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错过的机会来解决未注册儿童的SNAP
Alexandra T Geanacopoulos1, Claire E Branley2, Arvin Garg3
1Division of Emergency Medicine, Boston Children's Hospital, Boston, Massachusetts.
Pediatrics
|February 12, 2025
概括
许多有资格获得营养援助 (SNAP) 的儿童获得初级保健的机会很低,黑人和非英语儿童的差异很大. 这凸显了对弱势群体的照顾差距.
科学领域:
- 儿科健康服务研究 儿童健康服务研究
- 公共卫生 营养 公共卫生 营养
- 健康差异 在健康上的差异
背景情况:
- 初级保健机构对于识别符合补充营养援助计划 (SNAP) 资格但未注册的儿童至关重要,解决"SNAP差距".
- 人们对目前旨在支持这些儿童的计划的范围有限存在担忧.
研究的目的:
- 调查有资格参加但未参加SNAP的儿童的医疗保健利用模式.
- 为了确定与这一群体的初级保健出席相关的因素.
主要方法:
- 2021年医疗支出小组调查的横截面分析.
- 包括975名符合SNAP资格/未登记的儿童 (收入低于联邦贫困水平的200%).
- 模拟SNAP资格和自我报告的入学情况;对9种访问类型进行分类;对种族,语言和慢性疾病进行后勤回归.
主要成果:
- 符合条件但未参加SNAP的儿童平均有6.04次医疗保健接触,只有52.9%的儿童接受初级保健.
- 黑人儿童 (OR=0.40),非英语使用者 (OR=0.53) 和没有慢性疾病的儿童 (OR=0.08) 的初级保健出席率明显较低.
- 专家访问 (20.4%),行为健康 (10.9%) 和牙科 (10.0%) 是常见的非初级保健服务.
结论:
- 在2021年,在有资格但未注册SNAP的儿童中观察到低初级保健出席率和显著的种族/语言差异.
- 在初级保健之外的医疗保健提供者对于支持营养计划和初级保健的双重利用不足的儿童至关重要.
- 解决这些差异对于改善整体儿童健康结果至关重要.
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