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Missed and Delayed Preventive Health Care Visits Among US Children Due to the COVID-19 Pandemic.
Lebrun-Harris, Lydie A; Sappenfield, Olivia R; Warren, Michael D.
Afiliación
  • Lebrun-Harris LA; Maternal and Child Health Bureau, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD, USA.
  • Sappenfield OR; US Department of Energy, Oak Ridge Institute for Science and Education, Oak Ridge, TN, USA.
  • Warren MD; Maternal and Child Health Bureau, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD, USA.
Public Health Rep ; 137(2): 336-343, 2022.
Article en En | MEDLINE | ID: mdl-34969335
OBJECTIVE: The COVID-19 pandemic led to a substantial drop in US children's preventive care, which had not fully rebounded by the end of 2020. We sought to estimate the overall prevalence of missed, skipped, or delayed preventive checkups among households with children in the last 12 months because of the pandemic. METHODS: We used data from the US Census Bureau's Household Pulse Survey, Phase 3.1 (collected April-May 2021). The analytic sample included 48 824 households with ≥1 child or adolescent aged <18 years. We estimated both national and state-level prevalences, examined associations with sociodemographic and household characteristics, and described reasons for missed or delayed preventive visits. RESULTS: Overall, 26.4% (95% CI, 25.5%-27.2%) of households reported that ≥1 child or adolescent had missed or delayed a preventive visit because of COVID-19; percentages varied by state, from 17.9% in Wyoming to 37.0% in Vermont. The prevalence of missed or delayed preventive visits was significantly higher among respondents who reported material hardships (ie, not caught up on rent/mortgage, difficulty paying usual household expenses, children not eating enough because of lack of affordability) than among respondents who did not report material hardships. The most common reasons for missing or delaying preventive visits were concern about visiting a health care provider, limited appointment availability, and the provider's location being closed. CONCLUSIONS: Programs and policies could reduce gaps in children's preventive care caused by the pandemic, with a particular focus on addressing social determinants of health.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios Preventivos de Salud / Servicios de Salud del Niño / COVID-19 / Mal Uso de los Servicios de Salud Tipo de estudio: Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Child / Child, preschool / Humans / Infant País/Región como asunto: America do norte Idioma: En Revista: Public Health Rep Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Servicios Preventivos de Salud / Servicios de Salud del Niño / COVID-19 / Mal Uso de los Servicios de Salud Tipo de estudio: Prevalence_studies / Risk_factors_studies Aspecto: Determinantes_sociais_saude Límite: Adolescent / Child / Child, preschool / Humans / Infant País/Región como asunto: America do norte Idioma: En Revista: Public Health Rep Año: 2022 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos