在智力和发育障碍的年轻人中参与寄养护理
Lindsay Shea1, Melissa L Villodas2, Jonas Ventimiglia1
1Policy and Analytics Center, A.J. Drexel Autism Institute, Philadelphia, Pennsylvania.
JAMA pediatrics
|February 12, 2024
概括
黑人或女性的智力和发育障碍 (I/DD) 的年轻人,以及年长的年轻人,面临着更高的托儿所参与的风险. 这凸显了差距和需要为弱势群体提供公平的卫生服务.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 关于残疾人的研究.
背景情况:
- 与同龄人相比,智力和发育障碍 (I/DD) 的年轻人经历了更高的寄养率.
- 了解与寄养参与相关的社会人口因素对于解决这个人口中的差异和服务需求至关重要.
研究的目的:
- 在寄养家庭中对患有I/DD的年轻人进行人口层面分析.
- 根据种族,种族,年龄和性别,检查寄养家庭参与率的差异.
主要方法:
- 采用转型医疗补助统计信息系统 (T-MSIS) 分析文件 (TAF) 进行的横截面研究,用于2016年美国所有50个州和华盛顿特区.
- 分析包括所有年龄在21岁及以下的I/DD患者,他们通过寄养方式获得医疗补助.
- 使用后勤回归来评估寄养家庭参与风险与人口因素之间的关联.
主要成果:
- 2016年,共有39,143名患有I/DD的年轻人参与了寄养护理.
- 黑人年轻人 (aOR, 1.37) 和女性 (aOR, 1.18) 显示他们更有可能被寄养.
- 在所有诊断子组中,随着年龄的增长,寄养家庭参与的风险显著增加.
结论:
- 黑人青年和患有I/DD的女性面临不成比例地更高的托儿所参与的风险,风险随年龄而增加.
- 迫切需要进行研究,以识别和解决导致这些风险增加的系统因素.
- 公平的医疗服务提供需要理解和解决黑人和患有I/DD的女性年轻人的特定需求.
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