme, Femelle
Mots-clés Pascal anglais : Consultation, Pediatrics, Health, Mother, Tobacco smoking, Alcoholism, Maternal diseases, Primary health care, Accessibility, United States, North America, America, Adult, Human, Female
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0190914
Code Inist : 002B30A01B. Création : 16/11/1999.