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CONCLUSION

1 Nehme E, Schuessler K, Alvarado C, Elerian N, Miyakado H, Mandell D, Lakey D. (2021). The Health Status of Northeast Texas, 2021. Tyler, TX: The University of Texas at Tyler/ University of Texas System Population Health.

2 Texas Association of Counties, County Information Program. Population of Texas Cities and Counties. Retrieved from https://txcip.org/tac/census/towns.html

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3 Kids Count Data Center, Annie E. Casey Foundation. Total Child Population in Texas. Retrieved from https://datacenter.kidscount.org/data/tables/3050-total-child-populatio n?loc=45&loct=2#detailed/5/6515-6768/false/574,1729,37,871,870,573,869,36,868,867/ any/6304

4 Kids Count Data Center, Annie E. Casey Foundation. Poverty (birth to 17) in Texas. Retrieved from https://datacenter.kidscount.org/data/tables/3065-poverty-birth-to-age17?loc=45&loct=5#detailed/5/6515-6768/false/574/any/8190,8191

5 U.S. Department of Health and Human Services, Office of Disease Prevention and Health Promotion. Health People 2030, Poverty. Retrieved from https://health.gov/ healthypeople/priority-areas/social-determinants-health/literature-summaries/poverty

6 Thomas M, Miller D, Morrissey T. (2019) Food Insecurity and Child Health. Pediatrics 144(4): e20190397.

7 Kids Count Data Center, Annie E. Casey Foundation. Child food insecurity in Texas. Retrieved from https://datacenter.kidscount.org/data/tables/7889-child-food-insecurity?l oc=45&loct=5#detailed/5/6515-6768/false/574/any/15218,15219

8 Murphy, D. (2017) Health insurance coverage improves child well-being. Child Trends. Retrieved from https://www.childtrends.org/publications/health-insurance-coverageimproves-child-well

9 Center for Children and Families of Georgetown University Health Policy Institute. Children’s Health Care Report Card, Children’s Health Coverage in Texas. Retrieved from https://kidshealthcarereport.ccf.georgetown.edu/states/texas/

10 Medicaid and CHIP Payment and Access Commission. (2021). Access in brief: Children’s experiences in accessing medical care. Retrieved from https://www.macpac.gov/wpcontent/uploads/2016/06/Access-in-Brief-Childrens-Experiences-in-Accessing-MedicalCare.pdf

11 Raju T, Pemberton V, Saigal S, Blaisdell C, Moxey-Mimas M, Buist S. (2016). Long-term healthcare outcomes of preterm birth: An executive summary of a conference sponsored by the National Institutes of Health. Journal of Pediatrics. DOI: https://www.sciencedirect. com/science/article/pii/S0022347616310836?via%3Dihub

12 March of Dimes, PeriStats. Preterm births. Retrieved from https://www.marchofdimes. org/peristats/data?reg=99&top=3&stop=60&lev=1&slev=4&obj=18&cmp=99&sreg=48

13 Leftwich H, Ortega Alves M. (2017). Adolescent pregnancy. Pediatric Clinics of North America 64(2):381-388. DOI: 10.1016/j.pcl.2016.11.007.

14 University of Wisconsin Population Health Institute. County Health Rankings Model, Teen Births. Retrieved from https://www.countyhealthrankings.org/explore-healthrankings/county-health-rankings-model/health-factors/health-behaviors/sexual-activity/ teen-births?year=2020&state=48&tab=1

15 U.S. Department of Health and Human Services, Office of Population Affairs. Trends in teen pregnancy and childbearing. Retrieved from https://opa.hhs.gov/adolescent-health/ reproductive-health-and-teen-pregnancy/trends-teen-pregnancy-and-childbearing

16 University of Wisconsin Population Health Institute. County Health Rankings Model, Child Mortality. Retrieved from https://www.countyhealthrankings.org/explore-healthrankings/county-health-rankings-model/health-outcomes/length-of-life/child-mortalit y?keywords=&f%5B0%5D=type%3Astates&f%5B1%5D=type%3Acounties&year=2022& state=48&tab=1 17 United Health Foundation. America’s Health Rankings, Child Mortality.

Retrieved from https://www.americashealthrankings.org/explore/health-of-women-andchildren/measure/child_mortality_a/state/ALL

18 Basco W, Rimsza M, Hotaling A, Sigrest T, Simon F. (2013). Pediatrician workforce policy statement. Pediatrics 132(2)390-397. DOI: https://doi.org/10.1542/peds.2013-1517

19 American Board of Pediatrics. General Pediatricians U.S. State and County Maps. Retrieved from https://www.abp.org/dashboards/general-pediatricians-us-state-andcounty-maps

20 American Board of Pediatrics. Pediatric Subspecialty U.S. State and County Maps. Retrieved from https://www.abp.org/dashboards/pediatric-subspecialty-us-state-andcounty-maps

21 Texas Medical Board courtesy of Texas Pediatric Society. Personal communication, May 2022.

22 Texas Department of State Health Services. (2018). Texas Projections of Supply and Demand for Primary Care Physicians and Psychiatrists, 2017-2030. Retrieved from https:// www.dshs.texas.gov/sites/default/files/legislative/2018-Reports/SB-18-PhysiciansWorkforce-Report-Final.pdf

23 Petterson S, Rayburn W, Liaw W. (2016). When do primary care physicians retire? Implications for workforce projections. Annals of Family Medicine 14(4)344-349. DOI: https://doi.org/10.1370/afm.1936

24 Weiss A, Liang L, Martin, K. (2022) Overview of hospitalization stays among children and adolescents, 2019. Agency for Healthcare Research and Quality, Healthcare Cost and Utilization Project. Retrieved from https://hcup-us.ahrq.gov/reports/statbriefs/sb299Hospital-Stays-Children-2019.jsp

25 Texas Department of State Health Services, Texas Hospital Association Annual Survey of Hospitals. (2020).

26 Cushing A, Bucholz E, Chien A, Rauch D, Michelson K. (2021). Availability of pediatric inpatient services in the United States. Pediatrics 148(1):e2929941723. DOI: 10.1542/ peds.2020-041723

27 CHRISTUS Trinity Mother Frances Pediatric Transfer Data. (2022). Personal communication.

28 UT Health East Texas Pediatric Transfer Data. (2022). Personal communication.

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