Special health care needs among children in the child welfare system
Special health care needs among children in the child welfare system
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DOI：
10.1542/peds.2007-3778
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发表时间：
2008-07-01
期刊：
影响因子：
8
通讯作者：
Cross, Theodore
中科院分区：
文献类型：
--
作者：
Ringeisen, Heather;Casanueva, Cecilia;Cross, Theodore
OBJECTIVE.本研究的目的是确定儿童福利系统中儿童的特殊卫生保健需求水平，以及这些需求如何影响儿童的功能。数据来自全国儿童和青少年福利调查，这是一项针对儿童虐待调查的全国概率研究。样本包括5496名0至15岁的儿童。为了进行分析，我们使用描述性统计来确定从基线到3年随访的特殊卫生保健需求和儿童功能。Logistic回归分析用于检查特殊医疗保健需求的相关性。在研究期间的任何时候，大约三分之一的儿童被确定为有特殊的医疗保健需求。总体而言，在3年的随访数据中，50.3%的儿童被确定为有特殊的医疗保健需求。男孩比女孩更有可能有特殊的医疗保健需求，基线时0至2岁的儿童比年龄较大的儿童有特殊的医疗保健需求的可能性要小得多。被收养和寄养的儿童比从未被安置在家庭外的儿童更有可能有特殊的医疗保健需求。最常报告的慢性健康状况类型是哮喘。最常报告的特殊需要类型是学习障碍。在儿童福利系统中，儿童普遍需要特殊的保健服务。许多有特殊医疗需求的儿童有认知、语言、适应、社交或行为功能障碍。需要建立机制，确保这一弱势群体能够获得协调一致的保健和相关社会服务。
OBJECTIVE. The aim of this study was to determine levels of special health care need among children in the child welfare system and how these needs may affect children's functioning.METHODS. Data were from the National Survey of Child and Adolescent Well-being, a national probability study of children investigated for child maltreatment. The sample consisted of 5496 children aged 0 to 15 years at baseline. For analysis, we used descriptive statistics to determine special health care needs and children's functioning from baseline to 3-year follow-up. Logistic regression was used to examine correlates of special health care needs.RESULTS. At any point in the study period, approximately one third of the children were identified as having special health care needs. Overall, across 3 years of follow-up data, 50.3% of the children were identified as having special health care needs. Boys were significantly more likely than girls to have had special health care needs, and children aged 0 to 2 years at baseline were significantly less likely to have had special health care needs than older children. Adopted and foster children were significantly more likely to have had special health care needs than children never placed out of the home. The most commonly reported type of chronic health condition was asthma. The most commonly reported type of special need was a learning disability.CONCLUSIONS. Special health care needs are prevalent among children in the child welfare system. Many children with special health care needs have cognitive, language, adaptive, social, or behavioral functional impairments. Mechanisms are needed to ensure that this vulnerable population has access to and receives coordinated health and related social services.