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Papers by Daniel Fernandez-Baca
Encyclopedia of Family Studies, 2016
Family medicine
Partnering between families and their children's providers is the cornerstone of family-cente... more Partnering between families and their children's providers is the cornerstone of family-centered care. The aims of this study are to (1) identify factors associated with family-provider partnership and (2) determine the association between partnership and other outcome measures for children with attention-deficit hyperactivity disorder (ADHD). Using data on children with ADHD from the 2007 National Survey of Children's Health (n=5,495), we utilized descriptive, bivariate, and multivariate analyses to determine the impact of partnership on multiple health outcome measures. Children with more severe ADHD, children taking medication for ADHD, female children, Latino children, and families with increased strain were all more likely to report family-provider partnerships. Family-provider partnership was associated with fewer missed school days (16% less) and more preventive care visits (11% more) among children with ADHD. Family provider partnership is an important factor in the ...
Journal of Family Issues, 2014
ABSTRACT
Community Dentistry and Oral Epidemiology, 2014
This study seeks to explore the how specific toxic stressors, specifically adverse childhood expe... more This study seeks to explore the how specific toxic stressors, specifically adverse childhood experiences (ACEs), and their frequencies may be associated with tooth condition and the presence of caries. Data from the 2011-12 National Survey for Child Health (NSCH), a nationally representative survey of child health, were used in this study. Pediatric dental health was measured using parent report of two characteristics: condition of teeth and having a toothache, decayed teeth, and/or unfilled cavities in the past 12 months. ACEs were measured by asking about a child's exposure to the divorce of a parent, parental incarceration, domestic violence, neighborhood violence, drug and alcohol abuse, mental illness, and financial hardship. Analyses were adjusted by sociodemographic characteristics, healthcare access and utilization, and comorbid chronic conditions. The presence of even one ACE in a child's life increased the likelihood of having poor dental health. Additionally, having multiple ACEs had a cumulative negative effect on the condition of their teeth and the presence of dental caries (Odds Ratios 1.61-2.55). Adjusted models show that racial and socioeconomic factors still play a significant role in dental health. In addition to the known disparities in dental caries, this study demonstrates that there is significant association between childhood psychosocial issues and dental health. Preventive dental care should be considered incorporating the screening of multiple biological stressors, including ACEs, in routine dental visits as a means of identifying and reducing dental health inequities.
Maternal and Child Health Journal, 2013
Maternal and Child Health Journal, 2014
Recruiting and enrolling low income, racially and ethnically diverse adolescents into research st... more Recruiting and enrolling low income, racially and ethnically diverse adolescents into research studies can be a challenge. This paper details our research team's methodology in the recruitment and enrollment of low income and racially/ethnically diverse adolescents in three cities as part of a broader study to understand adolescent perceptions of a health risks. Our team used Florida's Medicaid and Children's Health Insurance Plan administrative databases to identify a sample of adolescents for focus group participation. Utilizing geographic information systems software we generated maps of racial and ethnic group clusters in three cities and identified community centers within each cluster to hold the focus groups. We mailed initial focus group introduction letters, conducted follow-up phone calls for recruitment and further implemented techniques to optimize participant confidentiality and comfort. We enrolled 35 participants for eight focus groups in three cities at a total cost of $264 per participant, including personnel, materials, travel, and incentives costs. As a result of our efforts, groups were fairly evenly distributed by both race and gender. Administrative databases provide opportunities to identify and recruit low income and racially/ethnically diverse adolescents for focus groups that might not otherwise have the opportunity to participate in research studies. It is important that researchers ensure these populations are represented when conducting health assessment tool evaluations.
Academic Pediatrics, 2012
It has been documented that parenting a child with attention deficit-hyperactivity disorder (ADHD... more It has been documented that parenting a child with attention deficit-hyperactivity disorder (ADHD) can cause family strain, but less is known about the added stress of additional child health diagnoses on levels of strain. This study explores the relationship between family stressors (such as child comorbid conditions) and family resources (such as social support, community characteristics, and parental health) on parental strain. We used the 2007 National Survey of Children's Health (NSCH) to identify children with ADHD and other comorbid mental and physical health conditions (n = 5473). Descriptive, bivariate, and multivariate analyses were conducted to explore the association between parental strain, social support, mother's mental health, and neighborhood amenities within groups of children with ADHD and comorbid conditions. Parental strain was greatest when ADHD was paired with a conduct disorder, physical disorder, or other mental health disorder. Specifically, parental strain was greatest for children with ADHD plus a comorbid conduct disorder compared with ADHD alone. It was also greater for children with other mental and physical health diagnoses compared with children with ADHD alone. Better mental health of mothers in the sample is related to reduced parental strain. Greater access to social support and neighborhood amenities also are related to reduced parental strain. Greater levels of social support and better mental health of parents is associated with decreased strain. Interventions aimed at relieving stress and building strategies to improve mental health can be beneficial for families with children with ADHD and comorbid conditions.
Journal of Health Care for the Poor and Underserved, 2012
Encyclopedia of Family Studies, 2016
Family medicine
Partnering between families and their children's providers is the cornerstone of family-cente... more Partnering between families and their children's providers is the cornerstone of family-centered care. The aims of this study are to (1) identify factors associated with family-provider partnership and (2) determine the association between partnership and other outcome measures for children with attention-deficit hyperactivity disorder (ADHD). Using data on children with ADHD from the 2007 National Survey of Children's Health (n=5,495), we utilized descriptive, bivariate, and multivariate analyses to determine the impact of partnership on multiple health outcome measures. Children with more severe ADHD, children taking medication for ADHD, female children, Latino children, and families with increased strain were all more likely to report family-provider partnerships. Family-provider partnership was associated with fewer missed school days (16% less) and more preventive care visits (11% more) among children with ADHD. Family provider partnership is an important factor in the ...
Journal of Family Issues, 2014
ABSTRACT
Community Dentistry and Oral Epidemiology, 2014
This study seeks to explore the how specific toxic stressors, specifically adverse childhood expe... more This study seeks to explore the how specific toxic stressors, specifically adverse childhood experiences (ACEs), and their frequencies may be associated with tooth condition and the presence of caries. Data from the 2011-12 National Survey for Child Health (NSCH), a nationally representative survey of child health, were used in this study. Pediatric dental health was measured using parent report of two characteristics: condition of teeth and having a toothache, decayed teeth, and/or unfilled cavities in the past 12 months. ACEs were measured by asking about a child's exposure to the divorce of a parent, parental incarceration, domestic violence, neighborhood violence, drug and alcohol abuse, mental illness, and financial hardship. Analyses were adjusted by sociodemographic characteristics, healthcare access and utilization, and comorbid chronic conditions. The presence of even one ACE in a child's life increased the likelihood of having poor dental health. Additionally, having multiple ACEs had a cumulative negative effect on the condition of their teeth and the presence of dental caries (Odds Ratios 1.61-2.55). Adjusted models show that racial and socioeconomic factors still play a significant role in dental health. In addition to the known disparities in dental caries, this study demonstrates that there is significant association between childhood psychosocial issues and dental health. Preventive dental care should be considered incorporating the screening of multiple biological stressors, including ACEs, in routine dental visits as a means of identifying and reducing dental health inequities.
Maternal and Child Health Journal, 2013
Maternal and Child Health Journal, 2014
Recruiting and enrolling low income, racially and ethnically diverse adolescents into research st... more Recruiting and enrolling low income, racially and ethnically diverse adolescents into research studies can be a challenge. This paper details our research team's methodology in the recruitment and enrollment of low income and racially/ethnically diverse adolescents in three cities as part of a broader study to understand adolescent perceptions of a health risks. Our team used Florida's Medicaid and Children's Health Insurance Plan administrative databases to identify a sample of adolescents for focus group participation. Utilizing geographic information systems software we generated maps of racial and ethnic group clusters in three cities and identified community centers within each cluster to hold the focus groups. We mailed initial focus group introduction letters, conducted follow-up phone calls for recruitment and further implemented techniques to optimize participant confidentiality and comfort. We enrolled 35 participants for eight focus groups in three cities at a total cost of $264 per participant, including personnel, materials, travel, and incentives costs. As a result of our efforts, groups were fairly evenly distributed by both race and gender. Administrative databases provide opportunities to identify and recruit low income and racially/ethnically diverse adolescents for focus groups that might not otherwise have the opportunity to participate in research studies. It is important that researchers ensure these populations are represented when conducting health assessment tool evaluations.
Academic Pediatrics, 2012
It has been documented that parenting a child with attention deficit-hyperactivity disorder (ADHD... more It has been documented that parenting a child with attention deficit-hyperactivity disorder (ADHD) can cause family strain, but less is known about the added stress of additional child health diagnoses on levels of strain. This study explores the relationship between family stressors (such as child comorbid conditions) and family resources (such as social support, community characteristics, and parental health) on parental strain. We used the 2007 National Survey of Children's Health (NSCH) to identify children with ADHD and other comorbid mental and physical health conditions (n = 5473). Descriptive, bivariate, and multivariate analyses were conducted to explore the association between parental strain, social support, mother's mental health, and neighborhood amenities within groups of children with ADHD and comorbid conditions. Parental strain was greatest when ADHD was paired with a conduct disorder, physical disorder, or other mental health disorder. Specifically, parental strain was greatest for children with ADHD plus a comorbid conduct disorder compared with ADHD alone. It was also greater for children with other mental and physical health diagnoses compared with children with ADHD alone. Better mental health of mothers in the sample is related to reduced parental strain. Greater access to social support and neighborhood amenities also are related to reduced parental strain. Greater levels of social support and better mental health of parents is associated with decreased strain. Interventions aimed at relieving stress and building strategies to improve mental health can be beneficial for families with children with ADHD and comorbid conditions.
Journal of Health Care for the Poor and Underserved, 2012