Evidence map›Paper›PMID 40742395›Full record

ArticleFamily & community health

Contextualizing Rural/Non-Rural Differences in Pediatric Primary Care Patterns in South Carolina: A Mixed-Methods Study.

Caitlin Koob, Kinsey Meggett, Michelle Parisi, Sarah F Griffin

Abstract read
In one paragraph

Article in Family & community health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

4 authors.

Caitlin KoobDepartment of Healthcare Leadership and Management, Medical University of South Carolina, Charleston, South Carolina (Dr Koob); Department of Public Health Sciences, Clemson University, Clemson, South Carolina (Ms Meggett and Dr Griffin); and Department of Nutritional Sciences, University of Georgia, Athens, Georgia (Dr Parisi).ORCID 0000-0001-8652-2413
Kinsey Meggett
Michelle Parisi
Sarah F Griffin

Funding

NCCDPHP CDC HHS NU58DP007331
6 · The paper itself

Abstract

backgroundIn the United States, 30.7% of children aged 10-17 are overweight/obese, increasing their risk of experiencing negative health outcomes. Clinical guidelines urge for frequent visits for preventative weight management. Limited research examines the intersection of primary care patterns and families' perspectives of pediatric primary care in rural South Carolina (SC).

objectives1) Examine rural/non-rural differences in pediatric primary care patterns among Medicaid-insured children, and 2) contextualize differences from families' perspectives.

methodsSC Medicaid claims were analyzed among patients who had a weight-related diagnostic code and ≥1 primary care visit in northeastern SC from 2018 to 2022 (N = 22,084). Logistic regression examined associations between patient characteristics and traveling for primary care. Additionally, in-depth interviews (N = 12) were conducted to explore families' perspectives in rural primary care access.

resultsOverall, 40.54% of children were diagnosed as overweight/obese. Children living in rural counties, younger, non-Hispanic white, and had a healthy weight were most likely to travel for primary care. Rurality influenced the relationship between traveling for care, race/ethnicity, and weight status. Families express limited trust and perceive poor healthcare quality in their community, motivating their willingness to travel for healthcare.

conclusionFindings may inform tailored public health efforts to optimize child and family health across rural SC.

Indexed as

PediatricsPrimary Health CareRural PopulationAdolescentChildFemaleHealth Services AccessibilityHumansMaleMedicaidPediatric ObesityQualitative ResearchSouth CarolinaUnited Statesfamily healthhealthcare accessmedicaid-insured childrenpatient satisfactionprimary carerural health

Identifiers

PMID40742395
PMCPMC12321202

What OpenQuestion holds

Textmetadata
LicenceTDM
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.