Linkages between literacy attainment and poverty have been well documented in the literature. This article reviews the literacy challenges for low-income children and the need for child health practitioners to be informed about children's literacy environments. The authors define literacy and emphasize that literacy is a continuous developmental process that includes listening, speaking, reading, and writing. Read Out and Read is a national model that has demonstrated its effectiveness to improve receptive and expressive language development in children. Pediatricians are uniquely positioned to address early child's literacy development because they are often the only practitioner regularly encountering parents, infants, and children during the preschool years.
"A large proportion of children do not have the recommended number of EPSDT visits (19,20). Underuse of these visits and lack of readiness for first-grade learning disproportionately affect children insured by Medicaid (1,3,13). "
[Show abstract][Hide abstract] ABSTRACT: The American Academy of Pediatrics recommends a schedule of age-specific well-child visits through age 21 years. For children insured by Medicaid, these visits are called Early and Periodic Screening, Diagnosis, and Treatment (EPSDT). These visits are designed to promote physical, emotional, and cognitive health. Six visits are recommended for the first year of life, 3 for the second year. We hypothesized that children with the recommended visits in the first 2 years of life would be more likely than others to be ready for school when they finish kindergarten.
We studied children insured by Medicaid in South Carolina, born during 2000 through 2002 (n = 21,998). Measures included the number of EPSDT visits in the first 2 years of life and an assessment of school readiness conducted at the end of kindergarten. We used logistic regression to examine the adjusted association between having the recommended visits and school readiness, controlling for characteristics of mothers, infants, prenatal care and delivery, and residence area.
Children with the recommended visits had 23% higher adjusted odds of being ready for school than those with fewer visits.
EPSDT may contribute to school readiness for children insured by Medicaid. Children having fewer than the recommended EPSDT visits may benefit from school readiness programs.
[Show abstract][Hide abstract] ABSTRACT: Limited health literacy has been associated with a range of adverse health outcomes including decreased use of preventive health services, poorer disease-specific outcomes for certain chronic conditions and increased risk of hospitalisation and mortality. Although the majority of research has been conducted in the adult population, there is a small and growing body of research on this subject in the paediatric literature. In this article, we will review the research on health literacy, consider the range of other communication skills associated with limited health literacy and explore strategies to improve patient-provider communication for clinicians who care for families with limited health-literacy skills.
Archives of Disease in Childhood 06/2008; 93(5):428-32. DOI:10.1136/adc.2007.131516 · 2.90 Impact Factor
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