移民一代在低收入家庭中使用医疗保健 具有特殊医疗需求的儿童
Marina Masciale1, Todd Leroux2, Karla Fredricks1
1Department of Pediatrics, Baylor College of Medicine, Houston, Texas.
Academic pediatrics
|May 21, 2025
概括
来自移民家庭的特殊医疗需求儿童面临更多的社会挑战,但不经常使用紧急服务. 这表明潜在的利用不足,突出了对这些弱势群体更好地获得护理和保险的需求.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
背景情况:
- 来自低收入家庭的特殊医疗需求儿童 (CSHCN) 经历了重大的社会压力因素.
- 移民一代的地位是一个关键的人口因素,影响了CSHCN中医疗保健的获取和利用.
- 了解各种CSHCN人群在医疗保健获取方面的差异对于公平的健康结果至关重要.
研究的目的:
- 描述移民一代在低收入CSHCN中的社会压力因素和医疗保健准入.
- 确定移民世代与医疗保健利用 (ER访问,住院治疗) 之间的关联.
主要方法:
- 使用国家儿童健康调查 (2018-2022) 的回顾性横截面研究.
- 包括在联邦贫困水平的200%或以下的CSHCN.
- 分析了人口统计,移民一代,社会压力因素和医疗保健因素;结果包括急诊室访问和住院治疗.
主要成果:
- 第一代移民CSHCN家庭报告了更多的西班牙裔种族,非英语家庭,由于儿童健康而减少工作,儿童健康状况不佳,缺乏保险和缺乏医疗家园.
- 在第一代,第二代和非移民CSHCN中,急诊室 (ER) 访问和住院率相似.
- 在对共变量进行控制后,移民的产生与急诊室访问或住院没有显著的关联.
结论:
- 来自移民家庭的CSHCN经历了更大的健康挑战,并减少了对医疗机构的访问,但没有更高的ER利用率.
- 类似的使用率可能表明移民CSHCN中紧急服务的使用率不足.
- 建议包括解决健康的社会驱动因素,并扩大低收入CSHCN的公共保险,以确保获得适当的护理.
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