Health disparities: Carnival and migrant worker children | Posted on:2007-07-30 | Degree:Ph.D | Type:Dissertation | University:The Ohio State University | Candidate:Kilanowski, Jill F. N | Full Text:PDF | GTID:1447390005972363 | Subject:Health Sciences | Abstract/Summary: | | This descriptive exploratory study evaluated health status indicators in children of itinerant carnival and migrant farmworkers, aged birth to 12 years. Health status outcomes (immunization records, well-child examinations (WCE), dental health status, growth parameters, and health-related quality of life measured by the PedsQL(TM)4.0) were compared between the two groups and to national averages to identify health disparities.;150 children were recruited, (65 carnival, 85 migrant farmworker) including siblings. One index child per family (n = 97) was used in data analysis.;Children who presented with complete immunization records showed a significant difference (carnival < migrant). Adherence to immunization schedule was met by 93% of carnival children, 90% of migrant children. Children had a significant difference in regularly scheduled WCE (carnival < migrant).;Itinerant children had significantly worse oral health indicators than NHANES 2002. Significant differences were found among groups in dental health in 2 to 5 year olds: decayed filled teeth (carnival < migrant) and filled teeth (carnival < migrant). Ages 6 to 11 were comparable to NHANES and each other.;Twice as many itinerant children were overweight than NHANES; twice as many migrant children were overweight than carnival children. There was a significant difference in overweight infants and toddlers (carnival 5x > migrant).;Itinerant sample PedsQL(TM)4.0 scores were less than but comparable to geographically stable published literature. There was a significant difference in parent-proxy physical and school subscales (geographically stable > itinerant). Carnival and migrant scores were similar. There was significant difference only in parent-proxy subscales, social (carnival > migrant) and school (carnival < migrant).;Both samples had highly commendable rates of recommended childhood immunizations and were not a problem for these families. However validation of carnival children's immunizations was limited due to lack of records. Overweight was a major health concern for both groups. Both groups' dental health was worse than national values, but HRQOL was not different than published values.;Data gathered show that migrant families have been successful in locating and securing access to health care and have made it a priority for their young children. Carnival children show evidence of difficulty accessing WCE and dental care. | Keywords/Search Tags: | Carnival, Children, Migrant, Health, WCE, Itinerant, Dental | | Related items |
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