Financial impacts and community resources utilization of children with feeding difficulties.
Financial impacts and community resources utilization of children with feeding difficulties.
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DOI：
10.1186/s12887-022-03566-x
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发表时间：
2022-08-25
期刊：
影响因子：
2.4
通讯作者：
中科院分区：
文献类型：
--
作者：
研究财政影响和社区资源利用与儿科喂养困难的相关程度。我们假设，有喂养困难的儿童将有更多的经济影响和社区资源的利用比没有喂养困难的儿童。我们对2017-2018年全国儿童健康调查（NSCH）的横断面数据进行了二次分析，涉及14，960名0-5岁儿童。NSCH利用美国各地的家庭随机抽样收集全国代表性数据。结果包括自付费用、照顾者因儿童健康问题而离职、食物不足、接受食物或现金援助以及接受特殊教育和/或发展服务。我们使用了多变量逻辑回归控制社会人口因素，以研究喂养困难与经济影响和社区资源利用结果的关联。在14，690名受访者中，儿童的平均（SD）年龄为2.53（0.03）岁，1.7%的儿童报告喂养困难。这些儿童自付费用≥ 1000美元的几率更高（OR：3.01; 95% CI：1.61，5.62），有一名照顾者因孩子健康原因离职（OR：3.16; 95% CI：2.01，4.98），经历食物不足（OR：1.67; 95% CI：1.03，2.71），接受特殊教育和/或发展服务（OR：3.98; 95% CI：2.46，6.45）的儿童比无喂养困难的儿童更易患营养不良。有喂养困难的儿童比没有喂养困难的儿童更有可能产生经济影响和社区资源利用。这些信息可用于定制干预措施，以改善以家庭为中心的儿童护理和成果。
To examine the extent to which financial impacts and community resources utilization are associated with pediatric feeding difficulties. We hypothesize that children with feeding difficulties will have more financial impacts and community resources utilization than children without feeding difficulties. We conducted a secondary analysis of cross-sectional data from the 2017–2018 National Survey of Children’s Health (NSCH) regarding 14,960 children 0–5 years. NSCH utilized random sampling of families across the United States to collect nationally representative data. Outcomes included out-of-pocket costs, caregivers leaving a job due to the child’s health, food insufficiency, receival of food or cash assistance, and receival of special education and/or developmental services. We used a multivariable logistic regression controlling for sociodemographic factors to examine the associations of feeding difficulties with financial impacts and community resources utilization outcomes. Out of 14,690 respondents, children were a mean (SD) age of 2.53(0.03) years and 1.7% reported feeding difficulties. These children had higher odds of having out-of-pocket costs of ≥$1000 (OR: 3.01; 95% CI: 1.61, 5.62), having a caregiver that left a job due to their child’s health (OR: 3.16; 95% CI: 2.01, 4.98), experiencing food insufficiency (OR: 1.67; 95% CI: 1.03, 2.71), and receiving special education and/or developmental services (OR 3.98; 95% CI: 2.46, 6.45) than children without feeding difficulties. Children with feeding difficulties are more likely to have financial impacts and community resources utilization than children without feeding difficulties. This information can be used to tailor interventions to improve family-centered care and outcomes for children.
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影响因子：
2.6
作者：
Hewetson, Ronelle;Singh, Shajila
通讯作者：
Singh, Shajila
影响因子：
8
作者：
Rosenberg, Steven A.;Zhang, Duan;Robinson, Cordelia C.
通讯作者：
Robinson, Cordelia C.
DOI：
10.1097/00005176-199808000-00003
发表时间：
1998-08-01
影响因子：
2.9
作者：
Burklow, KA;Phelps, AN;Rudolph, C
通讯作者：
Rudolph, C
影响因子：
5.1
作者：
Kovacic, Karlo;Rein, Lisa E.;Goday, Praveen S.
通讯作者：
Goday, Praveen S.
影响因子：
--
作者：
Newacheck, PW;Kim, SE
通讯作者：
Kim, SE