Archives of pediatrics & adolescent medicine · 2009
Health care use and health and functional impact of developmental disabilities among US children, 1997-2005.
Сравнительное исследованиеСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Boulet Sheree L, Boyle Coleen A, Schieve Laura A
Аннотация
OBJECTIVE: To present nationally representative estimates of health-related limitations, needs, and service use among US children with and without developmental disabilities (DDs).
DESIGN: Retrospective analysis of data from a sample of US households from the 1997-2005 National Health Interview Surveys.
PARTICIPANTS: Children aged 3 to 17 years (n = 95 132).
MAIN OUTCOME MEASURES: Parents or other knowledgeable adults reported on their children's DDs, health needs, and use of health and education services. Developmental disabilities included attention-deficit/hyperactivity disorder, autism, blindness, cerebral palsy, deaf/a lot of trouble hearing, learning disability, mental retardation, seizures, stuttering/stammering, and other developmental delay.
RESULTS: Among children with 1 or more DDs, prevalence estimates for limitations in movement (6.1%), needed help with personal care (3.2%), needed special equipment (3.5%), received home health care (1.4%), and regularly took prescription medication(s) (37.5%) were 4 to 32 times higher than for children without DDs. Children with DDs were 2 to 8 times as likely to have had more than 9 health care visits (14.9%), received special education (38.8%), had a surgical or medical procedure (7.5%), and recently visited a medical specialist (23.9%), mental health professional (26.6%), therapist/allied health professional (19.6%), and/or emergency department (10.3%). Effects were generally stable during the study interval and independent of age, race, sex, and family income. Cerebral palsy, autism, mental retardation, blindness, and deafness/a lot of trouble hearing were associated with the highest levels of health and functional impact indicators.
CONCLUSIONS: Developmental disabilities profoundly affect children's health and functioning. These data can inform evidence-based targeted prevention strategies for minimizing functional limitations and lifetime disability. Additional study of unmet needs and access to care is needed.
DESIGN: Retrospective analysis of data from a sample of US households from the 1997-2005 National Health Interview Surveys.
PARTICIPANTS: Children aged 3 to 17 years (n = 95 132).
MAIN OUTCOME MEASURES: Parents or other knowledgeable adults reported on their children's DDs, health needs, and use of health and education services. Developmental disabilities included attention-deficit/hyperactivity disorder, autism, blindness, cerebral palsy, deaf/a lot of trouble hearing, learning disability, mental retardation, seizures, stuttering/stammering, and other developmental delay.
RESULTS: Among children with 1 or more DDs, prevalence estimates for limitations in movement (6.1%), needed help with personal care (3.2%), needed special equipment (3.5%), received home health care (1.4%), and regularly took prescription medication(s) (37.5%) were 4 to 32 times higher than for children without DDs. Children with DDs were 2 to 8 times as likely to have had more than 9 health care visits (14.9%), received special education (38.8%), had a surgical or medical procedure (7.5%), and recently visited a medical specialist (23.9%), mental health professional (26.6%), therapist/allied health professional (19.6%), and/or emergency department (10.3%). Effects were generally stable during the study interval and independent of age, race, sex, and family income. Cerebral palsy, autism, mental retardation, blindness, and deafness/a lot of trouble hearing were associated with the highest levels of health and functional impact indicators.
CONCLUSIONS: Developmental disabilities profoundly affect children's health and functioning. These data can inform evidence-based targeted prevention strategies for minimizing functional limitations and lifetime disability. Additional study of unmet needs and access to care is needed.
Предметные рубрики MeSH
AdolescentAge FactorsAttention Deficit Disorder with HyperactivityAutistic DisorderCerebral PalsyChildChild WelfareChild, PreschoolDatabases, FactualDelivery of Health CareDevelopmental DisabilitiesFemaleHealth StatusHumansIntellectual DisabilityLearning DisabilitiesMaleMental HealthRetrospective StudiesRisk AssessmentSex FactorsSocioeconomic FactorsTreatment OutcomeUnited States