title: Area-Level Socioeconomic Factors Are Associated With Noncompletion of Pediatric Preventive Services.
abstract: We examined 4872 infants born consecutively, 2011-2012, and seen at 3 primary care centers to determine whether area-based socioeconomic measures were associated with noncompletion of common preventive services within the first 15 months. Addresses were geocoded and linked to census tract poverty, adult educational attainment, and household vehicle ownership rates. The quartile of patients in the highest poverty (adjusted odds ratio [aOR] 1.25; 95% confidence interval [CI] 1.01-1.54) and lowest vehicle ownership tracts (aOR 1.32; 95% CI 1.07-1.63) had significantly increased odds of service noncompletion. There were significant spatial clusters of low completion in Cincinnati's urban core. These findings have implications for preventive service delivery.
authors.affiliation: University of Cincinnati College of Medicine, Cincinnati, OH, USA neidhamt@mail.uc.edu.
authors.forename: Margaret N
authors.initials: MN
authors.lastname: Jones
authors.affiliation: Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Courtney M
authors.initials: CM
authors.lastname: Brown
authors.affiliation: University of Cincinnati, OH, USA.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Widener
authors.affiliation: Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Heidi J
authors.initials: HJ
authors.lastname: Sucharew
authors.affiliation: Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
authors.forename: Andrew F
authors.initials: AF
authors.lastname: Beck
mesh_terms: D004522:Educational Status; D005260:Female; D054625:Healthcare Disparities; D006776:Hospitals, Pediatric; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D000068101:Maternal-Child Health Services; D018986:Motor Vehicles; D016017:Odds Ratio; D009820:Ohio; D010067:Ownership; D010290:Parents; D010372:Pediatrics; D011203:Poverty; D011314:Preventive Health Services; D011320:Primary Health Care; D012959:Socioeconomic Factors; D062206:Spatial Analysis; D014505:Urban Population
keywords: disparities; geographic location; pediatrics; prevention; primary care; socioeconomic