Physical illness in looked-after children: a cross-sectional study
Physical illness in looked-after children: a cross-sectional study
复制标题
DOI：
10.1136/archdischild-2013-303993
复制
发表时间：
2014-02-01
影响因子：
5.2
通讯作者：
Logan, Stuart
中科院分区：
文献类型：
--
作者：
Martin, Alice;Ford, Tamsin;Logan, Stuart
Objective To comparison the reported point prevalence of chronic physical diseases among children looked after by local authorities with those living in their own homes.Design横断面研究，使用问卷调查数据从全国survey.Setting The UK.Participants年龄在5-15岁的儿童随机样本。照顾的儿童是从卫生部的数据库中选择的，根据安置类型分层。儿童福利登记是抽样框架的儿童在自己的家园，加权，以配合儿童人口统计和补偿响应variability.Main outcome照顾者报告的患病率10个身体diseases.Results的数据收集在1253照看儿童和10 438儿童在自己的家园。与在家的儿童相比，在照看的儿童中报告的哮喘、湿疹和花粉热的发病率较低（经年龄、性别和种族调整后的OR分别为0.63、0.61和0.36）。癫痫、囊性纤维化和脑性瘫痪在接受照料的儿童中更常见（调整后的OR分别为4.13、4.2和7.26）。两组儿童报告胶耳，糖尿病，脊柱裂或cancer.Conclusions的比例没有差异后，寻找儿童有一些身体疾病的患病率增加。研究结果还表明，可能存在大量未满足的需求，卫生专业人员和护理人员未能识别其他疾病。较低的报告发病率的特应性疾病可能反映了一个真正的较低的发生率，这类疾病的照顾儿童，这需要进一步的工作来探讨。
Objective To compare the reported point prevalence of chronic physical illness among children looked after by local authorities with those living in their own homes.Design Cross-sectional study, using questionnaire data from a national survey.Setting The UK.Participants Random samples of children aged 5-15 years. Children looked after were selected from Department of Health databases, stratified according to placement type. The child benefit register was the sampling frame for children in their own homes, weighted to match the child population demographic and compensate for response variability.Main outcome Carer-reported prevalence of 10 physical illnesses.Results Data were collected on 1253 looked-after children and 10 438 children in their own homes. There were lower rates of asthma, eczema and hay fever reported among looked-after children compared with children at home (ORs, adjusted for age, gender and ethnicity, were 0.63, 0.61 and 0.36, respectively). Epilepsy, cystic fibrosis and cerebral palsy were more commonly reported in looked-after children (adjusted ORs 4.13, 4.2 and 7.26, respectively). There was no difference in the proportions of children in the two groups reporting glue ear, diabetes mellitus, spina bifida or cancer.Conclusions Looked-after children have an increased prevalence of some physical illnesses. The results also suggest that there may be significant unmet need, with health professionals and carers failing to identify other illnesses. The lower reported prevalence of atopic conditions may reflect a truly lower occurrence of such diseases in looked-after children; this requires further work to explore.