Maternal Health-Seeking on Behalf of Low-Income Children.

Abstract

Women receiving Medicaid account for almost one-third of the childbearing population in the United States, an extensive investment for federal and state governments. Gaps and conflicting research results exist that explain/predict maternal health-seeking behavior for vulnerable children. Public health nurses (PHN) need evidence to design interventions that improve maternal health-seeking and child health outcomes. The purpose of this study was to examine factors: maternal (key influences), child, and household that contribute to maternal health-seeking behavior. The design was a descriptive, correlational, longitudinal study (n=1,141 mother-child dyads). Children were more likely to receive preventive medical care if they had a medical condition (OR: 1.60, p<.01) and had access to private transportation (OR: 1.49, p<.05). Children of married mothers (OR: 1.51, p<.01) and access to private transportation (OR: 1.47, p<.05) received more preventive dental care. African-American mothers (OR: 0.61, p<.01) and mothers with higher self-reported health status (OR: 0.84, p<.05) sought less illness-related medical child health services (CHS). Maternal health-seeking behavior in low-income households is complex. Predictors may depend on whether care is preventive or illness-related, medical, or dental. Further study should clarify what factors predict what type of CHS use to better specify PHN interventions.