{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T22:33:02Z","timestamp":1787697182824,"version":"build-2784847793"},"reference-count":37,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2013,9,2]],"date-time":"2013-09-02T00:00:00Z","timestamp":1378080000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Birth Defects Research"],"published-print":{"date-parts":[[2013,10]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Information on travel distance and time to care for children with birth defects is lacking. We examined factors associated with travel distance and time to cleft care among children with orofacial clefts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>In 2006, a mail\/phone survey was administered in English and Spanish to all resident mothers of children with orofacial clefts born 2001 to 2004 and identified by the North Carolina birth defects registry. We analyzed one\u2010way travel distance and time and the extent to which taking a child to care was a problem. We used multivariable logistic regression to examine the association between selected sociodemographic factors and travel distance (\u226460 miles and &gt;60 miles) and time (\u226460 min and &gt;60 min) to cleft care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>\n                      Of 475 eligible participants, 51.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009245) responded. Of the respondents, 97.1% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009238) were the child's biological mother. Approximately 83% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009204) of respondents were non\u2010Hispanic White; 33.3% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200981) were college educated; and 50.0% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009115) had private health insurance. One\u2010way mean and median travel distances were 80 and 50 miles, respectively (range, 0\u20131058 miles). One\u2010way mean and median travel times were 92 and 60 min, respectively (range, 5 min to 8 hr). After adjusting for selected sociodemographics, travel distance varied significantly by maternal education, child's age, and cleft type. Travel time varied significantly by child's age. Approximately 67% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u2009162) reported taking their child to receive care was not a problem.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION<\/jats:title>\n                    <jats:p>\n                      Approximately 48% of respondents traveled\u2009&gt;\u20091 hr to receive cleft care. Increasing access to care may be important for improving health outcomes among this population\n                      <jats:italic>Birth Defects Research (Part A) 97:685\u2013695, 2013<\/jats:italic>\n                      . \u00a9 2013 Wiley Periodicals, Inc.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/bdra.23173","type":"journal-article","created":{"date-parts":[[2013,9,2]],"date-time":"2013-09-02T09:50:43Z","timestamp":1378115443000},"page":"685-695","source":"Crossref","is-referenced-by-count":38,"title":["Factors associated with distance and time traveled to cleft and craniofacial care"],"prefix":"10.1002","volume":"97","author":[{"given":"Cynthia H.","family":"Cassell","sequence":"first","affiliation":[{"name":"National Center on Birth Defects and Developmental Disabilities Centers for Disease Control and Prevention Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anne","family":"Krohmer","sequence":"additional","affiliation":[{"name":"National Center on Birth Defects and Developmental Disabilities Centers for Disease Control and Prevention Atlanta Georgia"},{"name":"University of Minnesota School of Public Health, University of Minnesota Minneapolis Minnesota"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dara D.","family":"Mendez","sequence":"additional","affiliation":[{"name":"Graduate School of Public Health University of Pittsburgh Pittsburgh Pennsylvania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kyung A.","family":"Lee","sequence":"additional","affiliation":[{"name":"National Center on Birth Defects and Developmental Disabilities Centers for Disease Control and Prevention Atlanta Georgia"},{"name":"Northrop Grumman Information Systems Atlanta Georgia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronald P.","family":"Strauss","sequence":"additional","affiliation":[{"name":"Office of Executive Vice Chancellor and Provost and Departments of Dental Ecology, Epidemiology, and Social Medicine University of North Carolina at Chapel Hill Chapel Hill North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert E.","family":"Meyer","sequence":"additional","affiliation":[{"name":"North Carolina Birth Defects Monitoring Program State Center for Health Statistics North Carolina Division of Public Health Raleigh North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,9,2]]},"reference":[{"key":"e_1_2_6_2_1","first-page":"208","article-title":"A framework for the study of access to medical care","volume":"9","author":"Aday LA","year":"1974","journal-title":"Health Serv Res"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-198112001-00004"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2004.0216"},{"key":"e_1_2_6_5_1","unstructured":"American Cleft Palate\u2010Craniofacial Association (ACPA).2009.Parameters for evaluation and treatment of patients with cleft lip\/palate and other craniofacial anomalies. Revised edition. Chapel Hill NC: 1\u201334. available at:http:\/\/www.acpa\u2010cpf.org\/uploads\/site\/Parameters_Rev_ 2009.pdf. Accessed March 24 2013."},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.20515"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1597\/08-154.1"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1597\/09-235"},{"key":"e_1_2_6_9_1","volume-title":"GIS and public health","author":"Cromley E","year":"2011"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrg2933"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.159.2.167"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2011-3114"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10995-008-0371-z"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10900-011-9392-4"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-0361.2009.00245.x"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.envres.2006.08.008"},{"key":"e_1_2_6_17_1","doi-asserted-by":"crossref","first-page":"1538","DOI":"10.1542\/peds.113.S4.1538","article-title":"Implementing community\u2010based systems of services for children and youths with special health care needs: how well are we doing?","volume":"113","author":"McPherson M","year":"2004","journal-title":"Pediatrics"},{"key":"e_1_2_6_18_1","doi-asserted-by":"crossref","first-page":"1028","DOI":"10.1002\/bdra.22874","article-title":"State birth defects surveillance program directory","volume":"91","author":"National Birth Defects Prevention Network (NBDPN)","year":"2011","journal-title":"Birth Defects Res"},{"key":"e_1_2_6_19_1","first-page":"29","article-title":"Unmet dental needs and barriers to care for children with significant special health care needs","volume":"33","author":"Nelson LP","year":"2011","journal-title":"Pediatr Dent"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2011.01244.x"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.159.1.10"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.20735"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-198102000-00001"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00246-011-0116-4"},{"key":"e_1_2_6_25_1","doi-asserted-by":"publisher","DOI":"10.1001\/archpedi.1995.02170180083016"},{"key":"e_1_2_6_26_1","doi-asserted-by":"publisher","DOI":"10.1367\/A03-198R.1"},{"key":"e_1_2_6_27_1","first-page":"19","article-title":"Management of children with cleft lip and palate","volume":"122","author":"Shah CP","year":"1980","journal-title":"Can Med Assoc J"},{"key":"e_1_2_6_28_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569(1995)032<0495:EDMIIT>2.3.CO;2"},{"key":"e_1_2_6_29_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2009-1255E"},{"key":"e_1_2_6_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1748-0361.2007.00082.x"},{"key":"e_1_2_6_31_1","doi-asserted-by":"publisher","DOI":"10.1597\/1545-1569(1999)036<0189:TOADOC>2.3.CO;2"},{"key":"e_1_2_6_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.acap.2009.09.019"},{"key":"e_1_2_6_33_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-2504"},{"key":"e_1_2_6_34_1","volume-title":"Oral health in America: a report of the Surgeon General","author":"US Department of Health and Human Services (US DHHS)","year":"2000"},{"key":"e_1_2_6_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1601-0825.2009.01588.x"},{"key":"e_1_2_6_36_1","first-page":"116","article-title":"Services for children with congenital facial clefts through a state Crippled Children's Service Program","volume":"18","author":"White RB","year":"1981","journal-title":"Cleft Palate J"},{"key":"e_1_2_6_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/bdra.10115"},{"key":"e_1_2_6_38_1","doi-asserted-by":"publisher","DOI":"10.1597\/06-233.1"}],"container-title":["Birth Defects Research Part A: Clinical and Molecular Teratology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbdra.23173","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/bdra.23173","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T14:56:07Z","timestamp":1696604167000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/bdra.23173"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,9,2]]},"references-count":37,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2013,10]]}},"alternative-id":["10.1002\/bdra.23173"],"URL":"https:\/\/doi.org\/10.1002\/bdra.23173","archive":["Portico"],"relation":{},"ISSN":["1542-0752","1542-0760"],"issn-type":[{"value":"1542-0752","type":"print"},{"value":"1542-0760","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,9,2]]}}}