Details:

Alternative Title:
Birth Defects Res A Clin Mol Teratol
Publisher's site:
http://dx.doi.org/10.1002/bdra.23173
Personal Author:
Cassell, Cynthia H. ; Krohmer, Anne ; Mendez, Dara D. ; Lee, Kyung A. ; Strauss, Ronald P. ; ... More +
Cassell, Cynthia H. ; Krohmer, Anne ; Mendez, Dara D. ; Lee, Kyung A. ; Strauss, Ronald P. ; Meyer, Robert E. Less -
Description:
BACKGROUND

Information on travel distance and time to care for children with birth defects is lacking. We examined factors associated with travel distance and time to cleft care among children with orofacial clefts.

METHODS

In 2006, a mail/phone survey was administered in English and Spanish to all resident mothers of children with orofacial clefts born 2001 to 2004 and identified by the North Carolina birth defects registry. We analyzed one-way travel distance and time and the extent to which taking a child to care was a problem. We used multivariable logistic regression to examine the association between selected sociodemographic factors and travel distance (≤60 miles and >60 miles) and time (≤60 min and >60 min) to cleft care.

RESULTS

Of 475 eligible participants, 51.6% (n = 245) responded. Of the respondents, 97.1% (n = 238) were the child’s biological mother. Approximately 83% (n = 204) of respondents were non-Hispanic White; 33.3% (n = 81) were college educated; and 50.0% (n = 115) had private health insurance. One-way mean and median travel distances were 80 and 50 miles, respectively (range, 0–1058 miles). One-way mean and median travel times were 92 and 60 min, respectively (range, 5 min to 8 hr). After adjusting for selected sociodemographics, travel distance varied significantly by maternal education, child’s age, and cleft type. Travel time varied significantly by child’s age. Approximately 67% (n = 162) reported taking their child to receive care was not a problem.

CONCLUSION

Approximately 48% of respondents traveled > 1 hr to receive cleft care. Increasing access to care may be important for improving health outcomes among this population.


Subject:
[+]
Adult
Child
Cleft Lip
Cleft Palate
Female
Geographic Information Systems
Geographic Mapping
Health Expenditures
Health Services Accessibility
Hospitalization
Humans
Infant
Infant, Newborn
Male
Registries
Time Factors

Source:
Birth Defects Res A Clin Mol Teratol. 2013; 97(10):685-695.
Pubmed ID:
24039055
Pubmed Central ID:
PMC4507418
Document Type:
Journal Article
Funding:
IVV7/Intramural CDC HHS/United States ; U50/CCU422096/PHS HHS/United States
IVV7/Intramural CDC HHS/United States ; U50/CCU422096/PHS HHS/United States Less -
Place as Subject:
North Carolina
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:9a69041ce30a4bcf9b72f101684c8ef11a9e34bd52394359ab606ba8fe3c6ebd
File Type:

Supporting Files

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