孕产妇残疾和新生儿退休到社会服务:基于人口的研究
Claire Grant1, Yona Lunsky2,3,4, Astrid Guttmann4,5,6
1Department of Epidemiology and Public Health, University College London, London, United Kingdom.
International journal of population data science
|April 11, 2025
概括
患有残疾母亲的新生儿面临更高的退院到社会服务的风险. 这凸显了为确保儿童福祉而为这些家庭提供有针对性的支持的必要性.
科学领域:
- 公共卫生 公共卫生
- 社会工作 社会工作 社会工作
- 儿科 儿科 儿科
背景情况:
- 社会服务部门将儿童带走是最后的手段,但新生儿被送往护理的数量正在增加.
- 母婴分离会影响儿童的发育,引发人们对早期干预的担忧.
- 残疾妇女经常面临关于育儿能力的偏见假设,对新生儿的结果的数据有限.
研究的目的:
- 调查残疾和没有残疾的母亲中新生儿被送往社会服务的风险.
- 为了比较各种类型的残疾母亲所产生的婴儿与没有残疾母亲所产生的婴儿在社会服务中排放的比例.
主要方法:
- 在加拿大安大略省 (2008-2019) 进行的一项基于人口的队列研究分析了单子活产.
- 修改Poisson回归估计了出院到社会服务的相对风险 (RR).
- 比较组包括身体,感官,智力/发育和多重残疾的母亲的新生儿与没有残疾的新生儿.
主要成果:
- 患有残疾母亲的新生儿有明显更高的退休到社会服务的风险.
- 具体风险:身体残疾 (aRR 1.53),感官残疾 (aRR 1.34),智力/发育残疾 (aRR 5.34),多重残疾 (aRR 3.09) 与没有残疾的母亲相比 (0.2%).
- 关键预测因素包括年轻的孕产妇年龄,低收入,社会援助,孕产妇精神疾病/吸毒,不充分的产前护理和新生儿发病率.
结论:
- 来自残疾母亲的婴儿面临被送往社会服务机构的高风险.
- 这些发现强调了为残疾母亲及其新生儿开发专门支持系统的必要性.
- 量身定制的干预措施有可能减轻风险,并改善弱势家庭的结果.
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