02736nam a22003617a 4500 OSt 20260505094745.0 a 260505b |||||||| |||| 00| 0 eng d Foundation University RA 421 .F35 Koob, Caitlin, PhD, MS author. 15972 Contextualizing rural/non-rural differences in pediatric primary care patterns in South Carolina Caitlin Koob, PhD, MS; Kinsey Meggett, , MS; Michelle Parisi, PhD; Sarah F. Griffin, PHD, MPH 2025 Index pages 267-277; illustration pages text txt rdamedia unmediated n paper volume nc Nursing index This mixed-methods study by Caitlin Koob, Kinsey Meggett, Michelle Parisi, and Sarah F. Griffin examines rural and non-rural differences in pediatric primary care patterns among Medicaid-insured children in South Carolina. Using claims data from 22,084 children (2018–2022) with weight-related diagnoses, the study applies logistic regression to assess factors associated with traveling for care, supplemented by qualitative interviews with 12 families to explore healthcare access experiences. Findings reveal that 40.54% of children were overweight or obese. Children residing in rural areas, younger patients, non-Hispanic white children, and those with healthier weight status were more likely to travel for primary care services. Rurality significantly influenced relationships between travel behavior, race/ethnicity, and weight status. Qualitative results indicate that families in rural communities often perceive lower healthcare quality and express limited trust in local providers, prompting them to seek care outside their communities. The study concludes that disparities in pediatric primary care access and utilization are shaped by both structural and perceptual factors in rural settings, highlighting the need for targeted public health strategies to improve healthcare quality, accessibility, and trust among rural populations. Family Health 6229 healthcare access 15973 medicaid-insured children 15974 patient satisfaction 15975 primary care 15976 rural health 15977 Meggett, Kinsey, MS co-author. 15978 Parisi, Michelle, PhD co-author. 15979 Griffin, Sarah F., PHD, MPH co-author. 15980 Bura-ay, Ivy Mae Indexer 15962 https://docs.google.com/document/d/1yxNnTK5C-dbamSLm8RHvDOSI8nZPbblG4rX6of-u-sA/edit?tab=t.0 access online lcc INDEX RA 421 .F35 (CON-P) 0 5900 5900 https://fulib.foundationu.com/cgi-bin/koha/opac-ISBDdetail.pl?biblionumber=5900&query_desc=kw%2Cwrdl%3A%20Contextualizing%20rural%2Fnon-rural%20differences%20in%20pediatric%20primary%20care%20patterns%20in%20South%20Carolina 0 0 lcc 0 1 NFIC FOUNDATION FOUNDATION MAIN-CoN 2026-05-05 QT 0 CON-P) RA 421 .F35 v.48, n. 4 Con-I-20260027 2026-05-05 09:54:01 2026-05-05 INDEX Nursing Index Con-I-20260027