Relationship Between Maternal Psychotic Disorders and Pediatric Health Care Guideline Adherence

Abstract

AbstractObjective: Although the majority of women with serious mental illnesses (SMI) are mothers, limited research is available on the relationship between maternal SMI and pediatric health care use. Adherence with preventive care is associated not only with improved children's health and well-being but also decreased costs to the health care system. This study examines the relationship between maternal psychotic disorders (PDs) and pediatric health care. Method: This retrospective secondary analysis of Medicaid claims compares age cohorts of children (0 to 4 years) of mothers with and without PDs. Bivariate and multivariate logistic regression models are used to examine established measures of pediatric preventive care and emergency department (ED) care among 297,866 mother-child dyads. Results: Adherence to preventive care guidelines ranged from 19% to 34% among mothers with PDs and from 24% to 32% among mothers without PDs. Mothers with PDs are 1.41 times more likely to have at least one preventive ca...