在小儿传染病的社会经济和心理社会需求 门诊患者设置
Melissa E Day1,2, Chitravati Choony1, Qing Duan3
1Division of Infectious Diseases, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Clinical pediatrics
|January 8, 2026
概括
儿童传染病诊所应查与健康相关的社会需求 (HRSNs) 和不良童年经历 (ACEs). 查可以识别社会经济贫困,减少儿童的健康不平等.
科学领域:
- 儿童传染病 儿童传染病
- 健康的社会决定因素
- 健康 公平 卫生 公平
背景情况:
- 儿童传染病 (ID) 门诊机构往往忽视了家庭的心理社会需求.
- 针对与健康相关的社会需求 (HRSNs) 和不良童年经历 (ACEs) 的例行查不是标准的做法.
研究的目的:
- 评估儿科ID门诊机构中HRSN,护理人员ACE和社区社会经济贫困指数 (SDI) 得分的流行情况.
- 探索HRSN与社会经济贫困之间的关系.
主要方法:
- 调查了306名儿科ID门诊患者的护理人员,他们使用了HRSN和ACE的纸质问卷.
- 使用地理编码地址来确定社区级SDI分数.
- 分析了流行率和变量之间的相关性数据.
主要成果:
- 护理人员报告了高焦虑率 (70%),抑郁 (20%) 和粮食不安全 (10%).
- 20%的护理人员报告经历了四次或更多次ACE.
- 与没有粮食不安全的儿童相比,粮食不安全的儿童的SDI中位数 (0.61) 与没有粮食不安全的儿童 (0.28) 相比显著更高.
结论:
- 儿科ID临床医生可以在解决心理社会挑战方面发挥至关重要的作用.
- 将HRSN和ACE查与SDI风险分层整合起来,可以帮助减少健康不平等.
- 系统性查对于识别和减轻儿科人口健康的社会决定因素至关重要.
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