Archives of Pediatrics and Adolescent Medicine (Arch Pediatr Adolesc Med )

Publisher: American Medical Association, American Medical Association


The Archives of Pediatrics & Adolescent Medicine is a monthly, peer-reviewed journal for physicians and other professionals who contribute to the health of children and adolescents. The Archives provides an open forum for dialogue on a full range of clinical, scientific, advocacy, and humanistic issues relevant to the care of pediatric patients from infancy through young adulthood. The Archives is a vehicle for increased attention to adolescent health, the education of pediatric health care professionals, and disease prevention and health promotion. The Archives publishes original studies, editorials, reviews by experts, practice commentaries, case quizzes, and updates on clinical science and practice management. The "Pediatric Forum" provides our readers with opportunities to express their views. Archives incorporates AJDC, the oldest journal in US pediatric literature, which originated in 1911.

  • Impact factor
    Show impact factor history
    Impact factor
  • 5-year impact
  • Cited half-life
  • Immediacy index
  • Eigenfactor
  • Article influence
  • Website
    Archives of Pediatrics and Adolescent Medicine website
  • Other titles
    Archives of pediatrics & adolescent medicine, Archives of pediatrics and adolescent medicine, Pediatrics & adolescent medicine, Pediatrics and adolescent medicine
  • ISSN
  • OCLC
  • Material type
    Periodical, Internet resource
  • Document type
    Journal / Magazine / Newspaper, Internet Resource

Publisher details

American Medical Association

  • Pre-print
    • Author cannot archive a pre-print version
  • Post-print
    • Author cannot archive a post-print version
  • Restrictions
    • If funded by non-profit organisation
    • 12 months embargo
  • Conditions
    • On a non-profit publically accessible repository
    • Must link to publisher version
  • Classification
    ​ white

Publications in this journal

  • Archives of Pediatrics and Adolescent Medicine 02/2013; 167(2):194-5.
  • Archives of Pediatrics and Adolescent Medicine 01/2010; 164(7):679-681.
  • [Show abstract] [Hide abstract]
    ABSTRACT: To estimate the association between housing status and health care access and outcomes among young adults aging out of the child welfare system. Prospective cohort study Illinois, Iowa, and Wisconsin. Baseline interviews were conducted between May 2002 and March 2003 and follow-up interviews, between March and December 2004. Participants were foster youth aged 17 or 18 years in Illinois, Wisconsin, or Iowa. We invited a random sample of 67% of eligible Illinois youth and all eligible youth from Wisconsin and Iowa to participate. Researchers interviewed 749 at baseline (94.7% response) and 643 at follow-up (85.8%); we excluded 8 participants without housing data (n=635). We included only the 345 emancipated participants in analyses of health care access. MAIN EXPOSURE Housing status after emancipation: stable housing; unstable housing; or homeless. Multivariate adjusted odds ratio (AOR) of association between main exposure variables with 3 measures of access to care and 2 health outcomes. Among the 345 emancipated participants, 14.2% experienced homelessness and 39.4% were unstably housed. In multivariate analysis of emancipated participants, homelessness was associated with being uninsured (AOR, 3.41; 95% confidence interval, 1.52-7.63) and having unmet need for health care (AOR, 3.26; 95% confidence interval, 1.40-7.56); it was not associated with not having had ambulatory care. In multivariate analysis of all participants, housing status was not associated with reporting fair or poor health at follow-up or, among women, with having had a pregnancy. Having had an episode of homelessness after emancipation is associated with worse health access, but not worse outcomes, among youth emancipated from foster care.
    Archives of Pediatrics and Adolescent Medicine 11/2007; 161(10):986-93.
  • Archives of Pediatrics and Adolescent Medicine 11/2007; 161(10):930-2.
  • Archives of Pediatrics and Adolescent Medicine 11/2007; 161(10):1001; discussion 1002.
  • [Show abstract] [Hide abstract]
    ABSTRACT: To evaluate the effect of successful prevention of common infections in child day care centers on the later development of allergic diseases. Prospective follow-up survey with a questionnaire administered 12 years after a controlled randomized hygiene intervention. Twenty municipal child day care centers in Oulu, Finland. A questionnaire was sent to 1354 prior participants (98%) in the intervention trial. The response rate was 68% (928 of 1354 participants). MAIN INTERVENTION: Hygiene intervention from March 1, 1991, to May 31, 1992. The number of respondents who had a diagnosis of asthma, allergic rhinitis, and/or atopic dermatitis made by a physician, and the number of those who reported symptoms of atopic diseases. Asthma was diagnosed by a physician in 48 of the 481 respondents (10%) from the intervention child day care centers, with markedly fewer infections, and in 46 of the 447 controls (10%) (relative risk, 1.0; 95% confidence interval, 0.7-1.4). Similarly, no differences were found in the numbers of children who had a diagnosis of other atopic diseases or who had reported such symptoms. The prevention of common respiratory tract and enteric infections during early childhood does not change later allergic morbidity.
    Archives of Pediatrics and Adolescent Medicine 11/2007; 161(10):972-7.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To describe and analyze the types of data-related policies and practices that currently exist among state newborn screening (NBS) programs in relation to long-term follow-up (LTFU) and oversight for newborns with confirmed disorders. A 19-question online survey. Thirty-five state NBS programs. Whether LTFU is performed, collection and use of LTFU data, and variety of LTFU data collected. Survey findings reveal data-related challenges faced by state NBS programs in their ability to perform ongoing oversight, evaluation, and quality assurance with respect to LTFU for newborns with confirmed disorders. Of the NBS programs surveyed, 56% reported collecting no LTFU data. More than two-thirds of state NBS programs surveyed do not use LTFU data at all or use it only minimally. Most programs that collect any LTFU data from providers (physicians, nurses, and allied health professionals) do it through verbal communication or paper forms rather than electronically. Almost half of the programs collecting any LTFU data do so only once a year. A lot of variety exists in the types of LTFU data collected across programs. Most of the 15 programs that reported collecting LTFU data use it to track the clinical outcomes of patients, assess the needs of patients and their families for services, and track and identify individuals lost to follow-up across time. The results generally point to a need for greater alignment of state NBS program data practices and policies with the data requirements for essential public health functions, such as quality assurance, program evaluation, and cost-benefit analysis.
    Archives of Pediatrics and Adolescent Medicine 11/2007; 161(10):994-1000.
  • Archives of Pediatrics and Adolescent Medicine 11/2007; 161(10):1003-5.
  • [Show abstract] [Hide abstract]
    ABSTRACT: To evaluate the impact of a tertiary care center special needs program that partners with families and primary care physicians to ensure seamless inpatient and outpatient care and assist in providing medical homes. Up to 3 years of preenrollment and postenrollment data were compared for patients in the special needs program from July 1, 2002, through June 30, 2005. A tertiary care center pediatric hospital and medical school serving urban and rural patients. A total of 227 of 230 medically complex and fragile children and youth with special needs who had a wide range of chronic disorders and were enrolled in the special needs program. Care coordination provided by a special needs program pediatric nurse case manager with or without a special needs program physician. Preenrollment and postenrollment tertiary care center resource utilization, charges, and payments. A statistically significant decrease was found in the number of hospitalizations, number of hospital days, and tertiary care center charges and payments, and an increase was found in the use of outpatient services. Aggregate data revealed a decrease in hospital days from 7926 to 3831, an increase in clinic visits from 3150 to 5420, and a decrease in tertiary care center payments of $10.7 million. The special needs program budget for fiscal year 2005 had a deficit of $400,000. This tertiary care-primary care partnership model improved health care and reduced costs with relatively modest institutional support.
    Archives of Pediatrics and Adolescent Medicine 11/2007; 161(10):937-44.
  • [Show abstract] [Hide abstract]
    ABSTRACT: To systematically review the effectiveness, as determined by survival without moderate to severe neurodevelopmental disability in infancy and childhood, and the safety of hypothermia vs normothermia in neonates with postintrapartum hypoxic-ischemic encephalopathy and to perform subgroup analyses based on severity of encephalopathy (moderate or severe), type of hypothermia (systemic or selective head cooling), and degree of hypothermia (moderate [<or=32.0-33.5 degrees C] or mild [>or=33.6 degrees C]). MEDLINE, EMBASE, CINAHL (Cumulative Index for Nursing and Allied Health Literature), the Cochrane Library, abstracts of annual meetings of the Pediatric Academic Societies, and bibliographies of identified articles. Randomized and quasi-randomized controlled trials without language restriction were assessed by 2 reviewers independently and discrepancies were resolved by involving a third reviewer. Quality of the trials was assessed on the basis of concealment of allocation, method of randomization, masking of outcome assessment, and completeness of follow-up. Systemic or selective head hypothermia compared with normothermia. Death or moderate to severe neurodevelopmental disability. Eight studies of acceptable quality were included. The combined outcome of death or neurodevelopmental disability in childhood was reduced in infants receiving hypothermia compared with control infants (4 studies including 497 infants; relative risk, 0.76, 95% confidence interval, 0.65-0.88; number needed to treat, 6; 95% confidence interval, 4-14), as were death and moderate to severe neurodevelopmental disability when analyzed separately. Cardiac arrhythmias and thrombocytopenia were more common with hypothermia; however, they were clinically benign. In neonates with postintrapartum asphyxial hypoxic-ischemic encephalopathy, hypothermia is effective in reducing death and moderate to severe neurodevelopmental disability either in combination or separately and is a safe intervention.
    Archives of Pediatrics and Adolescent Medicine 11/2007; 161(10):951-8.
  • Archives of Pediatrics and Adolescent Medicine 11/2007; 161(10):1010.
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: To test the hypotheses that block play improves language acquisition and attention. Randomized controlled trial. Pediatric clinic. Children aged 1(1/2) to 2(1/2) years. Distribution of 2 sets of building blocks. Scores on the MacArthur-Bates Communicative Development Inventories, television viewing based on diary data, and the hyperactivity domain of the Child Behavior Checklist. Of 220 families approached in the clinic waiting room, 175 (80%) agreed to participate in the study. At least 1 diary was returned from 92 of the 175 families (53%). A total of 140 families (80%) completed exit interviews. Of the children in the intervention group, 52 (59%) had block play reported in their diaries compared with 11 (13%) in the control group (P<.01). The linear regression results for language acquisition were as follows: entire sample--raw score, 7.52 (P=.07); percentile, 8.4 (P=.15); low-income sample--raw score, 12.40 (P=.01); percentile, 14.94 (P=.03). For attention the results were as follows: entire sample--odds ratio, 0.49 (P=.29); low-income sample--odds ratio, 0.48 (P=.26) There were no statistically significant differences with respect to hyperactivity scores. Distribution of blocks can lead to improved language development in middle- and low-income children. Further research is warranted.
    Archives of Pediatrics and Adolescent Medicine 11/2007; 161(10):967-71.
  • [Show abstract] [Hide abstract]
    ABSTRACT: To identify precursors of adolescent alcohol initiation and binge drinking. Prospective cohort study. Self-report questionnaires. A total of 5511 Growing Up Today Study participants aged 11 to 18 years in 1998. Main Exposures Individual, family, and social factors. First whole drink of alcohol and binge drinking. Between 1998 and 1999, 611 girls (19%) and 384 boys (17%) initiated alcohol use. Older age, later maturational stage, smoking, adults drinking in the home, underage sibling drinking, peer drinking, possession of or willingness to use alcohol promotional items, and positive attitudes toward alcohol were associated with an increased likelihood of alcohol initiation. Girls who ate family dinner at home every day were less likely to initiate alcohol use than girls who ate family dinner only on some days or never (odds ratio, 0.66; 95% confidence interval, 0.50-0.87). Girls with higher social self-esteem and boys with higher athletic self-esteem were more likely to initiate alcohol use than those with lower self-esteem. Among teens who initiated alcohol use, 149 girls (24%) and 112 boys (29%) further engaged in binge drinking. Among girls, positive attitudes toward alcohol, underage sibling drinking, and possession of or willingness to use alcohol promotional items were associated with binge drinking; among boys, positive attitudes toward alcohol and older age were associated with binge drinking. Eating family dinner at home every day may delay alcohol uptake among some adolescents. Alcohol promotional items appear to encourage underage alcohol initiation and binge drinking; this may warrant marketing restrictions on the alcohol industry.
    Archives of Pediatrics and Adolescent Medicine 11/2007; 161(10):959-66.
  • [Show abstract] [Hide abstract]
    ABSTRACT: To calculate national estimates of motor vehicle crash (MVC)-related hospitalization and associated use of health care resources among patients 20 years and younger and to explore the effects of certain sociodemographic and health care system-related factors and injury severity on use of hospital resources and lengths of stay (LOSs) in the United States. Data from the 2003 Healthcare Cost and Utilization Project Kids' Inpatient Database were used. Pediatric inpatient care in 3438 hospitals in 36 US states. Patients Patients 20 years and younger hospitalized with MVC-related injuries. National estimates of MVC-associated hospitalizations, rates, resource use, Injury Severity Scores, and demographics were calculated. Potentially significant covariate associations were studied using hospital charges and LOS. Sixty-two thousand eight hundred eighty MVC-related hospitalizations occurred among patients 20 years and younger in the United States in 2003, resulting in more than $2.0 billion (SD = $1.2 million) in inpatient charges and 304 196 days (SD = 55,113 days) of hospitalization. Mean (SD) hospital charges and LOS were $33,440 ($55,113) and 4.8 (7.7) days, respectively. The mean (SD) Injury Severity Score was 10.3 (11.4). Adolescents aged 18 through 20 years had the highest hospitalization rates (197 cases per 100,000 children). Older age, being male, urban hospital location, mortality during hospitalization, higher injury severity, and longer LOS were significantly associated with higher total charges. Longer LOS was significantly associated with older age, urban hospital location, higher injury severity, and mortality. Motor vehicle crash-related injuries among children burden health care resources, with nationwide charges exceeding $2 billion annually.
    Archives of Pediatrics and Adolescent Medicine 10/2007; 161(9):889-95.
  • [Show abstract] [Hide abstract]
    ABSTRACT: To assess how parent reports about the inpatient care of their children vary according to the health status of children with and without chronic conditions. We analyzed parent responses to the Picker Institute Pediatric Inpatient Survey. Thirty-nine hospitals between January 1, 1997, and December 31, 1999. Overall, 12 562 parents of children who received inpatient care at participating hospitals. Main Outcome Measure Parent rating of overall quality of care. Fifty-one percent of parents reported that their child had a chronic condition. Quality-of-care ratings varied according to health status and the presence of chronic conditions. Parents of children in the worst (fair or poor) health without chronic conditions reported lower quality of care (P < .001) and more care problems (P < .001) than did those with chronic conditions. Parents of children in the best (excellent, very good, or good) health tended to rate care highly, whether or not their children had chronic conditions. In a multivariable model, the decrement in perceived quality of care associated with poorer health was greater for those without than for those with chronic conditions (P < .001). Although children in poor health are at risk for experiencing a lower quality of health care, parents of such children who have chronic conditions report fewer care-related problems. This may be owing to the more frequent health care interactions and better continuity of care for children with chronic conditions.
    Archives of Pediatrics and Adolescent Medicine 10/2007; 161(9):828-34.