OBJECTIVE: To evaluate the effect of obstetric delivery volume, high-risk condition volume, and their combined effect on maternal outcomes. METHODS: This retrospective cohort study examined more than 10 million deliveries in three states from 1995 to 2009 using linked birth-hospit...

Behavioral health issues are common in hospitalized children. One PolicyLab study found that although up to half of children hospitalized for a physical health condition have behavioral health needs or psychological distress during their stay, they may not regularly receive treatme...

STUDY OBJECTIVE: Intrauterine device (IUD) utilization in the United States is low among adolescent and young adult women. Longer procedure duration has been proposed as one potential barrier to IUD insertion in this population. We hypothesized that procedure duration would be long...

OBJECTIVE: To provide population-based estimates of the hospital-related costs of maternal and newborn care, and how these vary by gestational age and birth weight. STUDY DESIGN: We conducted a retrospective analysis of 2009-2011 California in-hospital deliveries at nonfederal hos...

PURPOSE OF REVIEW: We review research related to sex differences in eating disorders (EDs) in adolescents. Prior work has explored clinical differences; thus, we examine literature in areas identified as playing an etiological or maintenance role in EDs including: genetics, hormon...

Medical care is just one part of the equation when it comes to child and adolescent well-being. Social determinants of health, like food insecurity, environmental factors or a family’s housing conditions, can have a strong influence on a child’s growth and development, reaching far...

ABSTRACT: Electronic cigarettes (e-cigarettes) are the most commonly used tobacco product among youth. The 2016 US Surgeon General’s Report on e-cigarette use among youth and young adults concluded that e-cigarettes are unsafe for children and adolescents. Furthermore, strong and c...

BACKGROUND/OBJECTIVE: Although there is growing interest in screening for food insecurity in the clinical setting, little evidence exists regarding screening formats that maximize disclosure and caregiver comfort. METHODS: In this randomized trial, we asked English-speaking adult ...

OBJECTIVES: To examine agreement between parent and adolescent reports of adolescents’ suicidal thoughts and explore demographic and clinical factors associated with agreement in a large community sample. METHODS: Participants included 5137 adolescents 11 to 17 years old (52.1%...

OBJECTIVES: The aim of this study was to evaluate the effectiveness of clinical pathway implementation and quality improvement (QI) interventions to increase the percentage of infants with extremity fractures undergoing evaluation for suspected physical abuse, including skeletal su...