Mind the Gap: Gender Differences in Child Special Health Care Needs
Mind the Gap: Gender Differences in Child Special Health Care Needs
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DOI：
10.1007/s10995-011-0834-5
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发表时间：
2012-07-01
影响因子：
2.3
通讯作者：
Rieker, Patricia P.
中科院分区：
文献类型：
--
作者：
Leiter, Valerie;Rieker, Patricia P.
儿童期特殊保健需求的性别性质是一个重要但研究不足的领域。虽然在特殊保健需求的普遍性方面存在性别差异，但对造成这些差异的因素了解较少。两个研究问题指导了这项调查。第一，儿童特殊保健需求指标中的性别差距是否一致？第二，在多大程度上，特殊医疗保健需求的性别差距是由行为条件驱动的？我们使用美国全国儿童健康调查的多个指标来扩大我们对性别与儿童健康之间动态关系的理解。在特殊保健需求的普遍性方面存在明显的性别差异。男孩比女孩更有可能有特殊的医疗保健需求的整体和五个单独的组成部分检查（药物，比典型的更多的照顾，限制，特殊治疗，教育或行为问题）。这种性别差距是动态的，因指标而异;虽然行为条件发挥了作用，但即使在控制了行为条件之后，这种差距仍然存在。性别差异的原因似乎既有生物学上的，也有社会上的，但对这种模式仍有许多未知之处。
The gendered nature of special health care needs in childhood is an important yet understudied area. Although gendered differences in the prevalence of special health care needs have been documented, there is less knowledge about the factors which contribute to those differences. Two research questions guide this inquiry. First, is the gender gap consistent across child special health care need indicators? Second, to what extent is the gender gap in special health care needs driven by behavioral conditions? We use multiple indicators from the U.S. National Survey of Children's Health to expand our understanding about the dynamic relationship between gender and childhood health. There are clear gender differences in the prevalence of special health care needs. Boys are more likely than girls to have special health care needs overall and on the five separate components examined (medication, more care than typical, limitations, special therapies, and educational or behavioral problem). This gender gap is dynamic and varies by indicator; while behavioral conditions play a role, it remains even after controlling for behavioral conditions. The reasons for the gender differences appear to be both biological and social but much remains unknown about this pattern.