Hospital admissions for stress-related presentations among school-aged adolescents during term time versus holidays in England: weekly time series and retrospective cross-sectional analysis.
Hospital admissions for stress-related presentations among school-aged adolescents during term time versus holidays in England: weekly time series and retrospective cross-sectional analysis.
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DOI：
10.1192/bjo.2021.1058
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发表时间：
2021-11-19
期刊：
影响因子：
5.4
通讯作者：
Wijlaars L
中科院分区：
文献类型：
--
作者：
Blackburn R;Ajetunmobi O;Mc Grath-Lone L;Hardelid P;Shafran R;Gilbert R;Wijlaars L
学校是青少年的潜在压力源，可能会导致紧急住院。我们描述了11-17岁学龄青少年在学期和假期的压力相关表现（srp）率，并探讨了年龄和性别的差异。使用国家行政医院数据，我们将SRP定义为急诊入院，初步诊断与疼痛、心身症状（如疲劳）或精神健康问题有关，或在任何诊断位置显示有自残迹象。我们使用负二项回归模型，按年龄和性别分层，估计了2014-2015年至2017-2018年期间每周srp与假期的发病率比。我们通过分析2017-2018年患有SRP的青少年的住院史，估计了11至17岁之间任何SRP的累积发病率。在为期4年的研究期间，171 013名学龄青少年中有305 491名srp，占该群体急诊入院人数的31%。srp主要用于心理健康问题或自残（38%）或疼痛（35%）。所有年龄段的srp在学期期间的每周入院率高于假期（女孩的年龄特异性发病率比为1.15-1.49，男孩为1.08-1.60）。发病率最高的是14岁和15岁的女孩。估计11至17岁之间任何SRP的累积发病率在女孩中为7.9%，在男孩中为4.1%。青少年因性行为障碍而住院的情况很普遍，每个班级大约有两名女孩和一名男孩。学期期间的比率高于假期，这表明学校因素可能有所贡献。
Schools are a potential stressor for adolescents and may contribute to emergency hospital admissions. We describe rates of stress-related presentations (SRPs) among school-aged adolescents (11–17 years) during school terms and holidays, and explore differences by age and gender. Using national administrative hospital data, we defined an SRP as an emergency hospital admission with a primary diagnosis related to pain, psychosomatic symptoms (e.g. fatigue) or mental health problems, or with self-harm indicated in any diagnostic position. We estimated incidence rate ratios for weekly SRPs in term time versus holidays from 2014–2015 to 2017–2018, using negative binomial regression models, stratified by age and gender. We estimated the cumulative incidence of any SRP between 11 and 17 years by analysing prior hospital admission histories of adolescents with an SRP in 2017–2018. Over the 4-year study period, 305 491 SRPs in 171 013 school-aged adolescents accounted for 31% of emergency admissions for this group. SRPs were predominantly for mental health problems or self-harm (38%), or pain (35%). Weekly admission rates for SRPs were higher in term time than holidays for all ages (age-specific incidence rate ratios were 1.15–1.49 for girls and 1.08–1.60 for boys). Rates were highest for girls aged 14 and 15 years. The estimated cumulative incidence of any SRP between 11 and 17 years was 7.9% for girls and 4.1% for boys. Hospital admissions for SRPs are common among adolescents, affecting around two girls and one boy in every classroom. Higher rates in term time than holidays suggest that school factors may contribute.
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影响因子：
7.7
作者：
Jablonska, Beata;Lindberg, Lene;Hjern, Anders
通讯作者：
Hjern, Anders
影响因子：
10.5
作者：
Rahman, Muhammad A.;Todd, Charlotte;Brophy, Sinead
通讯作者：
Brophy, Sinead
DOI：
10.1016/j.jaac.2021.02.016
发表时间：
2021-12
影响因子：
13.3
作者：
Ford T;Degli Esposti M;Crane C;Taylor L;Montero-Marín J;Blakemore SJ;Bowes L;Byford S;Dalgleish T;Greenberg MT;Nuthall E;Phillips A;Raja A;Ukoumunne OC;Viner RM;Williams JMG;Allwood M;Aukland L;Casey T;De Wilde K;Farley ER;Kappelmann N;Lord L;Medlicott E;Palmer L;Petit A;Pryor-Nitsch I;Radley L;Warriner L;Sonley A;MYRIAD Team;Kuyken W
通讯作者：
Kuyken W
影响因子：
3.8
作者：
Hjern, Anders;Alfven, Gosta;Ostberg, Viveca
通讯作者：
Ostberg, Viveca
DOI：
10.1515/ijamh.2010.22.2.229
发表时间：
2010-04-01
影响因子：
--
作者：
Kelly, Colette;Molcho, Michal;Gabhainn, Saoirse Nic
通讯作者：
Gabhainn, Saoirse Nic