Unmet Medical Needs and Food Insecurity in Children with Neurodevelopmental Disorders: Findings from the 2019 National Health Interview Survey (NHIS).
Unmet Medical Needs and Food Insecurity in Children with Neurodevelopmental Disorders: Findings from the 2019 National Health Interview Survey (NHIS).
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DOI：
10.3390/children9121798
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发表时间：
2022-11-23
期刊：
影响因子：
2.4
通讯作者：
Pati, Susmita
中科院分区：
文献类型：
--
作者：
Calixte, Rose;Helzner, Elizabeth P.;Islam, Sumaiya;Camacho-Rivera, Marlene;Pati, Susmita
在美国，17%的3-17岁儿童患有发育障碍。照顾这些儿童的复杂性要求家庭在家中提供大量的保健服务，这意味着巨大的经济成本。我们的研究确定了神经发育障碍（NDD）儿童的社会人口学特征，这些特征可以预测未满足的医疗需求和食品不安全。我们使用多变量广义线性模型和稳健的考克斯比例风险模型对结果进行建模。在NDD儿童中，7.4%报告延迟获得护理，3.6%避免获得护理，17.3%生活在经历粮食不安全的家庭中。缺乏健康保险和缺乏通常的护理来源增加了与费用有关的医疗延误和与费用有关的逃避医疗的风险。在过去的30天里，父母没有大学学位的NDD儿童和来自收入低于75，000美元的家庭的儿童的粮食不安全风险增加。我们的研究结果强调，需要实施额外的筛查，以确定NDD儿童谁是在未满足的医疗和社会需求的卫生保健提供者和护理协调组织的风险更大。
In the United States, 17% of children ages 3–17 have a developmental disorder. The complexity of care for such children require families to provide a significant amount of health care at home, representing a substantial economic cost. Our study identifies sociodemographic characteristics of children with neurodevelopmental disorders (NDD) that are predictive of unmet medical needs and food insecurity. We modeled the outcomes using a multivariable generalized linear model and a robust Cox proportional hazard model. Among children with NDD, 7.4% reported a delay in obtaining care, 3.6% avoided getting care and 17.3% live in a household that experienced food insecurity. Lack of health insurance and lack of usual source of care increased the risk for cost-related delay in medical care and cost-related avoidance of medical care. Children with NDD whose parents have less than a college degree and those from households with income <$75,000 had increased risk for food insecurity in the past 30 days. Our results underscore the need to implement additional screening to identify children with NDD who are at greater risk for unmet medical and social needs by health care providers and care coordination organizations.
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