MEXICAN AMERICAN CHILDREN: HEALTH NEEDS AND USE OF HEAL

墨西哥裔美国儿童：健康需求和治疗的使用

• 批准号: 3427060
• 负责人: CARLOS CASTILLO-SALGADO
• 金额: $ 2.16万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1986
• 资助国家: 美国
• 起止时间: 1986-04-01 至 1987-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3427060
• 关键词: Mexican Americans; child (0-11); culture; health care quality; health care service evaluation; health care service utilization; human population study; infant human (0-1 year); middle childhood (6-11); preschool child (1-5); socioeconomics

The United States has the sixth largest Hispanic population in the World (15 million in March 1983). Among Hispanics the population of Mexican origin is by far the largest group (59.4%) with a growth of 93% from 1970 to 1980. However, until recently policy makers have had difficulty in finding accurate and reliable information about the characteristics, health needs and utilization patterns of health services of this group. A major gap is the lack of knowledge about the Mexican-American Children's needs for health care. This subgroup had the lowest physicians contacts when compared with other children (about 3 visits per child per year). In 1982, the Department of Health and Human Services initiated a Hispanic Health and Nutrition Examnation Survey (HHANES). This investigation will use data generated by this HHANES to examine the health needs and levels of utilization for these needs using both "medically defined need" (by medical examiner) and self-reported need. Selected socioeconomic, demographic and cultural factors will be assessed in order to determine their impact in the utilization rates of health care among this group. The specific objectives include: 1) to assess by medical examination and self-reported procedures the health status of Mexican-American children including selected chronic diseases, acute conditions and risk factors, 2) to ascertain the extent in which physicians and other health are personnel were contacted when illness or injury was experienced by Mexican-American children, 3) to ascertain the extent to which physicians and other health care personnel were contacted for routine preventive care as recommended by the American Academy of Pediatrics guidelines, 4) to evaluate differences in utilization of health care among Mexican-American families with different level of acculturation (measured by location of birth, language spoken and place of education), 5) to assess the relative importance that selected socioeconomic, demographic and health status characteristics have in the pattern of health care utilization among Mexican-American children, and 6) to identify in this group the degree of agreement between self-reported and medically evaluated health needs. Four major target chronic diseases, six health status indicators, four indicators of utilization and eight indicators of utilization in relation to need will be used in evaluating the health care needs of this group. By identifying the health needs and the factors associated with unmet needs, recommendations may emerge for targetting programs and policies to effectivelys serve the ever-increasing health needs of the Mexican-American children.

美国拥有世界第六大西班牙裔人口 （1983 年 3 月为 1500 万）。 在西班牙裔人口中，墨西哥人 原产地是迄今为止最大的群体（59.4%），比 1970 年增长了 93% 到 1980 年。然而，直到最近，政策制定者还难以 寻找有关特征、健康状况的准确可靠的信息 该群体的卫生服务需求和利用模式。 一个专业 差距在于缺乏对墨西哥裔美国儿童需求的了解 用于医疗保健。 该亚组在以下情况下与医生的接触最少 与其他儿童相比（每个儿童每年约 3 次就诊）。 1982年， 卫生与公共服务部发起了一项西班牙裔健康与 营养检查调查（HHANES）。 本次调查将使用数据 由该 HHANES 生成，用于检查健康需求和水平 利用“医学定义的需求”（通过医学定义的需求）来满足这些需求 考官）和自我报告的需求。 选定的社会经济、人口和 将评估文化因素，以确定其对 该群体的医疗保健利用率。 具体目标包括： 1）通过体检和评估 自我报告程序 墨西哥裔美国儿童的健康状况 包括选定的慢性疾病、急性病症和危险因素，2) 确定医生和其他卫生人员属于人员的程度 当墨西哥裔美国人生病或受伤时联系 儿童，3) 确定医生和其他健康状况 根据建议联系护理人员进行常规预防性护理 美国儿科学会指南，4) 评估差异 墨西哥裔美国家庭对医疗保健的利用情况 不同的文化适应水平（通过出生地点、语言来衡量） 口语和教育地点），5）评估相对重要性 选定的社会经济、人口和健康状况特征 墨西哥裔美国儿童的医疗保健利用模式， 6）确定该组中之间的一致程度 自我报告和医学评估的健康需求。 四大目标 慢性病、六项健康状况指标、四项健康指标 利用率和与需求相关的八项利用率指标将 用于评估该群体的医疗保健需求。 通过识别 健康需求以及与未满足需求相关的因素、建议 可能会出现有针对性的计划和政策，以有效地服务于 墨西哥裔美国儿童不断增长的健康需求。