Address correspondence to Christina Vane, M.P.H., 1000 S. Fremont Ave., Unit #80, Alhambra, CA 91803; e-mail: firstname.lastname@example.org. Gregory D. Stevens, Ph.D., M.H.S., Assistant Professor of Family Medicine, is with the Keck School of Medicine, University of Southern California, Alhambra, CA. Michael R. Cousineau, Dr.P.H., Associate Professor of Research, is with the Departments of Family Medicine and Preventive Medicine, Keck School of Medicine and the School of Policy Planning and Development, University of Southern California, Alhambra, CA.
Association of Experiences of Medical Home Quality with Health-Related Quality of Life and School Engagement among Latino Children in Low-Income Families
Article first published online: 15 JUL 2011
© Health Research and Educational Trust
Health Services Research
Volume 46, Issue 6pt1, pages 1822–1842, December 2011
How to Cite
Stevens, G. D., Vane, C. and Cousineau, M. R. (2011), Association of Experiences of Medical Home Quality with Health-Related Quality of Life and School Engagement among Latino Children in Low-Income Families. Health Services Research, 46: 1822–1842. doi: 10.1111/j.1475-6773.2011.01292.x
- Issue published online: 16 NOV 2011
- Article first published online: 15 JUL 2011
- Primary care;
- health-related quality of life;
- access to care
Objective. This study examines whether patient-reported indicators of a quality medical home are associated with measures of health among Latino children in low-income families.
Data Sources. Data on 3,258 children ages 2–18 years are from a cross-sectional survey of parents of children affiliated with California's Healthy Kids insurance.
Study Design. Medical home quality was assessed using the Parents' Perception of Primary Care and was associated with health-related quality of life (HRQOL) overall and in four domains (physical, emotional, social, and school/daycare) and four measures of school engagement.
Principal Findings. A higher total medical home score was associated with a higher total Pediatric Quality of Life Inventory score and scores in four subdomains (total beta [B]=1.77, physical B=1.71, social B=1.36, emotional B=2.22, and school/daycare B=1.69, all p<0.001). It was also associated with missing fewer than three school days due to illness (odds ratio [OR]=1.12, 95 percent confidence intervals [CI]: 1.05, 1.19), excellent/above average school performance overall (OR=1.10, 95 percent CI: 1.03, 1.17) and performance in reading (OR=1.13, 95 percent CI: 1.06, 1.20) and math (OR=1.10, 95 percent CI: 1.03, 1.16).
Conclusions. Patient-reported medical home quality indicators are favorably associated with HRQOL and measures of school engagement among Latino children in low-income families.