Adolescents at risk for mistreating their children. Part I: Prenatal identification.
Adolescents at risk for mistreating their children. Part I: Prenatal identification.
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青少年面临虐待子女的风险。
DOI：
10.1016/s0145-2134(01)00236-8
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发表时间：
2001
影响因子：
4.8
通讯作者：
L. Kelly
中科院分区：
文献类型：
--
作者：
Catherine Stevens;D. Nelligan;L. Kelly
目的确定家庭压力检查表是否有助于产前护理提供者识别有虐待子女风险的青少年。方法我们研究了262名参加了一项以青少年为导向的综合性孕产妇计划的人。在产前阶段，家庭压力检查表被用来量化虐待的可能性，得分为25分定义为高风险。有关怀孕的社会背景和卫生保健利用模式的信息是通过自填式问卷和查阅医疗记录获得的。结果262名青少年中113名(43%)被列为高危青少年，其家庭压力自评量表得分范围为0~65(平均值+SD=20.1+1.4)。高风险青少年母亲和低风险青少年母亲进行保健维护和急诊科就诊的次数相同，但高风险组发起的紧急护理就诊明显更多(6.0+4.1比3.9+3.3；p<；.0001)。在控制了先前存在的社会人口学差异后，高危1岁儿童受到虐待的可能性是低危儿童的8.41倍(95%CI：1.77~40.01)，高危2岁儿童受到虐待的可能性是低危儿童的5.19倍(95%CI：1.99~13.60)。结论产前护理提供者可以使用家庭压力检查表系统地识别青少年母亲中的一个亚群，她们过度使用急性医疗保健服务和虐待子女的倾向表明需要额外的支持服务。
ObjectiveTo determine if the Family Stress Checklist helps prenatal care providers identify adolescents who are at risk for mistreating their children.MethodsWe studied 262 participants in a comprehensive, adolescent-oriented maternity program. During the prenatal period, the Family Stress Checklist was used to quantify abuse potential, with scores >25 defining high risk. Information about the social context of the pregnancy and the pattern of health care utilization was obtained with a self-administered questionnaire, and by reviewing the medical records. Major disruption of primary care giving by the adolescent mother was classified hierarchically as abuse, neglect, and abandonment.ResultsFamily Stress Checklist scores ranged from 0 to 65 (mean + SD = 20.1 + 1.4); 113 (43%) of the 262 teenagers were classified as high risk. High and low risk adolescent mothers made an equivalent number of health maintenance and Emergency Department visits, but the high risk group initiated significantly more acute care visits (6.0 + 4.1 compared to 3.9 + 3.3; p < .0001). After controlling for pre-existing sociodemographic differences, high risk 1-year-olds were 8.41 (95% CI:1.77–40.01) times and high risk 2-year-olds 5.19 (95% CI:1.99–13.60) times more likely to have been mistreated than their low risk counterparts.ConclusionsPrenatal care providers can use the Family Stress Checklist to systematically identify a subgroup of adolescent mother whose excessive use of the acute medical care services and propensity for mistreating their children suggests the need for additional support services.
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影响因子：
8
作者：
Harris,ES;Weston,DR;Lieberman,AF
通讯作者：
Lieberman,AF
产前和婴儿护士家访对虐待儿童监测的影响。
影响因子：
8
作者：
Olds,D;HendersonJr,CR;Kitzman,H;Cole,R
通讯作者：
Cole,R
一个村庄固然不错，但是……需要长效避孕药才能防止青少年再次怀孕。
影响因子：
5.5
作者：
Stevens-Simon,C;Kelly,L;Kulick,R
通讯作者：
Kulick,R
儿科急性疾病期间的母子互动和临床判断。
DOI：
--
发表时间：
2000
期刊：
The Journal of pediatrics.
影响因子：
--
作者：
McCarthy,P;Freudigman,K;Cicchetti,D;Mayes,L;Benitez,JL;Salloum,S;Baron,M;Fink,H;Anderson,R;LaCamera,R
通讯作者：
LaCamera,R
家访能否改善面临环境风险的妇女和儿童的健康？
影响因子：
8
作者：
Olds,DL;Kitzman,H
通讯作者：
Kitzman,H