Maternal socio-economic and race/ethnic characteristics associated with early intervention participation
Maternal socio-economic and race/ethnic characteristics associated with early intervention participation
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DOI：
10.1007/s10995-007-0291-3
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发表时间：
2008-11-01
影响因子：
2.3
通讯作者：
Wilber, Nancy
中科院分区：
文献类型：
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作者：
Clements, Karen M.;Barfield, Wanda D.;Wilber, Nancy
目的为了评估马萨诸塞州早期干预（EI）是否为因社会因素而有发育迟缓风险的儿童提供服务，我们确定了与项目注册相关的社会人口统计学特征，并检查了从转诊到注册的每个阶段参与的预测因素。方法妊娠至生命早期纵向（PELL）数据系统链接了1998-2000年所有马萨诸塞州出生的出生证明、出院和EI数据。我们使用多变量修正的泊松模型来调整医疗风险，确定了出生登记的预测因素和转诊的预测因素，转诊者的合格评估，以及合格儿童的登记。结果总体而言，29，950名儿童（占出生人数的13.7%）参加了EI。大多数社会风险指标预测入学率，包括母亲政府保险（RR = 1.32，95%CI 1.29-1.36）和母亲教育
Objectives To evaluate whether Massachusetts Early Intervention (EI) serves children at risk of developmental delay due to social factors, we identified socio-demographic characteristics associated with program enrollment and examined predictors of participation at each stage from referral to enrollment. Methods The Pregnancy to Early Life Longitudinal (PELL) data system linked birth certificate, hospital discharge, and EI data for all Massachusetts births, 1998-2000. We identified predictors of enrollment among births and predictors of referral, eligibility evaluation among those referred, and enrollment among eligible children using multivariate modified Poisson models to adjust for medical risks. Results Overall, 29,950 children (13.7% of births) enrolled in EI. Most social risk indicators predicted enrollment, including maternal government insurance (RR = 1.32, 95% CI 1.29-1.36) and maternal education