Abstract
Objective
Incorporating culturally sensitive care into well-child visits may help address pediatric
preventive care disparities faced by racial and ethnic minorities, families with limited
English proficiency, and immigrants. We explored parents’ perspectives about the extent
to which their children's pediatric care is culturally sensitive and potential associations
between culturally sensitive care and well-child visit quality.
Methods
We conducted cross-sectional surveys with parents attending a well-child visit for
a child ages 3 to 48 months. To measure culturally sensitive care, we created a composite
score by averaging 8 subscales from an adapted version of the Clinicians’ Cultural
Sensitivity Survey. We assessed well-child visit quality through the Promoting Healthy
Development Survey. Multivariate linear regression was used to understand associations
between demographic characteristics and parent-reported culturally sensitive care.
We used multivariate logistic regression to examine associations between culturally
sensitive care and well-child visit quality.
Results
Two hundred twelve parents (71% of those approached) completed the survey. Parents
born abroad, compared with those born in the United States, reported significantly
higher culturally sensitive care scores (+0.21; confidence interval [CI]: 0.004, 0.43).
Haitian parents reported significantly lower culturally sensitive care scores compared
with non-Hispanic white parents (−0.49; CI: −0.89, −0.09). Parent-reported culturally
sensitive care was significantly associated with higher odds of well-child visit quality
including receipt of anticipatory guidance (adjusted odds ratio: 2.68; CI: 1.62, 4.62)
and overall well-child visit quality (adjusted odds ratio: 2.54; CI: 1.59, 4.22).
Conclusions
Consistent with prior research of adult patients, this study demonstrates an association
between parent-reported culturally sensitive care and well-child visit quality. Future
research should explore best practices to integrating culturally sensitive care in
pediatric preventive health care settings.
Keywords
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Article Info
Publication History
Published online: December 17, 2019
Accepted:
December 12,
2019
Received:
June 30,
2019
Footnotes
The authors have no conflicts of interest to disclose.
Identification
Copyright
Copyright © 2019 by Academic Pediatric Association
