Cohort profile: The 'Children's Health in Care in Scotland' (CHiCS) study-a longitudinal dataset to compare health outcomes for care experienced children and general population children.

Cohort profile: The 'Children's Health in Care in Scotland' (CHiCS) study-a longitudinal dataset to compare health outcomes for care experienced children and general population children.
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DOI:
10.1136/bmjopen-2021-054664
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发表时间:
2021-09-14
期刊:
影响因子:
2.9
通讯作者:
Henderson M
Henderson M
中科院分区:
医学3区
文献类型:
--
作者:
Allik M;Brown D;Taylor Browne Lūka C;Macintyre C;Leyland AH;Henderson M

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苏格兰队列儿童保健的建立是为了提供关于有护理经验的儿童(CEC)与普通人群(CGP)儿童相比的健康结果的第一个全人群证据。到目前为止,没有数据表明CEC的客观健康结果、死亡率和妊娠率与苏格兰的CGP有何不同。CEC队列包括2009/2010年苏格兰政府儿童照顾统计(CLAS)回归和2009年学生普查(PC)的学龄儿童。一般人群队列中的儿童包括那些在2009年PC上,而不是在2007年4月1日至2016年7月31日期间的任何CLAS回报中的儿童。获得了2009年8月1日至2016年7月31日期间两个队列的各种健康结果数据,包括死亡率、处方、住院、妊娠和急诊就诊率。两个队列的社会经济地位数据可从出生登记处获得,小面积贫困措施可从PC获得。平均而言,与CGP相比,CEC在出生时的社会经济地位较低,生活在更贫困的地区。在所有健康数据集中,CEC记录事件的比例更高,并且在研究期间,他们的平均死亡率、处方率和住院率更高。接触卫生服务的原因因组群而异。将按性别和地区剥夺计算两个队列的标准化比率,以提供关于主要死亡原因、住院原因和处方类型的人口普遍性的证据。将对匹配队列进行事件历史分析,以研究安置历史和社会经济因素对健康的影响。
The Children’s Health in Care in Scotland Cohorts were set up to provide first population-wide evidence on the health outcomes of care experienced children (CEC) compared with children in the general population (CGP). To date, there are no data on how objective health outcomes, mortality and pregnancies for CEC are different from CGP in Scotland. The CEC cohort includes school-aged children who were on the 2009/2010 Scottish Government’s Children Looked After Statistics (CLAS) return and on the 2009 Pupil Census (PC). The children in the general population cohort includes those who were on the 2009 PC and not on any of the CLAS returns between 1 April 2007 and 31 July 2016. Data on a variety of health outcomes, including mortality, prescriptions, hospitalisations, pregnancies, and Accident & Emergency attendances, were obtained for the period 1 August 2009 to 31 July 2016 for both cohorts. Data on socioeconomic status (SES) for both cohorts were available from the Birth Registrations and a small area deprivation measure was available from the PC. CEC have, on average, lower SES at birth and live in areas of higher deprivation compared with CGP. A higher proportion of CEC have recorded events across all health data sets, and they experienced higher average rates of mortality, prescriptions and hospitalisations during the study period. The reasons for contacting health services vary between cohorts. Age-standardised rates for the two cohorts by sex and area deprivation will be calculated to provide evidence on population-wide prevalence of main causes of death, reasons for hospitalisation and types of prescription. Event history analysis will be used on matched cohorts to investigate the impact of placement histories and socioeconomic factors on health.
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