title: Pediatricians' involvement in community child health from 1989 to 2004.
abstract: OBJECTIVE
  To explore pediatricians' current involvement in community child health activities, to examine trends in community involvement from 1989 to 2004, and to compare perspectives and skills related to community involvement among those participating and not participating in community activities.
  
  
  METHODS
  Cross-sectional analysis of 3 American Academy of Pediatrics Periodic Surveys of Fellows.
  
  
  METHODS
  In the 1989, 1993, and 2004 surveys, 1024, 1627, and 1829 pediatricians participated, respectively (response rates: 70.3%, 65.2%, and 57.6%).
  
  
  METHODS
  Involvement, skills, and perspectives related to community child health activities.
  
  
  RESULTS
  The percentage of pediatricians involved in community child health activities in the preceding year rose from 56.6% in 1989 to 59.4% in 1993 but declined to 45.1% in 2004. Pediatricians increasingly reported that these activities were volunteer rather than paid (48.6% in 1989, 57.8% in 1993, and 79.6% in 2004). More participants in community child health activities vs nonparticipants viewed their current level of involvement as "just right" (52.5% vs 24.9%), reported themselves to be very responsible for children's health (42.2% vs 24.9%), expected their community work to increase during the next 5 years (63.5% vs 54.1%), and reported higher skills in 6 areas (all P < .001).
  
  
  CONCLUSIONS
  Although there has been decreased participation in community child health, most pediatricians expect their community efforts to increase. Because most community activities are volunteer, challenges to address include incorporating community involvement into employment and identifying strategies to facilitate voluntary civic engagement.
authors.affiliation: Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe St, Baltimore, MD 21205, USA. cminkovi@jhsph.edu
authors.forename: Cynthia S
authors.initials: CS
authors.lastname: Minkovitz
authors.forename: Karen G
authors.initials: KG
authors.lastname: O'Connor
authors.forename: Holly
authors.initials: H
authors.lastname: Grason
authors.forename: Anita
authors.initials: A
authors.lastname: Chandra
authors.forename: C Andrew
authors.initials: CA
authors.lastname: Aligne
authors.forename: Michael D
authors.initials: MD
authors.lastname: Kogan
authors.forename: David
authors.initials: D
authors.lastname: Tayloe
mesh_terms: D016009:Chi-Square Distribution; D002648:Child; D002662:Child Health Services; D002983:Clinical Competence; D003153:Community Health Services; D003430:Cross-Sectional Studies; D005006:Ethnicity / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D010372:Pediatrics; D010819:Physician's Role; D010822:Physicians, Women / Q000706:statistics & numerical data; D011795:Surveys and Questionnaires; D000078329:Workforce