发育障碍与儿童更高的未满足的社会需求有关
Alexandra L Falkenberg1, Samantha R Levano2, Miya Lemberg3
1Rose F. Kennedy Children's Evaluation and Rehabilitation Center, Department of Pediatrics, Albert Einstein College of Medicine, Children's Hospital at Montefiore, Bronx, NY.
The Journal of pediatrics
|September 17, 2025
概括
与初级保健患者相比,发育障碍 (DD) 的儿科患者报告与健康相关的社会需求 (HRSN) 的可能性是初级保健患者的两倍多. 卫生系统应实施战略,以识别和解决DD儿童的这些关键需求.
科学领域:
- 儿科健康 儿科健康
- 健康差异 在健康上的差异
- 健康的社会决定因素
背景情况:
- 与健康相关的社会需求 (HRSN) 显著影响儿科健康结果.
- 发育障碍 (DD) 可能与对HRSN的脆弱性增加有关.
- 了解儿科人口中HRSN患病率对于公平护理至关重要.
研究的目的:
- 为了比较儿童发育障碍 (DD) 患者和初级保健 (PC) 患者之间报告至少一个HRSN的可能性.
- 在儿科队列中量化DD状态和HRSN自我报告之间的关联.
主要方法:
- 在一个大型城市卫生系统进行的横截面研究,比较了DD患者 (n=1420) 和PC患者 (n=32,143).
- 使用标准化的HRSN选器评估住房,公用事业,食品,运输,成本,护理和法律需求.
- 采用多变量后勤回归分析,调整社会人口统计因素.
主要成果:
- 30.0%的DD儿科患者报告至少有一次HRSN,而PC患者的比例为12.6%.
- 患有DD的儿科患者报告至少一个HRSN的几率是2.49倍 (95%CI:2.20,2.82).
结论:
- 患有发育障碍的儿科患者面临着与健康相关的社会需求的显著更高的负担.
- 卫生系统必须制定有针对性的工作流程,以识别和解决DD儿童的HRSN.
- 需要进一步的研究来探索导致这种差异的潜在因素.
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