Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #117325

Amina P. Alio, PhD¹, Hamisu Salihu, MD, PhD², Karla Hardy¹, and Immanuel Foster¹. (1) Council on African American Affairs, 1115 U Street NW Suite 201, Washington, DC 20009, 202-518-5954, aaalio@africanamericanaffairs.org, (2) Department of Maternal and Child Health, University of Alabama at Birmingham, 1665 University Blvd., Ryals Bldg Rm. 320, Birmingham, AL 35294

We assessed maternal characteristics that were predictive of preventive care utilization among children 0 to 5 years, and compared Black-White differences in preventive care usage. We used the 1996-2000 series of public use files from the Medical Expenditure Panel Survey. Receipt of preventive care was defined as up-to-date immunization coverage of the child and at least one dental visit during the year.

A total of 10,525 children were analyzed consisting of 2,090 Blacks (19.9%) and 8,435 Whites (80.1%). Black mothers were in general older and less educated. Black households were larger in size, and contained a greater number of children. Despite similar levels of insurance coverage for both racial groups, the overwhelming majority of White mothers were privately insured (73.2%), in contrast to only about half of Blacks with private insurance coverage (54.3% [p < 0.0001]. Overall, the level of pediatric preventive services utilization was a paltry 15.4%. Children of Black mothers were significantly less likely to receive preventive care than Whites (OR = 0.78; 95% CI = 0.64-0.94).

Other determinants of preventive care use were maternal age, insurance coverage, education and family size. Older educated mothers with insurance coverage and reduced family size were more likely to have their children immunized and have dental visits.

Our findings suggest that maternal insurance coverage enhances pediatric preventive care use. Health policy planners may consider parallel insurance coverage of both the child and the mother in order to enhance receipt of preventive health services by the child.

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