Ontario Child Health Study. II. Six-month prevalence of disorder and rates of service utilization.
Ontario Child Health Study. II. Six-month prevalence of disorder and rates of service utilization.
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安大略省儿童健康研究。
DOI：
10.1001/archpsyc.1987.01800210084013
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发表时间：
1987
影响因子：
--
通讯作者：
C. Woodward
中科院分区：
文献类型：
--
作者：
D. Offord;M. Boyle;P. Szatmari;N. Rae;P. Links;D. Cadman;J. Byles;John W. Crawford;H. Blum;C. Byrne;H. Thomas;C. Woodward
我们研究了四种儿童精神疾病（品行障碍、多动症、情绪障碍和躯体化）的六个月患病率，以及安大略省不同地区、城乡居住以及年龄和性别分组的心理健康和社会服务、流动医疗和特殊教育的服务利用模式。在 4 至 16 岁儿童中，其中一种或多种疾病的六个月总体患病率为 18.1%。城市地区多动症和一种或多种疾病的患病率明显高于农村地区。利用数据表明，与没有这些精神疾病的儿童相比，患有这些精神疾病的儿童在本研究之前的六个月内接受心理健康或社会服务的可能性几乎高出四倍。然而，其中六名儿童中有五名在过去六个月内没有接受过这些专门服务。该省超过 50% 的儿童在过去六个月内接受了门诊医疗护理。迄今为止，该省超过 15% 的儿童在求学期间曾接受过特殊教育服务。讨论了这些发现的影响，特别是对于提供儿童心理健康服务的影响。
We studied the six-month prevalence of four child psychiatric disorders (conduct disorder, hyperactivity, emotional disorder, and somatization) and patterns of service utilization for mental health and social services, ambulatory medical care and special education by different regions of Ontario, urban-rural residence, and age and sex groupings. Among children 4 to 16 years of age, the overall six-month prevalence rate of one or more of these disorders was 18.1%. The prevalences of hyperactivity and one or more disorders were significantly higher in urban areas than rural areas. The utilization data indicated that children with these psychiatric disorders, compared with children without these disorders, were almost four times more likely to have received mental health or social services in the six months preceding this study. However, five of six of these children had not received these specialized services in the previous six-month period. Over 50% of the children in the province had received ambulatory medical care in the last six months. Over 15% of the children in the province had received special education services at some time thus far in their school careers. Implications of these findings, especially for the provision of child mental health services, are discussed.