• Laura A Makaroff, Imam M Xierali, Stephen M Petterson, Scott A Shipman, James C Puffer, and Andrew W Bazemore.
• The Robert Graham Center: Policy Studies in Family Medicine and Primary Care, Washington, DC.
• Ann Fam Med. 2014 Sep 1; 12 (5): 427-31.

PurposeWe wanted to explore demographic and geographic factors associated with family physicians' provision of care to children.MethodsWe analyzed the proportion of family physicians providing care to children using survey data collected by the American Board of Family Medicine from 2006 to 2009. Using a cross-sectional study design and logistic regression analysis, we examined the association of various physician demographic and geographic factors and providing care of children.ResultsYounger age, female sex, and rural location are positive predictors of family physicians providing care to children: odds ratio (OR) = 0.97 (95% CI, 0.97-0.98), 1.19 (1.12-1.25), and 1.50 (1.39-1.62), respectively. Family physicians practicing in a partnership are more likely to provide care to children than those in group practice: OR = 1.53 (95% CI, 1.40-1.68). Family physicians practicing in areas with higher density of children are more likely to provide care to children: OR = 1.04 (95% CI, 1.03-1.05), while those in high-poverty areas are less likely 0.10 (95% CI, 0.10-0.10). Family physicians located in areas with no pediatricians are more likely to provide care to children than those in areas with higher pediatrician density: OR = 1.80 (95% CI, 1.59-2.01).ConclusionsVarious demographic and geographic factors influence the likelihood of family physicians providing care to children, findings that have important implications to policy efforts aimed at ensuring access to care for children.© 2014 Annals of Family Medicine, Inc.

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