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    DELAYED OR MISSING PREVENTATIVE CARE AND PROBLEMS GETTING SPECIALIST CARE IN CHILDREN WITH MENTAL HEALTH DISORDERS

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    Genre
    Thesis/Dissertation
    Date
    2017
    Author
    Paoletti, Andrew Michael
    Advisor
    Wu, Jingwei
    Committee member
    DeLago, Cynthia
    Department
    Epidemiology
    Subject
    Epidemiology
    Children
    Healthcare
    Mental Health
    Nsch
    Pediatrics
    Preventive Care
    Permanent link to this record
    http://hdl.handle.net/20.500.12613/2094
    
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    DOI
    http://dx.doi.org/10.34944/dspace/2076
    Abstract
    Purpose/hypothesis: The purpose of this study was to use the National Survey of Children's Health 2011/2012 (NSCH 2011/12) data set to determine if children with diagnosed mental health disorders (MHD) (depression and/or anxiety) have delayed or missed preventative healthcare services (medical, dental, vision care), and if their parents reported difficulty getting them the care they need at a different rate than children without MHD. Population of interest: Children (0-18 years of age) and their guardians who completed the survey were included in the analyses. Methods: For both hypotheses, we defined subject’s exposure (having MHD) and outcome (missed or delayed care/problem getting care) based on parental response to interview questions (N = 73,632,881). Covariates adjusted for in our models included child/parent demographics, insurance status, household employment, and DHHS poverty level. Both research questions were evaluated using multi-variable logistic regression (adjusted as necessary using the correct sampling methods as suggested by the NSCH). Results: The odds of having missing or delayed care for a child with MHD were 2.24 times higher (95% CI: 1.82-2.77) than a child without MHD. The odds of the parent reporting problems getting care for a child with MHD were 2.11 times higher (95% CI: 1.74-2.60) than a child without MHD. Clinical Relevance: These findings highlight a need to focus on finding ways to promote and provide all of the healthcare that a child needs. Children with MHD have many healthcare needs that other children may not, but they still need adequate preventative care. This may bring the specific needs of a population needing extra help to the attention of healthcare providers and outreach programs.
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