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儿童慢性疾病的"长臂":加拿大的证据使用链接的调查-行政数据
Emmanuelle Arpin1, Claire de Oliveira2, Arjumand Siddiqi3
1Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College St 4th Floor, Toronto, ON M5T 3M6, Canada; Canadian Center for Health Economics, University of Toronto, 155 College St 4th Floor, Toronto, ON M5T 3M6, Canada.
Economics and human biology
|June 22, 2023
概括
儿童精神/发育健康状况显著影响成年人的健康和社会经济地位. 早期干预和支持服务对于减轻长期负面影响至关重要.
科学领域:
- 儿童心理学 儿童心理学
- 公共卫生 公共卫生
- 健康的社会经济决定因素
背景情况:
- 连接儿童健康与成人健康结果的纵向数据很少.
- 了解早期健康状况的长期影响对于公共卫生政策至关重要.
- 国家儿童和青少年纵向调查 (NLSCY) 和T1家庭档案 (T1FF) 为这项研究提供了独特的数据集.
研究的目的:
- 调查儿童健康状况 (4-11岁) 与成人健康和社会经济结果 (21-33岁) 之间的关系.
- 确定特定的儿童健康问题,特别是心理/发育与身体状况,以及它们的差异性影响.
- 探索调解因素,如认知技能,在早期健康和后期生活结果之间的关联.
主要方法:
- 利用了NLSCY与加拿大统计局的T1FF行政税务数据之间的新联系.
- 定义了基于慢性身体或精神/发育健康诊断的初级儿童健康措施.
- 采用相互作用模型和共同变量分解来分析路径和异质效应.
主要成果:
- 儿童精神/发育健康状况比身体健康状况对成年人的健康和社会经济状况产生更大的负面影响.
- 较高的儿童家庭收入显示出潜在的缓冲效应,而较低的出生体重加剧了心理/发育健康状况的负面结果.
- 认知技能,特别是青少年数学测试成绩,部分介导了早期健康和成人结果之间的关联.
结论:
- 儿童时期的心理/发育健康挑战对成年人的福祉有持久的不利影响.
- 政策干预应侧重于预防儿童健康状况,并确保及时获得教育和卫生服务.
- 认知发展在从早期健康到成年成功的道路上发挥着关键作用.
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