| Effects of parental military deployment on pediatric outpatient and well-child visit rates. | |
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MedLine Citation:
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PMID: 20530074 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The objective of this study was to determine whether parental deployment affected the rates at which children of military parents accessed health care within the military health system. METHODS: We linked outpatient health care claims data for military service members' children <2 years of age from fiscal year 2007 to the parental deployment history during the same period. Incidence rate ratios (IRRs) for all visits and well-child visits were determined according to parental deployment status. RESULTS: A total of 169,986 children were identified, with 1,772,703 outpatient visits. Of those children, 32% had a parent deployed during the study period. Well-child visits constituted 27% of all outpatient visits. The unadjusted visit rates for all visits and well-child visits were 10.4 and 2.8 visits per year, respectively. Children of single parents had decreased rates of outpatient visits (IRR: 0.84 [95% confidence interval [CI]: 0.80-0.89]; P < .001) and well-child visits (IRR: 0.88 [95% CI: 0.84-0.93]; P < .001) during deployment. Children of married parents, however, had increased rates of both outpatient visits (IRR: 1.08 [95% CI: 1.03-1.09]; P < .001) and well-child visits (IRR: 1.08 [95% CI: 1.07-1.09]; P < .001) during deployment. There was interaction between parental marital status and deployment, which was most significant among parents <24 years of age and consistently decreased with increasing parental age. CONCLUSIONS: Children of young, single, military parents are seen less frequently for acute and well-child care when their parent is deployed, whereas children of married parents are seen more frequently in the military health system. |
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Authors:
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Matilda Eide; Gregory Gorman; Elizabeth Hisle-Gorman |
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Publication Detail:
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Type: Journal Article Date: 2010-06-07 |
Journal Detail:
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Title: Pediatrics Volume: 126 ISSN: 1098-4275 ISO Abbreviation: Pediatrics Publication Date: 2010 Jul |
Date Detail:
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Created Date: 2010-07-02 Completed Date: 2010-07-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: United States |
Other Details:
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Languages: eng Pagination: 22-7 Citation Subset: AIM; IM |
Affiliation:
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Uniformed Services University of the Health Sciences, Department of Pediatrics, Bethesda, MD 20814, USA. mbeadling@usuhs.mil |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Ambulatory Care
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statistics & numerical data* Child Welfare* Child, Preschool Cross-Sectional Studies Family Relations Female Health Status Humans Infant Insurance Coverage / statistics & numerical data* Longitudinal Studies Male Military Personnel* Multivariate Analysis Office Visits / statistics & numerical data* Parents Poisson Distribution Risk Factors Socioeconomic Factors Stress, Psychological United States War* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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