Table 4.
Association of Parent Beliefs with Child Health Services Utilization and Child Health Care Quality.
| ≥1 or more psychotropic medication type(s) used currently on a regular basis | Current use of behavioral intervention or modification at least once per week | Current use of complementary/alternative health care | |||||||
|---|---|---|---|---|---|---|---|---|---|
| Percent with belief using service‡ | Chi-square p | AOR (95% CI)† of service use for those with versus without belief | Percent with belief using service‡ | Chi- square p | AOR (95% CI)† of service use for those with versus without belief | Percent with belief using service‡ | Chi-square p | AOR (95% CI)† of service use for those with versus without belief | |
| Condition likely to be lifelong rather than temporary | |||||||||
| Definitely Agree | 58.1% | p =.003 | 1.89 (1.21 – 2.94) | 30.4% | p =.173 | 1.42 (0.87 – 2.29) | 17.7% | p =.879 | 1.03 (0.59 – 1.78) |
| < Definitely Agree | 41.9% | 1.00 | 23.9% | 1.00 | 17.1% | 1.00 | |||
| Problem can be prevented or decreased with treatment | |||||||||
| Agree | 53.9% | p =.363 | 1.44 (0.88 – 2.34) | 29.6% | p =.516 | 1.38 (0.77 – 2.46) | 17.4% | p =.969 | 0.91 (0.49 – 1.66) |
| Disagree | 48.5% | 1.00 | 25.9% | 1.00 | 17.6% | 1.00 | |||
| Child’s condition is a mystery to the parent | |||||||||
| Agree | 54.0% | p =.674 | 1.08 (0.73 – 1.60) | 23.7% | p =.026 | 0.66 (0.43 – 1.00) | 17.8% | p =.863 | 1.09 (0.67 – 1.77) |
| Disagree | 51.9% | 1.00 | 33.1% | 1.00 | 17.2% | 1.00 | |||
| Parent has power to change condition | |||||||||
| Agree | 48.5% | p =.095 | 0.71 (0.47 – 1.07) | 31.1% | p =.352 | 1.19 (0.77 – 1.84) | 20.2% | p =.143 | 1.44 (0.88 – 2.33) |
| Disagree | 56.8% | 1.00 | 27.0% | 1.00 | 15.1% | 1.00 | |||
†
All models were adjusted for child age, gender, region, insurance type, household income level, race/ethnicity, family structure, and highest level of parental education. Separate models were created for each health services utilization variable/health belief combination.
‡
Weighted to represent the non-institutionalized population of CSHCN+ASD age 6–17 years in the United States.
Abbreviations: AOR, adjusted odds ratio; CI, confidence interval