McDougall Janette, Miller Linda T
Research Program, Thames Valley Children's Centre, London, Ontario, Canada.
Disabil Rehabil. 2003 Aug 19;25(16):922-39. doi: 10.1080/0963828031000122249.
With the aim of improving the measurement of child health and disability in survey research, this paper reviews the coverage of chronic health conditions and the domains of disability and related environmental factors as they are laid out in the ICD-10 and ICF, respectively, in national surveys of school-aged children conducted in Canada since 1980. Recommendations are made for future survey use and construction.
Two reviewers independently examined each of the surveys. Coverage of chronic health conditions, the domains of disability, and environmental factors in survey questions was identified by mapping question content onto ICD-10 and ICF codes. The reviewers then compared their findings and came to a final consensus.
Surveys vary in the range and depth of coverage of the ICD-10 and ICF chapters. Disability surveys and health surveys for persons aged 12 and over contain the most comprehensive lists of chronic conditions. Coverage of impairments is limited. Coverage of activity limitations and participation restrictions is most limited in the domains of personal care and domestic life. Environmental factors not covered include natural environmental changes, attitudes, and policies.
Development of a comprehensive standard list of chronic health conditions based on the ICD-10 and development of standard survey measures of the domains of disability and environmental factors based on the ICF for use in surveys of school-aged children would facilitate an understanding of children's health and disability in the context of the current international health framework provided by the World Health Organization.
为了改进调查研究中儿童健康与残疾状况的测量，本文回顾了自1980年以来在加拿大开展的学龄儿童全国性调查中，分别按照国际疾病分类第10版（ICD - 10）和国际功能、残疾和健康分类（ICF）所列出的慢性健康状况涵盖范围、残疾领域及相关环境因素。针对未来调查的使用和构建提出了建议。
两名评审员独立审查每项调查。通过将问题内容映射到ICD - 10和ICF编码，确定调查问题中慢性健康状况的涵盖范围、残疾领域和环境因素。评审员随后比较他们的发现并达成最终共识。
各项调查在ICD - 10和ICF章节的涵盖范围和深度上存在差异。针对12岁及以上人群的残疾调查和健康调查包含的慢性病列表最为全面。损伤的涵盖范围有限。在个人护理和家庭生活领域，活动受限和参与受限的涵盖范围最有限。未涵盖的环境因素包括自然环境变化、态度和政策。
基于ICD - 10制定一份全面的慢性健康状况标准清单，并基于ICF制定用于学龄儿童调查的残疾领域和环境因素的标准调查测量方法，将有助于在世界卫生组织提供的当前国际卫生框架背景下理解儿童的健康与残疾状况。
