Race, urban community stressors, and behavioral and emotional problems of children with special health care needs
Race, urban community stressors, and behavioral and emotional problems of children with special health care needs
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DOI：
10.1176/appi.ps.56.1.63
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发表时间：
2005-01-01
影响因子：
3.8
通讯作者：
Swigonski, N
中科院分区：
文献类型：
--
作者：
Jaffee, KD;Liu, GC;Swigonski, N
目的：本研究探讨了社区层面的压力源与有特殊医疗保健需求的非裔美国人和白色儿童的行为和情绪问题之间的关系。研究方法：作者在2001年9月至2002年5月期间采访了257名中西部城市中有特殊卫生保健需要的儿童的低收入照顾者，他们带着孩子到社区卫生中心进行初级卫生保健访问。社会人口学特征以及有关儿童的行为和情绪问题，儿童的健康状况，城市社区压力的看法，获得医疗保健和医疗保健的满意度的信息收集，以确定城市压力对行为和情绪问题的影响的种族差异。结果如下：城市社区压力源、种族和儿童健康状况与有特殊医疗保健需求的儿童的行为和情绪问题显着相关。城市压力和总的行为问题之间的关联并没有因种族而异。结论：在照顾有特殊卫生保健需要的儿童时，特别是那些有情绪或行为问题的儿童，如果初级保健提供者也评估城市压力，他们可能能够更好地确定重要的加重因素。需要建立护理系统，协助解决城市社区一级的压力因素。
Objectives: This study examined the relationship of community-level stressors to behavioral and emotional problems among African-American and white children with special health care needs. Methods: The authors interviewed 257 low-income caregivers of children with special health care needs in an urban Midwestern city who brought their child for a primary health care visit to a community health center between September 2001 and May 2002. Sociodemographic characteristics as well as information about the childrens behavioral and emotional problems, the health status of the children, perceptions of urban community stress, access to health care, and satisfaction with health care were collected to determine racial differences in the impact of urban stress on behavioral and emotional problems. Results: Urban community stressors, race, and child's health status were significantly associated with behavioral and emotional problems among children with special health care needs. The association between urban stress and total behavioral problems did not differ by race. Conclusions: When caring for children with special health care needs, especially those with emotional or behavioral problems, primary care providers may be better able to identify important aggravating factors if they also assess urban stress. Systems of care are needed that can assist in addressing urban community-level stressors.