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实施尿布不安全查的实施

Deanna Reinoso1,2,3, Haleigh Kampman1,4, Randall W Grout1,2,3,5

  • 1Regenstrief Center for Health Equity Research at Eskenazi Health, Indianapolis, Indiana.

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尿布不安全影响到城市卫生中心41%的幼儿,不成比例地影响到少数民族和非英语人口. 医疗机构的常规查可以将家庭与健康资源的重要社会驱动器联系起来.

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科学领域:

  • 儿科健康 儿科健康
  • 健康的社会决定因素
  • 公共卫生干预 公共卫生干预

背景情况:

  • 尿布不安全,定义为缺乏足够的尿布,是一个关键的,但往往被忽视的健康社会驱动因素 (SDOH),影响婴儿和儿童的福祉.
  • 解决尿布不安全问题对于保持儿童卫生,预防健康问题以及支持弱势群体内整体家庭稳定至关重要.

研究的目的:

  • 评估在安全网卫生系统中的日常尿布不安全查和尿布资源计划的实施情况.
  • 确定尿布不安全的患病率,并分析相关的人口因素,同时发生的SDOH,以及儿科患者的健康结果.

主要方法:

  • 在9个城市联邦合格卫生中心 (FQHC) 进行了一项回顾性横截面研究.
  • 在2022年6月至2024年7月期间,0-36个月龄的儿科患者被选为尿布不安全,数据从16677名独特患者的电子健康记录中提取.

主要成果:

  • 在16677名符合条件的患者中,有46%接受了查,显示尿布不安全的患病率为41%.
  • 非西班牙裔黑人 (45%) 和西班牙裔 (39.9%) 患者,以及那些更喜欢海地克里奥尔语 (66%) 患者的患病率最高. 查率在种族/种族方面是公平的,但在语言方面是不公平的.
  • 尿布不安全经常与粮食不安全 (78%),交通不安全 (65%),无家可归 (72%),住房付款不安全 (71%) 和财务不安全 (88%) 一起发生. 相关因素包括母亲抑郁症,低出生体重和急诊室访问的增加.

结论:

  • 在医疗保健环境中,常规的尿布不安全查有效地确定了显著的患病率,特别是在特定的种族,种族和语言群体中.
  • 这种综合方法提供了一个关键的机会,将面临尿布不安全的家庭与社区的基本资源和支持服务联系起来.