TY - JOUR
T1 - Addressing Parental Health in Pediatrics
T2 - Physician Perceptions of Relevance and Responsibility
AU - Venkataramani, Maya
AU - Cheng, Tina L
AU - Solomon, Barry
AU - Pollack, Craig
PY - 2017/9/1
Y1 - 2017/9/1
N2 - Pediatric guidelines recommend that providers address a range of parental health issues; however, adherence to these guidelines has been suboptimal. Drawing on a nationally-representative sample of children's primary care physicians, we examined whether providers view parental issues as relevant to child health and whether they believe it is their personal responsibility to address them. Issues included maternal depression, tobacco use, intimate partner violence, Tdap (tetanus, diphtheria, and acellular pertussis) immunization, family planning, and health insurance. While the majority of respondents endorsed the relevance of these issues to child health, particularly for issues with an established evidencebase, significantly fewer felt responsible for addressing them. Physicians who endorsed relevance or responsibility were almost always more likely to address these issues in their clinical practice. To advance parental health promotion practices, highlighting relevance to pediatric outcomes is an important first step, particularly for novel areas, while understanding what factors influence personal responsibility is necessary for all issues.
AB - Pediatric guidelines recommend that providers address a range of parental health issues; however, adherence to these guidelines has been suboptimal. Drawing on a nationally-representative sample of children's primary care physicians, we examined whether providers view parental issues as relevant to child health and whether they believe it is their personal responsibility to address them. Issues included maternal depression, tobacco use, intimate partner violence, Tdap (tetanus, diphtheria, and acellular pertussis) immunization, family planning, and health insurance. While the majority of respondents endorsed the relevance of these issues to child health, particularly for issues with an established evidencebase, significantly fewer felt responsible for addressing them. Physicians who endorsed relevance or responsibility were almost always more likely to address these issues in their clinical practice. To advance parental health promotion practices, highlighting relevance to pediatric outcomes is an important first step, particularly for novel areas, while understanding what factors influence personal responsibility is necessary for all issues.
KW - intimate partner violence
KW - maternal depression
KW - parental/guardian health
KW - tobacco use
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U2 - 10.1177/0009922817705189
DO - 10.1177/0009922817705189
M3 - Article
C2 - 28429619
AN - SCOPUS:85026878436
SN - 0009-9228
VL - 56
SP - 953
EP - 958
JO - Clinical Pediatrics
JF - Clinical Pediatrics
IS - 10
ER -