公共保险儿童心理健康诊断的趋势
Janet R Cummings1, Xin Hu1,2, Jordan Marchak3,4
1Department of Health Policy and Management, Emory University Rollins School of Public Health, Atlanta, Georgia.
JAMA
|April 24, 2025
概括
从2010年到2019年,公共保险儿童的心理健康和神经发育障碍的诊断显著增加. 这一趋势凸显了对这些弱势群体的服务需求.
科学领域:
- 儿童健康
- 公共卫生政策
- 心理健康服务研究
背景情况:
- 贫困儿童面临更高的心理健康和神经发育障碍的风险.
- 公共保险计划,如医疗补助, 覆盖超过三分之一的美国儿童, 但这些疾病的诊断趋势尚不清楚.
研究的目的:
- 估计公共保险儿童中精神健康和/或神经发育障碍诊断的多州趋势.
- 分析2010年至2019年的诊断百分比变化.
主要方法:
- 一个连续的,横截面研究利用22个州的行政索赔数据.
- 分析3至17岁儿童的诊断趋势
- 对人口,社会经济因素和地理变量进行控制的回归模型.
主要成果:
- 患有任何心理健康或神经发育障碍的公开保险儿童的百分比从2010年的10.7%上升到2019年的16.5%.
- 在13个特定诊断类别中的9个中观察到显著的增加.
- 最大的增加包括注意力缺陷/多动症,创伤和压力相关疾病,焦虑症,自闭症谱系障碍,抑郁症和其他神经发育障碍.
结论:
- 在2010年至2019年期间,公共保险儿童的精神健康和神经发育障碍诊断显著增加.
- 这些发现强调了在安全网系统内加强对适当心理健康和神经发育服务的必要性.
- 进一步的研究和政策干预是有必要的,以应对日益增长的诊断率,并确保为这一群体提供适当的护理.
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