缓解弱势群体健康的不良社会决定因素:来自家庭访问计划的见解
Kevin Wei Hao Liang1,2,3, Keith Wei Han Liang1,3, Qing Rong Chan2
1Department of Paediatrics, KK Women's and Children's Hospital, Singapore.
Annals of the Academy of Medicine, Singapore
|June 26, 2024
概括
心理社会风险会对低收入家庭的儿童发展产生负面影响. 早期,像KIDS0-3这样的综合家庭访问计划对于优化弱势儿童的结果至关重要.
科学领域:
- 儿童发展 儿童发展
- 公共卫生 公共卫生
- 社会工作 社会工作 社会工作
背景情况:
- 低收入家庭面临着显著的心理社会风险和影响儿童发展的不良童年经历.
- 在KK妇女和儿童医院的儿童综合发展服务 (KIDS0-3) 计划提供家庭访问,以支持这些家庭.
研究的目的:
- 评估心理社会风险对儿童发展结果的影响.
- 评估KIDS0-3家庭访问计划的有效性.
主要方法:
- 从2014年6月到2022年10月,对469个母子二进行了图表审查.
- 利用家庭和成人支持工具来确定风险水平.
- 分析了婴幼儿发展的贝利尺度认知,语言和运动分数.
主要成果:
- 67%的家庭被确定为中度或高风险家庭.
- 中等/高风险家庭的儿童在24个月后表现出较差的认知和语言成绩.
- 十几岁的母亲和有性虐待史的母亲的孩子的认知和语言得分较低.
- 与产后招生相比,产前招生与更好的语言和运动结果相关.
结论:
- 心理社会风险显著影响新加坡低收入家庭的儿童发展.
- 早期,综合干预对于支持弱势家庭和改善儿童发展至关重要.
- 家庭访问计划显示了减轻负面影响的潜力.
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