Double Jeopardy: What Social Risk Adds to Biomedical Risk in Understanding Child Health and Health Care Utilization

Double Jeopardy: What Social Risk Adds to Biomedical Risk in Understanding Child Health and Health Care Utilization
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DOI:
10.1016/j.acap.2010.03.004
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发表时间:
2010-05-01
影响因子:
3.1
通讯作者:
Bauman, Laurie J.
Bauman, Laurie J.
中科院分区:
医学3区
文献类型:
--
作者:
Stein, Ruth E. K.;Siegel, Michele J.;Bauman, Laurie J.

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目的:这项研究的目的是检验这样一种假设,即具有社会和生物医学危险因素的儿童比只有任何一种危险因素的儿童更有可能健康状况较差,并更多地利用医疗服务。方法-使用1998年全国健康访谈调查确定变量,并根据2002年的数据进行检验。因变量是健康(较差的健康等级)和服务使用(住院或两次以上急救服务)。高社会风险被定义为大于2个危险因素(父母文化程度低于高中、家庭收入
Objective.-The aim of this study was to test the hypothesis that children with both social and biomedical risk factors are more likely to be in poorer health and utilize more health services than those with either type of risk alone.Methods.-Variables were identified using the 1998 National Health Interview Survey and tested here on 2002 data. Dependent variables were health (poorer health rating) and service use (hospitalization or greater than 2 emergency services). High social risk was defined as greater than 2 risk factors (parental education less than high school, family income