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The Journal of the American Board of Family Practice 17:324-331 (2004)
© 2004 American Board of Family Practice

Parents’ Health and Demographic Characteristics Predict Noncompliance with Well-Child Visits

Ishani Jhanjee, MD, Deepti Saxeena, MD, Jaspal Arora, MD and Dwenda K. Gjerdingen, MD, MS

From the Department of Family Practice and Community Health, University of Minnesota Medical School, Minneapolis

Correspondence: Address correspondence to Dwenda K. Gjerdingen, MD, 580 Rice St., St. Paul, MN 55103 (e-mail: dgjerdin{at}umphysicians.umn.edu

Background: The purpose of this study was to investigate factors related to well-child visit noncompliance in an ethnically diverse family practice clinic population.

Methods: Participants included 146 parents (131 mothers and 15 fathers) of children aged 0 to 24 months who received care at a St. Paul residency clinic. Participants completed telephone surveys that asked about their demographic characteristics, attitudes toward well-child visits, whether the most recent planned well-child visit had been kept, and their own and their child’s health characteristics.

Results: All participants thought that well-child visits were important, with immunizations being the highest rated reason for importance. Fourteen percent of parents said they had missed a recent well-child visit, mostly because they forgot. More than three fourths of parents believed visit reminders were helpful, and the preferred type of reminder was a telephone call. Noncompliance with well-child visits was associated with the parent’s depressive symptoms, transportation difficulties, working at a job, having private (vs public) health insurance, and being older (vs younger).

Conclusions: These results suggest that well-child visit compliance might be enhanced by visit reminders and improved access to transportation. The relationship of well-child visit noncompliance to parental depressive symptoms, if verified in other populations, points to a need for greater surveillance of children/families who do not schedule or keep well-child visits.


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D. Gjerdingen, S. Crow, P. McGovern, M. Miner, and B. Center
Postpartum Depression Screening at Well-Child Visits: Validity of a 2-Question Screen and the PHQ-9
Ann. Fam. Med, January 1, 2009; 7(1): 63 - 70.
[Abstract] [Full Text] [PDF]


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Copyright © 2004 by the American Board of Family Medicine.