Evidence map›Paper›PMID 38527826›Full record

ArticleAnnals of family medicine

Disparities in Unmet Health Care Needs Among US Children During the COVID-19 Pandemic.

Sanjana Pampati, Nicole Liddon, Elizabeth A Stuart, Lance A Waller, Jonetta J Mpofu, Benjamin Lopman, Susan Hocevar Adkins, Jodie L Guest, Jeb Jones

Open access · diamondAbstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
2.5field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 5 institutions in 1 country.

Sanjana PampatiDivision of Adolescent and School Health, Centers for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Atlanta, Georgia mix2@cdc.gov.
Nicole LiddonDivision of Adolescent and School Health, Centers for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Atlanta, Georgia.
Elizabeth A StuartJohns Hopkins University, Bloomberg School of Public Health, Baltimore, Maryland.
Lance A WallerEmory University, Rollins School of Public Health, Atlanta, Georgia.
Jonetta J MpofuDivision of Adolescent and School Health, Centers for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Atlanta, Georgia.
Benjamin LopmanEmory University, Rollins School of Public Health, Atlanta, Georgia.
Susan Hocevar AdkinsDivision of Adolescent and School Health, Centers for Disease Control and Prevention, National Center for HIV, Viral Hepatitis, STD, and TB Prevention, Atlanta, Georgia.
Jodie L GuestEmory University, Rollins School of Public Health, Atlanta, Georgia.
Jeb JonesEmory University, Rollins School of Public Health, Atlanta, Georgia.
Emory University · USNational Center for HIV/AIDS Viral Hepatitis STD and TB Prevention · USCenters for Disease Control and Prevention · USJohns Hopkins University · USUnited States Public Health Service Commissioned Officers Association · US

Funding

CDC HHS D30119F06605
6 · The paper itself

Abstract

purposeThe COVID-19 pandemic disrupted pediatric health care in the United States, and this disruption layered on existing barriers to health care. We sought to characterize disparities in unmet pediatric health care needs during this period.

methodsWe analyzed data from Wave 1 (October through November 2020) and Wave 2 (March through May 2021) of the COVID Experiences Survey, a national longitudinal survey delivered online or via telephone to parents of children aged 5 through 12 years using a probability-based sample representative of the US household population. We examined 3 indicators of unmet pediatric health care needs as outcomes: forgone care and forgone well-child visits during fall 2020 through spring 2021, and no well-child visit in the past year as of spring 2021. Multivariate models examined relationships of child-, parent-, household-, and county-level characteristics with these indicators, adjusting for child's age, sex, and race/ethnicity.

resultsOn the basis of parent report, 16.3% of children aged 5 through 12 years had forgone care, 10.9% had forgone well-child visits, and 30.1% had no well-child visit in the past year. Adjusted analyses identified disparities in indicators of pediatric health care access by characteristics at the level of the child (eg, race/ethnicity, existing health conditions, mode of school instruction), parent (eg, childcare challenges), household (eg, income), and county (eg, urban-rural classification, availability of primary care physicians). Both child and parent experiences of racism were also associated with specific indicators of unmet health care needs.

conclusionsOur findings highlight the need for continued research examining unmet health care needs and for continued efforts to optimize the clinical experience to be culturally inclusive.

Indexed as

COVID-19PandemicsChildEthnicityHealth Services AccessibilityHealth Services ResearchHumansUnited Statesaccess to primary carebarrierschildren’s healthCOVID-19health care disparitieshealth services accessibilityhealth services needspediatricspreventive carepublic healthracismsurveyunmet needvaccinationvulnerable populations

Identifiers

PMID38527826
PMCPMC11237210
OpenAlexW4393166985

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.