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日本公共援助儿童的特征和住院情况:基于人口的队列研究
Daisuke Nishioka1,2, Keiko Ueno3, Shiho Kino3,4
1Department of Social Impact Assessment, Graduate School of Medicine and School of Public Health, Kyoto University, Kyoto, Japan.
概括
在日本,接受公共援助的儿童面临更高的住院风险,特别是年幼的儿童和残疾人. 家庭条件和位置影响这些风险,突出了对儿童贫困和健康的进一步研究的需要.
科学领域:
- 儿科 儿科 儿科
- 公共卫生 公共卫生
- 健康的社会经济决定因素
背景情况:
- 儿童贫困是日本的一个重大问题,公共援助 (seikatsu-hogo) 缓解了一些医疗保健的财政障碍.
- 贫困的多维方面,不仅仅是财务方面,也会影响儿童的健康.
- 关于接受公共援助的儿童的健康状况和需求的研究有限.
研究的目的:
- 描述在日本接受公共援助的儿童.
- 确定这些儿童住院的发生率.
- 在这个脆弱人群中确定住院预测因素.
主要方法:
- 对1990年在六个日本市区接受公共援助的儿童进行了回顾性队列研究.
- 收集的数据包括人口统计数据,家庭组成,监护人的就业情况和截至2016年4月的残疾状况.
- 全因住院是主要结果,使用波松回归分析以确定预测因素.
主要成果:
- 在接受公共援助的儿童中,4.6%的儿童在一年的观察期内住院.
- 在较小的儿童和残疾儿童中观察到更高的住院率.
- 住院病例发生率根据家庭条件和居住城市有很大差异.
结论:
- 在日本,接受公共援助的儿童患入院风险较高.
- 住院住院的差异存在于不同的家庭环境和地理区域.
- 建议对综合数据进行进一步调查,以全面了解儿童贫困对健康的影响.
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