{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,11]],"date-time":"2026-09-11T22:52:39Z","timestamp":1789167159661,"version":"build-2803163510"},"reference-count":25,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2005,7,1]],"date-time":"2005-07-01T00:00:00Z","timestamp":1120176000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clin Pediatr (Phila)"],"published-print":{"date-parts":[[2005,7]]},"abstract":"<jats:p>To determine the most frequently diagnosed conditions among rural and non-rural children age 5 to 9 and assess for environmental influences, data from the National Ambulatory Medical Care Survey (1996-2001) were used to examine frequencies of diagnoses in children age 5 to 9. Separately, we examined rural and non-rural outpatient physician visits in weighted multivariate logistic regression models. Overall, the most frequent diagnosis was routine health check, followed by several acute conditions. When analyzed separately, non-rural children were significantly more likely to visit a physician for routine health check (P = 0.002), asthma (P = 0.005), and acute upper respiratory infection (P = 0.037). Rural counterparts were significantly more likely to be seen for attention deficit disorder (P = 0.000), otitis media (P = 0.017), chronic rhinitis (P = 0.017) and influenza (P = 0.037). Children age 5 to 9 are healthy overall. When illness occurs, it is usually acute. Rural and non-rural, young, school-aged children exhibit many similarities in healthcare utilization, but differences occur. Most surprising is the difference in the diagnosis frequency of attention deficit disorder.<\/jats:p>","DOI":"10.1177\/000992280504400604","type":"journal-article","created":{"date-parts":[[2006,3,31]],"date-time":"2006-03-31T16:28:22Z","timestamp":1143822502000},"page":"491-498","source":"Crossref","is-referenced-by-count":18,"title":["Healthcare Utilization for Acute and Chronic Diseases of Young, School-age Children in the Rural and Non-rural Setting"],"prefix":"10.1177","volume":"44","author":[{"given":"Kimberly A.","family":"Cayce","sequence":"first","affiliation":[{"name":"Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel P.","family":"Krowchuk","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Wake Forest University School of Medicine, Winston-Salem, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Steven R.","family":"Feldman","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabian T.","family":"Camacho","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Wake Forest University School of Medicine, Winston-Salem, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Balkrishnan","sequence":"additional","affiliation":[{"name":"Division of Management and Community Health Sciences, University of Texas Schools of Public Health and Medicine, Houston, Texas"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alan B.","family":"Fleischer","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Wake Forest University School of Medicine, Winston-Salem, North Carolina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2005,7,1]]},"reference":[{"key":"atypb1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2222.2000.00801.x"},{"key":"atypb2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2222.2000.00799.x"},{"key":"atypb3","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2222.1999.00479.x"},{"key":"atypb4","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/39.4.619"},{"key":"atypb5","doi-asserted-by":"publisher","DOI":"10.1067\/mai.2002.124565"},{"key":"atypb6","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802376"},{"key":"atypb7","doi-asserted-by":"publisher","DOI":"10.1093\/milmed\/168.7.583"},{"key":"atypb8","doi-asserted-by":"publisher","DOI":"10.1080\/07315724.2001.10719064"},{"key":"atypb9","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijo.0802538"},{"key":"atypb10","doi-asserted-by":"publisher","DOI":"10.1542\/peds.113.1.1"},{"key":"atypb11","volume-title":"1996-2000 NAMCS micro data file documentation","author":"Anonymous","year":"2004"},{"key":"atypb12","volume-title":"Physicians ICD-9-CM","year":"1997"},{"key":"atypb13","first-page":"61","volume":"2","author":"Tenney JB","year":"1974","journal-title":"National Center Health Stat Vital Health Stat"},{"key":"atypb14","unstructured":"Anonymous. 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