Social Disadvantage and Transportation Insecurity in Clubfoot Clinic.

IF 1.4 3区医学 Q3 ORTHOPEDICS

Journal of Pediatric Orthopaedics Pub Date : 2025-02-01 Epub Date: 2024-10-21 DOI:10.1097/BPO.0000000000002823

Melissa A Bent, Michelle Jhun, Veronica Beltran, Barbara Fimbres, Tishya A L Wren

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引用次数: 0

Abstract

Objectives: This study aims to evaluate the association of missing clubfoot clinic visits with transportation barriers and measures of socioeconomic status including the child opportunity index (COI).

Methods: An 11-question survey was administered to caregivers of patients with clubfoot seen at a single pediatric tertiary hospital between August 2020 and September 2023. A chart review was conducted to obtain zip codes used to determine COI 2.0 scores. The impact of race/ethnicity, income, persons per household, COI, and transportation methods on missing at least one clinic visit was analyzed using descriptive and nonparametric statistics.

Results: The transportation survey was completed by a total of 99 caregivers. The median travel time to the clinic was 45 minutes (IQR: 33, range: 1 to 180). Most participants reported use of a personal car (108/128, 83%), and 72% took time off work to attend the appointment. Those with lower COI had longer travel time ( P =0.02) and were less likely to use personal cars ( P =0.05). Missed clubfoot clinic visits were more common for families reliant on transportation other than a personal vehicle ( P =0.01) and those with annual income under $30,000 ( P =0.02).

Conclusions: Transportation insecurity was associated with greater social disadvantage as indicated by COI and more missed clinic visits.

Level of evidence: Level III.

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足癣门诊中的社会弱势和交通不便问题。

目的：本研究旨在评估足癣患者错过就诊时间与交通障碍以及社会经济状况（包括儿童机会指数）之间的关系：本研究旨在评估足癣门诊就诊缺失与交通障碍和社会经济状况（包括儿童机会指数（COI））之间的关联：在 2020 年 8 月至 2023 年 9 月期间，对在一家儿科三级医院就诊的足癣患者的护理人员进行了一项包含 11 个问题的调查。通过病历审查获得了用于确定 COI 2.0 分数的邮政编码。采用描述性和非参数统计方法分析了种族/民族、收入、家庭人口、COI 和交通方式对至少错过一次门诊的影响：共有 99 名护理人员完成了交通调查。前往诊所的交通时间中位数为 45 分钟（IQR：33，范围：1 至 180 分钟）。大多数参与者表示使用私家车（108/128，83%），72%的人请假赴约。COI较低者的旅行时间较长（P=0.02），使用私家车的可能性较小（P=0.05）。对于依靠私家车以外的交通工具（P=0.01）和年收入低于30,000美元（P=0.02）的家庭来说，错过足癣门诊更常见：结论：交通不便与COI显示的更大社会劣势和更多错过门诊有关：证据等级：三级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Orthopaedics 医学-小儿科

CiteScore

3.30

自引率

17.60%

发文量

512

审稿时长

6 months

期刊介绍： Journal of Pediatric Orthopaedics is a leading journal that focuses specifically on traumatic injuries to give you hands-on on coverage of a fast-growing field. You''ll get articles that cover everything from the nature of injury to the effects of new drug therapies; everything from recommendations for more effective surgical approaches to the latest laboratory findings.