Social Determinants and Treatment of Mental Disorders Among Children: Analysis of Data From the National Survey of Children's Health.

Social Determinants and Treatment of Mental Disorders Among Children: Analysis of Data From the National Survey of Children's Health.
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DOI:
10.1176/appi.ps.202100307
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发表时间:
2022-08-01
影响因子:
3.8
通讯作者:
Sievert, Kristen
Sievert, Kristen
中科院分区:
医学3区
文献类型:
--
作者:
Triplett, Noah S.;Luo, Meredith;Nguyen, Julie K.;Sievert, Kristen

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这项研究调查了健康的社会决定因素(SDoH)与美国儿童需要和获得精神治疗之间的关系。数据来自2019年全国儿童健康调查,这是一项具有全国代表性的美国儿童家长代理调查。父母(N=29,433)完成了自我报告调查,并指出他们的孩子是否需要和接受精神治疗。据报道,总共有3425名儿童(12%)有情绪、发育或行为问题,他们需要治疗或咨询。此外,据报告,605名儿童(18%表示需要治疗)在过去一年中没有接受精神治疗。一些SDoH与更大的治疗需求和更低的获得治疗的可能性有关。研究结果强调,需要更多地关注社会和系统对儿童心理健康的影响。解决社会决定因素可能有助于改善精神健康和便利获得治疗。
This study examined associations between social determinants of health (SDoHs) and need for and access to psychiatric treatment for U.S. children. Data were from the 2019 National Survey of Children’s Health, a nationally representative parent-proxy survey of U.S. children. Parents (N = 29,433) completed self-report surveys and indicated whether their children needed and received psychiatric treatment. In total, 3,425 children (12%) were reported to have an emotional, developmental, or behavioral problem for which they needed treatment or counseling. Additionally, 605 children (18% of those who indicated treatment needs) were reported to have not received psychiatric treatment in the past year. Several SDoHs were associated with greater need for treatment and lower likelihood of accessing treatment. Findings highlight the need for greater attention to social and systemic influences on children’s mental health. Addressing social determinants may be beneficial in improving mental health and facilitating access to treatment.
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