title: Effects of Pediatric Anticipatory Guidance on Mothers of Young Children.
abstract: Provision of anticipatory guidance to parents during well-child visits is a defining component of pediatric primary care. Using nationally representative data from the 2000 U.S. National Survey of Early Childhood Health, this study addressed the questions of whether, how, and what mothers of children below age 3 with different ethnic/racial background could benefit from anticipatory guidance. Structural equation modeling results showed that across ethnic/racial groups, guidance was directly associated with decreased maternal stress and directly and indirectly associated with effective parenting practices in child development, discipline, and safety. Moreover, guidance was consistently associated with decreased stress (effect size = .159/.123/.252) and increased effective parenting practices in child development (total effect = .090/.179/.296), discipline (total effect = .079/.138/.111), and safety (total effect = .186/.204/.229) in White/Black/Latino groups, respectively. Finally, whereas guidance was directly associated with child safety in all groups, it was indirectly contributed to child development and discipline via maternal stress in the Latino group only.
authors.affiliation: 1 University of Georgia, Athens, GA, USA.
authors.forename: Hui-Chin
authors.initials: HC
authors.lastname: Hsu
authors.affiliation: 2 University of Texas at Tyler, Tyler, TX, USA.
authors.forename: Shih-Yu
authors.initials: SY
authors.lastname: Lee
authors.affiliation: 3 Chung Shan Medical University Hospital, Taichung City, Taiwan.
authors.forename: Chin-Man
authors.initials: CM
authors.lastname: Lai
authors.affiliation: 4 Taichung Veterans General Hospital and Hung Kuang University, Taichung City, Taiwan.
authors.forename: Wan-Ling
authors.initials: WL
authors.lastname: Tsai
authors.affiliation: 3 Chung Shan Medical University Hospital, Taichung City, Taiwan.
authors.forename: Hsiao-Tung
authors.initials: HT
authors.lastname: Chiu
mesh_terms: D002648:Child; D002657:Child Development; D002675:Child, Preschool; D005260:Female; D017408:Guidelines as Topic / Q000592:standards*; D006266:Health Education / Q000639:trends; D006801:Humans; D007223:Infant; D008297:Male; D008425:Maternal Behavior / Q000523:psychology; D016487:Parenting / Q000639:trends*; D011320:Primary Health Care / Q000592:standards; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology; D014481:United States
keywords: anticipatory guidance; ethnic/racial differences; maternal stress; parenting practices; well-child health supervision