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Mother's Perceived Quality of Care by Child Healthcare Providers: An Examination of Cultural Differences

Jenn A. Leiferman, PhD, Center for Pediatric Research, Eastern Virginia Medical School, 855 West Brambleton Ave, Norfolk, VA 23505, 757-961-5273, leiferja@chkd.org and Justin M. Laird, PhD, Health Science, SUNY College at Brockport, 350 New Campus Drive, Hartwell Hall 16D, Brockport, NY 14420.

Many mothers lacking adequate financial support report having limited access to the health care system with their sole exposure often occurring during their child’s primary care visit. These visits represent an opportune time for physicians to discuss areas of parental concern that affect the child, mother, and family such as parenting, behavioral and psychosocial issues. However, mothers’ perceptions of overall quality of care received during these visits varies greatly and may be due in part to cultural differences. Given this, the present research compared and contrasted attitudes and perceptions toward the quality of care received by their child’s pediatrician among three groups of women (Caucasians, African Americans, and Hispanics). The study involved a secondary analyses of a nationally representative sample, consisting of 1574 women (mean age = 28.8 yrs). Oversampling of Hispanic and African American women ensured adequate representation of these ethnic groups. Logistic regression, using SUDAAN, was employed to specify the models allowing for the control of covariates (e.g., race, marital status, mental health status, age, education level, among others). Results suggest significant differences regarding perceived quality of care among the three groups of women. Unique cultural differences pertaining to concerns and barriers related to care will be highlighted during the presentation.

Learning Objectives:

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Cultural Competency and Women's Health

The 132nd Annual Meeting (November 6-10, 2004) of APHA