孕产妇残疾和早期儿童预防性护理
Hilary K Brown1,2,3,4, Clare Taylor5, Andi Camden1,6,4
1Department of Health & Society, University of Toronto Scarborough, Toronto, Ontario, Canada.
Pediatrics
|September 23, 2024
概括
智力或发育障碍母亲的孩子的健康儿童访问和免疫接种较少. 这凸显了改善这一弱势群体获得预防性医疗保健的必要性.
科学领域:
- 儿科健康 儿科健康
- 关于残疾人的研究.
- 公共卫生 公共卫生
背景情况:
- 预防性医疗保健,包括健康的儿童访问和免疫接种,对儿童发育至关重要.
- 身体,感官或智力或发育障碍的母亲经常面临自己的医疗保健障碍.
- 目前尚不清楚这些障碍是否延伸到他们的幼儿获得预防性医疗保健.
研究的目的:
- 调查母亲患有不同类型残疾的幼儿在预防性医疗保健获取方面的差异.
- 为了比较有残疾和没有残疾的母亲的孩子之间的健康儿童访问,免疫接种和发育查率.
主要方法:
- 加拿大安大略省的一项基于人口的研究分析了2012年至2019年间出生儿童的数据.
- 包括身体,感官,智力/发育残疾,多重残疾或没有残疾的母亲.
- 主要结果:在前两年接受推的健康儿童访问和免疫接种;次要结果:发育评估和查. 计算了调整后的相对风险 (aRR).
主要成果:
- 智力或发育障碍的母亲的孩子不太可能接受推的健康儿童访问 (aRR 0.92) 和常规免疫接种 (aRR 0.88).
- 这些儿童的增强18个月发展评估率 (aRR 0.92) 和任何发展查率 (aRR 0.94) 也较低.
- 对于身体或感官残疾的母亲的孩子,与没有残疾的孩子相比,没有明显的差异.
结论:
- 智力或发育障碍母亲的孩子在获得基本的预防性医疗保健服务方面存在重大差异.
- 需要有针对性的资源和干预措施,以改善智力或发育障碍母亲的幼儿获得医疗保健.
- 进一步的研究应该探索导致这些差异的具体障碍,以告知政策和实践.
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