Document Detail

Low-income parents' perceptions of pediatrician advice on early childhood education.
MedLine Citation:
PMID:  23324946     Owner:  NLM     Status:  MEDLINE    
The American Academy of Pediatrics recommends that pediatricians promote early childhood education (ECE). However, pediatricians have met resistance from low-income parents when providing anticipatory guidance on some topics outside the realm of physical health. Parents' views on discussing ECE with the pediatrician have not been studied. We sought to understand low-income parents' experiences and attitudes with regard to discussing ECE with the pediatrician and to identify opportunities for pediatrician input. We conducted 27 in-depth, semi-structured, qualitative interviews with parents of 3- and 4-year-old patients (100% Medicaid, 78% African American) at an urban primary care center. Interviews were audio-recorded, transcribed verbatim, and reviewed for themes by a multidisciplinary team. Most low-income parents in our study reported they primarily sought ECE advice from family and friends but were open to talking about ECE with the pediatrician. They considered their children's individual behavior and development to be important factors in ECE decisions and appreciated pediatricians' advice about developmental readiness for ECE. Participants' decisions about ECE were often driven by fears that their children would be abused or neglected. Many viewed 3 years as the age at which children had sufficient language skills to report mistreatment and could be safely enrolled in ECE. Participants were generally accepting of discussions about ECE during well child visits. There may be opportunity for the pediatrician to frame ECE discussions in the context of development, behavior, and safety and to promote high-quality ECE at an earlier age.
Courtney M Brown; Erin L Girio-Herrera; Susan N Sherman; Robert S Kahn; Kristen A Copeland
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Journal of community health     Volume:  38     ISSN:  1573-3610     ISO Abbreviation:  J Community Health     Publication Date:  2013 Feb 
Date Detail:
Created Date:  2013-01-17     Completed Date:  2013-07-12     Revised Date:  2014-10-17    
Medline Journal Info:
Nlm Unique ID:  7600747     Medline TA:  J Community Health     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  195-204     Citation Subset:  IM    
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MeSH Terms
Interviews as Topic
Parents / psychology*
Pediatrics / methods*
Physician's Role
Physician-Patient Relations
Poverty* / psychology,  statistics & numerical data
Young Adult
Grant Support
5UL1RR026314-3/RR/NCRR NIH HHS; L40 HD067077/HD/NICHD NIH HHS; T32 HP10027-13-00//PHS HHS; UL1 TR000077/TR/NCATS NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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