宾夕法尼亚州寄养系统中幼儿的铁状况,发育和行为
Amrita Arcot1, Xueyi Xing2, Xiang Gao1,3
1Department of Nutritional Sciences, The Pennsylvania State University, University Park, PA, United States of America.
PloS one
|August 17, 2023
概括
贫血影响到宾夕法尼亚州寄养儿童的2.7%. 贫血与发育迟缓和行为问题有关,包括适应障碍和易怒.
科学领域:
- 儿科健康 儿科健康
- 儿童发展 儿童发展
- 公共卫生 公共卫生
背景情况:
- 寄养儿童是一个脆弱的人群,面临着重大的身体和心理健康挑战.
- 在这个人群中,营养状况,特别是贫血,研究不足.
- 很少有研究量化了贫血患病率,或检查了其与美国寄养家庭发展和行为结果的联系.
研究的目的:
- 确定6个月至10岁的儿童在宾夕法尼亚州寄养家庭或从宾夕法尼亚州寄养家庭收养的贫血患病率.
- 在这个群体中调查贫血状况与发育和行为诊断之间的关联.
主要方法:
- 医疗补助分析数据库 (Medicaid Analytic eXtract) 的二次数据分析 (2010-2015年).
- 纳入标准:6个月至10岁的儿童在宾夕法尼亚州的寄养家庭中或从宾夕法尼亚州的寄养家庭中收养.
- 后勤回归用于计算健康结果的调整几率比率.
主要成果:
- 总共有50,311名儿童被分析;2.7% (1,365) 患有贫血.
- 患有贫血的儿童出现延迟里程碑的可能性更高 (AOR: 2.38),特定的发育延迟 (AOR: 1.59),适应障碍 (AOR: 1.59) 和易怒 (AOR: 10.57).
结论:
- 宾夕法尼亚州寄养儿童的贫血患病率与全国水平一致.
- 贫血与寄养儿童发育迟缓和行为诊断的可能性增加有关.
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