HEALTH-STATUS OF CHILDREN IN FOSTER-CARE - THE EXPERIENCE OF THE CENTER-FOR-THE-VULNERABLE-CHILD
HEALTH-STATUS OF CHILDREN IN FOSTER-CARE - THE EXPERIENCE OF THE CENTER-FOR-THE-VULNERABLE-CHILD
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DOI：
10.1001/archpedi.1995.02170160040006
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发表时间：
1995-04-01
影响因子：
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通讯作者：
BERKOWITZ, G
中科院分区：
文献类型：
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作者：
HALFON, N;MENDONCA, A;BERKOWITZ, G
目的：描述寄养儿童的健康状况并说明加强初级保健模式的有用性。设计：通过图表回顾对临床队列进行横断面分析。背景：加州奥克兰儿童医院弱势儿童中心寄养项目。研究对象：1988年8月至1991年6月期间接受寄养的213名儿童。干预措施:没有。方法：采用多学科评估方案收集健康和社会病史，并进行发育、情绪和行为评估和医学检查。交叉表用于比较人口条件和特征的分布，包括安置的原因、时间和数量。结果：人群主要是非裔美国人（83.4%），平均年龄约为3岁。至少78%的儿童来自以吸毒为主要原因的家庭。94%的婴儿有母亲吸毒史。放置的数量从1到8不等（平均2.0）。职位变动很常见。超过20%的儿童有生长异常，30%有神经异常，16%有哮喘。不到20%的儿童没有任何疾病，而28.8%的儿童有三种或三种以上的疾病。超过80%的儿童有发育、情感或行为问题。情感、关系和行为问题在2岁以后首次安置的儿童和那些安置次数较多的儿童中更为常见(chi(2)=12.6， P
Objectives: To describe the health status and to illustrate the usefulness of an enhanced primary care model for children in foster care.Design: Cross-sectional analysis of a clinical cohort via chart review.Setting: Foster Care Program of the Center for the Vulnerable Child at the Children's Hospital, Oakland, Calif.Subjects: Two hundred thirteen children in foster care assessed between August 1988 and June 1991.Interventions: None.Methods: A multidisciplinary assessment protocol was used to collect health and social histories and to conduct developmental, emotional, and behavioral assessments and medical examinations. Cross-tabulations were used to compare distributions of conditions and characteristics of the population, including the reasons for, timing of, and number of placements.Results: The population was largely African-American (83.4%), with a mean age of approximately 3 years. At least 78% of children came from homes where drug use was a primary reason for placement. A history of maternal drug use was present in 94% of infants. The number of placements ranged from one to eight (mean, 2.0). Placement changes were common. Over 20% of children had growth abnormalities, 30% had neurologic abnormalities, and 16% had asthma. Fewer than 20% of children had no medical conditions, while 28.8% had three or more conditions. Over 80% of children had developmental, emotional, or behavioral problems. Emotional, relational, and behavioral problems were more common in children first placed after 2 years of age and in those with a greater number of placements (chi(2)=12.6, P