Childhood Obesity and Early Body Mass Index Gains Associated with COVID-19 in a Large Rural Health System

McCabe, Carolyn F.; Wood, G. Craig; Franceschelli-Hosterman, Jennifer; Bailey-Davis, Lisa

doi:10.1016/j.acap.2023.12.016

Academic Pediatrics

2024

DOI: 10.1016/j.acap.2023.12.016

|View full text |Cite

Childhood Obesity and Early Body Mass Index Gains Associated with COVID-19 in a Large Rural Health System

Carolyn F. McCabe,

G. Craig Wood,

Jennifer Franceschelli-Hosterman

et al.

Help me understand this report

Search citation statements

Order By: Relevance

Paper Sections

Select...

Citation Types

Supporting

Mentioning

Contrasting

Year Published

2024

Publication Types

Select...

Article1

Relationship

Self Cite0

Independent1

Authors

Journals

Cited by 1 publication

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

Association of rurality and decreased continuity of care prior to a diagnosis of prediabetes

Johannes,

Mainous,

Chang

et al. 2024

The Journal of Rural Health

View full text Add to dashboard Cite

PurposeTo assess trends in continuity of care (COC) by geographic context (i.e., rural vs urban) among a cohort of persons with prediabetes prior to and after diagnosis of prediabetes.MethodsWe use cross‐sectional data from Geisinger's electronic health record between 1997 and 2017. Our dependent variable is the Modified Modified Continuity Index (MMCI), a measure of dispersion among primary care providers seen. Our primary independent variable is a binary indicator variable for rurality constructed from the 2010 Census Bureau's Urban and Rural Classification. We control for age, sex, race/ethnicity, and baseline clinical characteristics. We use fractional logistic regression with bootstrapped standard errors.FindingsUrban residing patients had greater odds of increased COC in the 3‐year period prior to a diagnosis of prediabetes (aOR = 1.10, 95% CI = 1.03, 1.18; P = .007). However, there were no significant differences in COC among rural and urban residing patients upon diagnosis of prediabetes in unadjusted and fully adjusted regression models. Other factors significantly associated with COC across the observed time periods (pre‐ and post‐diagnosis of prediabetes) include age, male, and hypertension in the patients’ problem list at baseline.ConclusionsAmong persons diagnosed with prediabetes, rurality was associated with decreased COC in the 3‐year period prior to being diagnosed. However, in the 3‐year period after diagnosis of prediabetes, geographic disparities in COC were not observed. Rural residing patients need enhanced continuity of primary care to potentially improve opportunistic screening for prediabetes.

show abstract

Association of rurality and decreased continuity of care prior to a diagnosis of prediabetes

Johannes,

Mainous,

Chang

et al. 2024

The Journal of Rural Health

View full text Add to dashboard Cite

show abstract

scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.

Contact Info

customersupport@researchsolutions.com

10624 S. Eastern Ave., Ste. A-614

Henderson, NV 89052, USA

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Blog Terms and Conditions API Terms Privacy Policy Contact Cookie Preferences Do Not Sell or Share My Personal Information

Made with 💙 for researchers

Part of the Research Solutions Family.

Childhood Obesity and Early Body Mass Index Gains Associated with COVID-19 in a Large Rural Health System

Cited by 1 publication

References 15 publications

Association of rurality and decreased continuity of care prior to a diagnosis of prediabetes

Association of rurality and decreased continuity of care prior to a diagnosis of prediabetes

Contact Info

Product

Resources

About