社会和患者因素与儿童精神卫生住院的情绪变化有关:一项回顾性病例对照研究
Hannah Miller1,2, Dongho Shin3,4, Le Kang3
1Department of Pediatrics, Children's Hospital of Richmond at Virginia Commonwealth University, Richmond, VA, USA.
Clinical pediatrics
|January 13, 2026
概括
儿科精神健康登机率正在上升. LGBTQ+年轻人不太可能被送回家,突出了影响治疗机会和需要精神病治疗的儿童最终处置的社会因素.
科学领域:
- 儿科心理健康 儿科心理健康
- 医疗服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 儿科精神健康危机正在增加患者登机率.
- 社会因素对儿科精神病患者的治疗途径和最终处置有重大影响.
- 了解这些因素对于改善护理准入至关重要.
研究的目的:
- 调查社会因素对儿科患者最终处置的作用,建议住院精神病治疗.
- 为了确定与出院到家与转移到住院医院相关的患者特征.
主要方法:
- 进行了一项单一中心的回顾性病例控制研究.
- 包括18岁以下的患者,精神健康首席投诉需要住院精神病治疗.
- 使用单变量和多重物流回归分析来评估与最终处置的关联.
主要成果:
- 患者认定自己是女同性恋,男同性恋,双性恋,变性人,酷尔和质疑 (LGBTQ+) 与退院到家的可能性较低或护理水平较低有关 (OR = 0.39,95% CI = 0.18-0.77).
- 确定了其他社会因素与最终处置有显著关联.
- 这些发现强调了弱势儿科人口在护理过渡中的差异.
结论:
- 社会因素,特别是LGBTQ+认同,在儿童心理健康患者的最终处置中发挥着重要作用.
- 需要进一步的研究来澄清这些关联及其对长期心理健康结果的影响.
- 解决社会决定因素对于公平地为儿童提供心理健康护理至关重要.
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