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Title of Journal: Matern Child Health J

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Abbravation: Maternal and Child Health Journal

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Springer US

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DOI

10.1016/0304-3878(82)90014-1

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1573-6628

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Genetic Counseling Insurance Status and Elements

Authors: Grace Wang Cindy Watts
Publish Date: 2007/02/27
Volume: 11, Issue: 6, Pages: 559-567
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Abstract

Objective To examine associations between receiving genetic counseling and the enabling factors of insurance and medical home Methods This study uses data from the National Survey of Children with Special Health Care Needs CSHCN We use descriptive statistics to characterize families of CSHCN who needed and received genetic counseling as well as families who needed but did not receive genetic counseling We conduct logistic regression to calculate the association between receiving genetic counseling insurance status and medical home while adjusting for child’s age mother’s education race ethnicity and severity of condition Results Seven percent of families with CSHCN representing 643432 CSHCN nationwide reported needing genetic counseling in 2001 Of those in need of genetic counseling an estimated 123117 CSHCN reported not receiving genetic counseling Compared to CSHCN with continuous insurance coverage CSHCN with interrupted insurance coverage and CSHCN without insurance are significantly less likely to receive genetic counseling The odds of receiving genetic counseling by CSHCN with medical homes are 270 times higher compared to peers without medical homes 95 CI 158 461 p ≤ 001 Among the four elements comprising medical home in this study familycentered care is the only element significantly associated with receiving genetic counseling Conclusions Our analysis presents evidence that receiving genetic counseling is positively associated with having continuous insurance coverage and receiving familycentered care We discuss how researchers and policy makers may use these finding to explore strategies for improving care systems for CSHCN

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Other Papers In This Journal:
  1. Public Finance Policy Strategies to Increase Access to Preconception Care
  2. A Perspective of Preconception Health Activities in the United States
  3. Birth Characteristics Associated With Early Intervention Referral, Evaluation for Eligibility, and Program Eligibility in the First Year of Life
  4. The Relationship of Depressive Symptoms to Parenting Competence and Social Support in Inner-City Mothers of Young Children
  5. Supporting Pregnant Aboriginal and Torres Strait Islander Women to Quit Smoking: Views of Antenatal Care Providers and Pregnant Indigenous Women
  6. Gestational Age at First Antenatal Care Visit in Malawi
  7. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  8. Family Perceptions of Shared Decision-Making with Health Care Providers: Results of the National Survey of Children with Special Health Care Needs, 2009–2010
  9. Reasons for Mother–Infant Bed-Sharing: A Systematic Narrative Synthesis of the Literature and Implications for Future Research
  10. Dose and Timing of Prenatal Alcohol Exposure and Maternal Nutritional Supplements: Developmental Effects on 6-Month-Old Infants
  11. Pre-pregnancy Obesity as a Modifier of Gestational Diabetes and Birth Defects Associations: A Systematic Review
  12. A Qualitative Study to Understand Nativity Differences in Breastfeeding Behaviors Among Middle-Class African American and African-Born Women
  13. U.S. Provider Reported Folic Acid or Multivitamin Ordering for Non-Pregnant Women of Childbearing Age: NAMCS and NHAMCS, 2005–2006
  14. The Impact of Community Health Professional Contact Postpartum on Breastfeeding at 3 Months: A Cross-Sectional Retrospective Study
  15. The Correlation Between Postpartum Depression and Health Status
  16. Preconception and the Young Cancer Survivor
  17. Infant Feeding Decision-Making and the Influences of Social Support Persons Among First-Time African American Mothers
  18. Formative Research to Examine Collaboration Between Special Supplemental Nutrition Program for Woman, Infants, and Children and Head Start Programs
  19. Impact of Maternal Glucose and Gestational Weight Gain on Child Obesity over the First Decade of Life in Normal Birth Weight Infants
  20. Sleep Moderates and Mediates the Relationship Between Acculturation and Depressive Symptoms in Pregnant Mexican-American Women
  21. Ascertainment of Medicaid Payment for Delivery on the Iowa Birth Certificate: Is Accuracy Sufficient for Timely Policy and Program Relevant Analysis?
  22. Pre-Pregnancy Body Mass Index and Weight Gain During Pregnancy: Relations with Gestational Diabetes and Hypertension, and Birth Outcomes
  23. A Nationally Representative Study of Early Childhood Home Visiting Service Use in the United States
  24. Consultative Care Coordination Through the Medical Home for CSHCN: A Randomized Controlled Trial
  25. Prevalence of Medical Conditions Potentially Amenable to Cellular Therapy among Families Privately Storing Umbilical Cord Blood
  26. Rates and Success Rates of Trial of Labor After Cesarean Delivery in the United States, 1990–2009
  27. Does a Medical Home Mediate Racial Disparities in Unmet Healthcare Needs Among Children with Special Healthcare Needs?
  28. Physical Activity and Risk of Small-for-Gestational-Age Birth Among Predominantly Puerto Rican Women
  29. Maternal Health Risk Assessment and Behavioral Intervention in the NICU Setting Following Very Low Birth Weight Delivery
  30. A Process Evaluation of the WV Smoking Cessation and Reduction in Pregnancy Treatment (SCRIPT) Dissemination Initiative: Assessing the Fidelity and Impact of Delivery for State-Wide, Home-Based Healthy Start Services
  31. Determinants of the Uptake of the Full Dose of Diphtheria–Pertussis–Tetanus Vaccines (DPT3) in Northern Nigeria: A Multilevel Analysis
  32. Awareness and Intake of Folic Acid for the Prevention of Neural Tube Defects Among Lebanese Women of Childbearing Age
  33. Exploring Maternal Patterns of Dietary Caffeine Consumption Before Conception and During Pregnancy
  34. Utilization of Folic Acid and Iron Supplementation Services by Pregnant Women Attending an Antenatal Clinic at a Regional Referral Hospital in Kenya
  35. The Association of Parental Coping and Childhood Injury
  36. Predictors of Breastfeeding in Overweight and Obese Women: Data From Active Mothers Postpartum (AMP)
  37. Health Behaviors Among Women Using Fertility Treatment
  38. Variation in Birth Outcomes by Mother’s Country of Birth Among Non-Hispanic Black Women in the United States
  39. Does Health Insurance Continuity Among Low-income Adults Impact Their Children’s Insurance Coverage?
  40. Preconception Care Between Pregnancies: The Content of Internatal Care
  41. Access to care for children with autism in the context of state Medicaid reimbursement
  42. Prenatal Programming of Childhood Overweight and Obesity
  43. Evaluation of a Cross Cultural Curriculum: Changing Knowledge, Attitudes and Skills in Pediatric Residents
  44. Fathering: The Relationship Between Fathers’ Residence, Fathers’ Sociodemographic Characteristics, and Father Involvement
  45. Empowering Head Start to Improve Access to Good Oral Health for Children from Low Income Families
  46. Measuring Women’s Cumulative Neighborhood Deprivation Exposure Using Longitudinally Linked Vital Records: A Method for Life Course MCH Research
  47. Afraid of Delivering at the Hospital or Afraid of Delivering at Home: A Qualitative Study of Thai Hmong Families’ Decision-Making About Maternity Services
  48. Association Between Low Dairy Intake During Pregnancy and Risk of Small-for-Gestational-Age Infants
  49. Electronic Medical Record Use and Maternal and Child Care and Health
  50. Prevention of Secondary Conditions in Fetal Alcohol Spectrum Disorders: Identification of Systems-Level Barriers
  51. Prevalence of Serious Psychological Distress and Mental Health Treatment in a National Sample of Pregnant and Postpartum Women
  52. The Agency for Healthcare Research and Quality’s Children’s Health Research Portfolio
  53. Maternal Education and Child Healthcare in Bangladesh
  54. Smoking Among Pregnant Women with Medicaid Insurance: Are Mental Health Factors Related?
  55. Adolescent Births in the Border Region: A Descriptive Analysis Based on US Hispanic and Mexican Birth Certificates
  56. Screening Tests during Prenatal Care: Does Practice Follow the Evidence?
  57. The Influence of Pregnancy on Sweet Taste Perception and Plaque Acidogenicity
  58. Sports and Leisure Time Physical Activity During Pregnancy in Nulliparous Women
  59. Access to Patient-Centered Medical Homes in Children with Sickle Cell Disease
  60. Access to Patient-Centered Medical Homes in Children with Sickle Cell Disease
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