Document Detail


Effects of parental military deployment on pediatric outpatient and well-child visit rates.
MedLine Citation:
PMID:  20530074     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Matilda Eide; Gregory Gorman; Elizabeth Hisle-Gorman
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Publication Detail:
Type:  Journal Article     Date:  2010-06-07
Journal Detail:
Title:  Pediatrics     Volume:  126     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-02     Completed Date:  2010-07-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  22-7     Citation Subset:  AIM; IM    
Affiliation:
Uniformed Services University of the Health Sciences, Department of Pediatrics, Bethesda, MD 20814, USA. mbeadling@usuhs.mil
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MeSH Terms
Descriptor/Qualifier:
Ambulatory Care / 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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