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Clinical Pediatrics
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Differences in Health Care Utilization Between Parents Who Perceive Their Child as Vulnerable versus Overprotective Parents

Michael Thomasgard

Department of Pediatrics, Ohio State University, College of Medicine, Children's Hospital, Columbus, Ohio

W. Peter Metz

University of Massachusetts Medical Center, Division of Child and Adolescent Psychiatry, Department of Psychiatry, Worcester, MA

While a parental perception of child vulnerability to illness/injury is often used interchangeably with parental overprotection, research suggests that they are independent constructs. We hypothesized more frequent pediatric nonwell-child visits for perceived child vulnerability, but not for parental overprotection. The parents of 300 children, ages 2-5 years, enrolled in a health maintenance organization, were sampled. For children without medical conditions, there were no differences in nonwell-child care visits between the high perceived vulner ability and high parental protection groups (Wilcoxon Rank Sum Test, WRST, P =.31 ). As expected, high parental protection was not significantly associated with increased nonwell-child care visits compared with the low parental protection group (WRST, P=.14). These findings suggest that markers other than health care utilization are required to identify these forms of parent-child relationship disorders.

Clinical Pediatrics, Vol. 35, No. 6, 303-308 (1996)
DOI: 10.1177/000992289603500603
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