Relationships Between Low-Income Mothers' Perceptions About Children's Health and Their Children's Health Service Use and Health Status

2.50
Hdl Handle:
http://hdl.handle.net/10755/147789
Type:
Presentation
Title:
Relationships Between Low-Income Mothers' Perceptions About Children's Health and Their Children's Health Service Use and Health Status
Abstract:
Relationships Between Low-Income Mothers' Perceptions About Children's Health and Their Children's Health Service Use and Health Status
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Schiffman, Rachel F., PhD, RN, FAAN
P.I. Institution Name:University of Wisconsin-Milwaukee
Title:Professor and Associate Dean for Research
Co-Authors:Seung-Yeon Lee, MS; Lorraine M. McKelvey, PhD; Mildred A. (Omar) Horodynski, PhD, RNC; Sharon Hoerr, PhD, RD, FACN
The purpose of this study was to examine whether mothers' perceptions of children's health were related to children's immunization rates, medical conditions, and ill and well child office visits. The data are from a longitudinal study of 118 dyads of mothers and children in low-income families that was based on the team-developed Family Health Model. Data were collected at enrollment, at the child's 14th, 24th, and 36th month of age, at 7, 16, and 28 months after enrollment, and through medical records review. At enrollment, mothers were 23.4 ± 5 years old; Children, 4.9 ± 3.7 months. Most mothers were Caucasian and single. Mothers perceived their children's health as good (Mean of 4 time points = 3.7 ± .7, 5 point scale) and 95% had a regular healthcare provider with 88% of children covered by Medicaid 7 months after enrollment. Dependent upon type, immunizations varied from 29% to 88%. By age 3 years the average number of well-child office visits was 5.7 ± 3 (recommended = 10) and average ill visits, 9.2 ± 6.7. There was no association between mothers' child health ratings and immunization status. Mothers who rated their children's health as poor/fair or good at 14 months were more likely to report asthma/wheezing and/or recurrent ear infections at the 7, 16, and 28 month interviews than those who rated as very good/excellent. Higher ratings of children's health were negatively related to number of hospitalizations (r = -.34), number of ill child office visits (r = -.3), and to the number of well child visits (r = -.24). Children living in poverty were not receiving adequate immunizations. Nurses should emphasize the importance of completion of immunization and also address to mothers that preventive care should not be overlooked, particularly well-child care, especially those who perceived their children are healthy.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleRelationships Between Low-Income Mothers' Perceptions About Children's Health and Their Children's Health Service Use and Health Statusen_GB
dc.identifier.urihttp://hdl.handle.net/10755/147789-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Relationships Between Low-Income Mothers' Perceptions About Children's Health and Their Children's Health Service Use and Health Status</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2005</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Schiffman, Rachel F., PhD, RN, FAAN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Wisconsin-Milwaukee</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Professor and Associate Dean for Research</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">schiffma@uwm.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Seung-Yeon Lee, MS; Lorraine M. McKelvey, PhD; Mildred A. (Omar) Horodynski, PhD, RNC; Sharon Hoerr, PhD, RD, FACN</td></tr><tr><td colspan="2" class="item-abstract">The purpose of this study was to examine whether mothers' perceptions of children's health were related to children's immunization rates, medical conditions, and ill and well child office visits. The data are from a longitudinal study of 118 dyads of mothers and children in low-income families that was based on the team-developed Family Health Model. Data were collected at enrollment, at the child's 14th, 24th, and 36th month of age, at 7, 16, and 28 months after enrollment, and through medical records review. At enrollment, mothers were 23.4 &plusmn; 5 years old; Children, 4.9 &plusmn; 3.7 months. Most mothers were Caucasian and single. Mothers perceived their children's health as good (Mean of 4 time points = 3.7 &plusmn; .7, 5 point scale) and 95% had a regular healthcare provider with 88% of children covered by Medicaid 7 months after enrollment. Dependent upon type, immunizations varied from 29% to 88%. By age 3 years the average number of well-child office visits was 5.7 &plusmn; 3 (recommended = 10) and average ill visits, 9.2 &plusmn; 6.7. There was no association between mothers' child health ratings and immunization status. Mothers who rated their children's health as poor/fair or good at 14 months were more likely to report asthma/wheezing and/or recurrent ear infections at the 7, 16, and 28 month interviews than those who rated as very good/excellent. Higher ratings of children's health were negatively related to number of hospitalizations (r = -.34), number of ill child office visits (r = -.3), and to the number of well child visits (r = -.24). Children living in poverty were not receiving adequate immunizations. Nurses should emphasize the importance of completion of immunization and also address to mothers that preventive care should not be overlooked, particularly well-child care, especially those who perceived their children are healthy.</td></tr></table>en_GB
dc.date.available2011-10-26T09:36:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T09:36:23Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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