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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
5021.0: Wednesday, December 14, 2005 - Board 2

Abstract #116966

An assessment of parents' health care experiences towards th use of anticipatory guidance practices: A multi-center pilot study

Chioma Uzoigwe, MPH1, Diane Abatemarco, PhD, MSW2, Steven Kairys, MD, MPH3, Ruth S. Gubernick, MPH4, Tammy Hurley5, and Charlette Nunnery, MS5. (1) University of Medicine and Dentistry of New Jersey School of Public Health, 116-19 131 Street, South Ozone Park, NY 11420, (917) 202-1821, cuzoigwe@stanfordalumni.org, (2) UMDNJ-School of Public Health, 683 Hoes Lane West, Piscataway, NJ 08854, (3) Department of Pediatrics, Jersey Shore Medical Center, Route 33, Neptune, NJ 07754, (4) Consultant-Maternal & Child Health Prog. Devel. Specialist, 5 Woodbury Drive, Cherry Hill, NJ 08003, (5) American Academy of Pediatrics, 141 Northwest Point Blvd., Elk Grove Village, IL 60007

An imperative need exists for attention to child abuse and neglect prevention in the U.S. Research indicates that parents turn to doctors and other healthcare professionals for parenting advice second only to their own mothers. Therefore, pediatricians can play a crucial role in abuse and neglect prevention. Anticipatory guidance, also known as preventive advice, has been shown in previous studies to decrease child maltreatment practices. Therefore, increasing anticipatory guidance screening among pediatricians can reduce the incidence of child abuse and neglect. This pilot study was derived from the Practicing Safety project, a three year pilot child abuse and neglect prevention project taking place at the University of Medicine and Dentistry of New Jersey School of Public Health. This study aims to assess parents' health care experiences towards pediatricians' anticipatory guidance practices. 231 parents with children between the ages of 0 and 3 in three pediatric practices in New Jersey participated in this study. Frequency of anticipatory guidance use was measured via parents' responses to the Practicing Safety Parent Questionnaire, adopted from the Promoting Healthy Development Survey (2001). Results show that parents that more often report not having had anticipatory guidance discussions with their child's doctor are first-time parents, members of a nonwhite ethnic group, have less than a college education, have private health insurance and earn a total household income of over $50,000 annually. This study shows that there is a need to intervene in pediatricians' well-child care routines to incorporate more anticipatory guidance practices.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Student and New Researcher Papers in Maternal and Child Health

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA