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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> > <a href="/research/resarch.htm" class="crumb_link"><em>Research Activities</em> Archive</a> > <a href="." class="crumb_link">February 2007</a> > Many children do not receive recommended well-child visits during the year, especially disadvantaged children </span></p>
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<td><h1><a name="h1" id="h1"></a> Child/Adolescent Health</h1>
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<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information. </p>
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<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div>
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<h2>Many children do not receive recommended well-child visits during the year, especially disadvantaged children</h2>
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<p>Compliance with recommended well-child visits has improved slightly since 1987. However, it remains low among U.S. children, with very low rates among certain disadvantaged groups, concludes a new study. Well-child visits are important because they help promote timely immunizations and present opportunities to screen for health conditions and normal development. They also offer clinicians the chance to answer parents' health-related questions and provide guidance, explains Thomas M. Selden, Ph.D., of the Agency for Healthcare Research and Quality (AHRQ).</p>
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<p>Dr. Selden analyzed data from the 2000-2002 Medical Expenditure Panel Survey of U.S. households, which combines well-child care data over a 2-year period with a rich array of socioeconomic and health status measures. On average, 56.3 percent of all children up to 18 years of age had no well-child visits during a 12-month period, and 39.4 percent had no well-child visits over a 2-year period. The average rate of compliance with well-child visit recommendations from the American Academy of Pediatrics was 61.4 percent; however, compliance rates varied substantially among various subgroups. Groups with high compliance rates were infants (83.2 percent), children with special health care needs (86.6 percent), children with college-educated parents (74.3 percent), children with family incomes over four times the poverty level (71.6 percent), and children living in New England and the Middle Atlantic regions (94.6 and 83.2 percent, respectively).</p>
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<p>However, uninsured children had low levels of compliance (35.3 percent), especially uninsured children eligible for public health insurance coverage (28.4 percent). Other groups with low compliance rates included teenagers (49.2 percent), noncitizen children (43.9 percent), and children in the West South Central (44.9 percent), East South Central (48.8 percent), and Mountain (49.7 percent) regions. Although experts dispute the optimal frequency of well-child visits, the disparities observed in compliance rates among population subgroups raise important public health concerns.</p>
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<p>More details are in "Compliance with well-child visit recommendations: Evidence from the Medical Expenditure Panel Survey, 2000-2002," by Dr. Selden, in the December 2006 <em>Pediatrics</em> 118(6), pp. 1766-1778. Reprints (AHRQ Publication No. 07-R019) are available from the <a href="https://www.ahrq.gov/research/publications/order/order-research-activities.html">AHRQ Publications Clearinghouse</a>.</p>
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<p><strong>Editor's Note:</strong> An AHRQ-supported article (HS10770) on a related topic found that children living in families with many other children or with other adults used less outpatient care and prescription medications than their peers. For more details, see Chen, A.Y. and Escarce, J.J. (2006, October). "Effects of family structure on children's use of ambulatory visits and prescription medications." <em>HSR: Health Services Research</em> 41(5), pp. 1895-1914.</p>
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