Distressed neighborhoods and child disability rates: analyses of 157,000 school-age children.

Distressed neighborhoods and child disability rates: analyses of 157,000 school-age children.
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贫困社区和儿童残疾率:对 157,000 名学龄儿童的分析。

DOI:
10.1111/j.1469-8749.2007.00814.x
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发表时间:
2007
影响因子:
3.8
通讯作者:
Hogan,DennisP
Hogan,DennisP
中科院分区:
医学2区
文献类型:
--
作者:
Msall,MichaelE;Avery,RogerC;Msall,EmilyR;Hogan,DennisP

文献摘要

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The aim of this study was to assess rates of childhood disability as indicated by functional limitation of motor, sensory, or self‐care skills in children living in severely‐distressed neighborhoods. For a neighborhood in the US Census Track to be considered severely distressed, three of the following four characteristics need to be present: >27% of children live in poverty, >23% high school drop‐out rate, >34% male unemployment rate, and >37% of households headed by females alone. In the 2000 US Census, 157 000 children between ages 5 and 15 years resided in the State of Rhode Island. Severely‐distressed neighborhoods were found in 12.6% of Rhode Island Census Tracks. These areas accounted for 14.5% of the school‐age population, 25% of children with motor disabilities, 29% of children with self‐care disabilities, and 14% of children with sensory disabilities. For each increasing level of neighborhood distress, rates of child disability increased. Child disability rates in moderately distressed neighborhoods were 3.7%, compared with 1.1% in advantaged neighborhoods. Children in distressed neighborhoods had disproportionately high rates of disability, especially in motor and self‐care functioning. Comprehensive interventions aimed at children in distressed neighborhoods are crucial to reduce health disparities for vulnerable children.