The prevalence (36%) of overweight in this multiethnic inner-city pediatric clinic population exceeded the reported national data from NHANES III. Among the ethnic populations, and between male and female children, the prevalence of overweight was similar. This study shows that 29% (17 of 58) of the overweight children (2 to 18 years of age) had [...]

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The ethnic distribution of the 208 study subjects was 76% Hispanic, 20% African American, and 4% other. In 159 (76%) of 208 subjects between two and 18 years of age, the BMI was < 90th percentile in 101 (64%) and > 90th percentile for age and gender in 58 (36%). The mean ages (X+SD) were [...]

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Patient Population
This retrospective review of medical records was conducted in a community health clinic in the Southwest Region of Los Angeles County, and was approved by the Institutional Review Board of Human Investigations. The median household income for the region was approximately $29,501 (1995 LAC/DHS Data Collection and Analysis). The ethnic distribution of this geographic [...]

Continue reading " PROVIDER PRACTICE, OVERWEIGHT AND ASSOCIATED RISK VARIABLES: METHODS "

Overweight among children and adolescents in the United States is now the most common nutritional health problem, and continues as an upward trend in the current decade. National Health and Nutrition Examination Surveys (NHANES) III, the Bogalusa Heart Study, and baseline data from the National Heart, Lung and Blood Institute’s Growth and Health Study show [...]

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We found that among Medicaid children in a managed care program, who were assigned to a primary care case manager physician, up-to-date immunization rates at 18 months were still low. Age appropriate immunization rates were even lower. The temporal patterns of immunizations indicated that compliance with the immunization schedule faltered after the second month of [...]

Continue reading " TIMELINESS OF IMMUNIZATIONS OF CHILDREN IN A MEDICAID PRIMARY: DISCUSSION "

Among the 5,598 children studied, most were African-American (73.4%), approximately one-half were male (51%), and most mothers were in the 20 years and over age group. The designated primary care providers included public health providers (9.3%), and private providers (90.7%). Private providers included family practitioners (10.7%), pediatricians (78.3%), and other specialists. Of the 5,598 children, [...]

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Rates of immunization for 5,598 children who were moved from fee-for-service care to a newly implemented primary care case management managed care program were reviewed in 1995 as part of the Quality Assessment and Improvement Project for Medicaid Managed Care in Virginia. Managed care was implemented for Virginia’s Medicaid population through a staged geographic approach. [...]

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