CHILDHOOD CHRONIC ILLNESS - PREVALENCE, SEVERITY, AND IMPACT
CHILDHOOD CHRONIC ILLNESS - PREVALENCE, SEVERITY, AND IMPACT
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DOI：
10.2105/ajph.82.3.364
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发表时间：
1992-03-01
影响因子：
12.7
通讯作者：
TAYLOR, WR
中科院分区：
文献类型：
--
作者：
NEWACHECK, PW;TAYLOR, WR
背景。本文采用1988年全国健康访谈调查的数据，对儿童慢性疾病的患病率和影响进行了全国估计。对17110名18岁以下儿童的儿童健康状况清单进行了代理回答。如果在访谈前3个月以上首次发现，或者是通常会持续较长时间的疾病，如关节炎，则将其归类为慢性疾病。据估计，31%的儿童受到慢性病的影响。在这些儿童中，最常见的疾病包括呼吸道过敏（9.7 / 100）、反复耳部感染（8.3 / 100）和哮喘（4.3 / 100）。这些儿童可分为三组：66%的儿童病情轻微，很少或根本没有麻烦或活动限制；29%的患者患有中度严重的疾病，导致一些困扰或活动受限，但并非两者兼而有之；5%的患者病情严重，经常受到干扰，活动受限。病情严重的5%占与慢性疾病相关的医生接触的19%和住院天数的33%。儿童慢性疾病对儿童的活动和保健服务的使用有着高度不同的影响。
Background. Using data from the 1988 National Health Interview Survey, this article presents national estimates of the prevalence and impact of childhood chronic conditions.Methods. Proxy responses to a checklist of child health conditions administered for 17 110 children under 18 years of age were used. Conditions were classified as chronic if they were first noticed more than 3 months prior to the interview or if they were the type that would ordinarily be of extended duration, such as arthritis.Results. An estimated 31% of children were affected by chronic conditions. Among these children, highly prevalent conditions included respiratory allergies 9.7 per 100, repeated ear infections 8.3 per 100 and asthma 4.3 per 100. These children can be divided into three groups: 66% with mild conditions that result in little or no bother or activity limitation; 29% with conditions of moderate severity that result in some bother or limitation of activity, but not both; and 5% with severe conditions that cause frequent bother and limitation of activity. The 5% with severe conditions accounted for 19% of physician contacts and 33% of hospital days related to chronic illness.Conclusions. Childhood chronic conditions have highly variable impacts on children's activities and use of health care.