TABLE 5.

Parent Reports of Unmet Needs for Anticipatory Guidance by Family Characteristics and Health Care Use

Any Unmet Need*
4–9 months, % (n)10–18 months, % (n)19–35 months, % (n)
Unmet needs, total36.5(179)56.3(399)56.5(558)
Child’s race/ethnicity
 White non-Hispanic29.1 (42)P < .00150.3 (113)P < .00151.3 (163)P < .001
 Black non-Hispanic37.5 (46)64.5 (96)63.1 (118)
 Hispanic-English46.5 (41)64.8 (84)57.1 (111)
 Hispanic-Spanish64.2 (45)76.3 (93)80.4 (154)
Annual household income
 ≥$17 50038.9 (46)NS66.6 (103)P < .0572.8 (196)P < .001
 $17 501–$35 00025.8 (45)60.6 (118)60.9 (167)
 $35 001–$60 00032.7 (33)58.4 (76)49.5 (83)
 >$60 00040.3 (27)42.6 (59)37.5 (56)
Maternal education
 Less than high school43.8 (47)NS70.5 (98)P < .0177.8 (149)P < .001
 High school32.6 (57)59.2 (131)53.4 (178)
 More than high school36.3 (75)48.5 (170)48.4 (231)
Current child health insurance
 Private37.8 (70)NS48.6 (166)P < .0148.1 (218)P < .001
 Public35.4 (71)57.9 (121)67.1 (174)
 Both + other33.5 (26)71.0 (73)58.1 (85)
 Uninsured42.1 (12)79.4 (39)73.4 (81)
Usual source of care
 Private/group practice35.7 (125)NS53.4 (259)P < .0553.1 (369)NS
 CHC/public clinic33.9 (32)63.0 (81)64.7 (114)
 Hospital clinic52.0 (16)78.4 (41)57.6 (37)
Total well-child visits (past year/since birth)
 Below median33.4 (89)NS52.9 (185)NS55.0 (186)NS
 Median or above39.5 (90)59.9 (204)57.6 (354)
Length of last well-child care visit, min
 Very low (0–5 min)61.8 (17)P < .0577.7 (31)NS88.9 (57)P < .001
 Low (6–14 min)43.9 (43)56.6 (99)61.7 (129)
 Medium (15–20 min)30.1 (82)54.8 (185)48.7 (219)
 High (21 plus min)32.9 (31)52.9 (76)49.3 (97)
  • NS indicates not significant; CHC, community health center.

  • * χ2 tests for association between each family characteristic and presence of unmet need, ie, topic was not discussed and parent reported that it would have been helpful to discuss. Percentages represent weighted data; sample sizes are unweighted numbers.

  • Hispanic-English denotes Hispanic children whose parent completed the interview in English; Hispanic-Spanish denotes Hispanic children whose parent completed the interview in Spanish.

  • Median for total well-child visits in past year/since birth is 4 visits for children 4 to 9 months, 5 visits for children 10 to 18 months, and 2 visits for children 19 to 35 months.