142nd APHA Annual Meeting and Exposition

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302743
Insurance Coverage and Anticipatory Guidance: Are Hispanic Children at a Disadvantage?

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Wednesday, November 19, 2014

Sally Moyce, RN BSN , Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA
Janice Bell, MN, MPH, PhD , Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA
Bronwyn Fields, RN MPH , Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA
Mary Lou Siantz, RN PhD , Betty Irene Moore School of Nursing, University of California, Davis, Sacramento, CA
Background: Hispanic children are at increased risk of overweight and obesity and are disproportionately underinsured. We examined associations between insurance coverage and receipt of weight-related anticipatory guidance among Hispanic compared to white non-Hispanic children.

Methods: Data from the 2008-2010 Medical Expenditures Panel Survey were used to examine associations between insurance coverage and receipt of weight-related anticipatory guidance, and to test effect modification by ethnicity among 12,438 white non-Hispanic and Hispanic children.

Results: Compared to white non-Hispanic children, Hispanic children were more likely to receive anticipatory guidance about diet (OR 1.19, CI 1.03-1.39) and exercise (OR 1.48, CI 1.29-1.70). Health insurance continuity was not associated with receipt of anticipatory guidance for either group, while having a usual source of care was a significant predictor.

Discussion: Hispanic children receive more anticipatory guidance than white non-Hispanic children, regardless of insurance continuity. Interventions to assure a usual source of care could improve receipt of anticipatory guidance among all children.

Learning Areas:

Chronic disease management and prevention
Planning of health education strategies, interventions, and programs

Learning Objectives:
Evaluate potential disparities in pediatric receipt of weight-related guidance in a national sample.

Keyword(s): Nutrition, Preventive Medicine

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a student in a doctoral nursing program studying health disparities among Latinos.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Back to: 5008.0: Access to health services for Latinos