Foster Byron Alexander, Read Debra, Bethell Christina
Department of Public Health and Preventive Medicine, Oregon Health and Science University, Portland, Oregon, USA.
Pediatrics. 2009 Oct;124(4):1152-61. doi: 10.1542/peds.2008-2746. Epub 2009 Sep 28.
We examined how Hispanic children, with stratification according to language to approximate acculturation, differed with respect to sociodemographic characteristics and medication use. We also examined how different factors were associated with the use of different classes of prescription medications.
We used data from the 2004 Medical Expenditure Panel Survey linked to the National Health Interview Survey. Independent variables were grouped as predisposing characteristics, enabling factors, perceived need, and evaluated need. Multivariate logistic regression was used to assess the impact of independent variables on the outcomes of overall and specific types of medication use.
Hispanic, Spanish-interviewed children were less likely to have a usual source of care than were Hispanic, English-interviewed subjects. Both groups had lower odds of using any prescription medication, compared with white children, which was explained largely by having a usual source of care. The lower use of psychiatric medications in the Spanish-interviewed group was not explained by the independent variables, whereas the difference in the use of antibiotics was.
There are differences between Hispanic children according to acculturation, and acculturation affects prescription medication use. These findings may be used to address more specifically the needs of Hispanic children, particularly mental health needs.
我们研究了西班牙裔儿童在根据语言分层以近似文化适应程度的情况下，在社会人口学特征和药物使用方面的差异。我们还研究了不同因素与不同类别处方药使用之间的关联。
我们使用了与《国民健康访谈调查》相关联的2004年医疗支出小组调查的数据。自变量被分为易患特征、促成因素、感知需求和评估需求。多变量逻辑回归用于评估自变量对总体和特定类型药物使用结果的影响。
与接受英语访谈的西班牙裔儿童相比，接受西班牙语访谈的西班牙裔儿童不太可能有常规的医疗服务来源。与白人儿童相比，两组使用任何处方药的几率都较低，这在很大程度上可以通过有常规的医疗服务来源来解释。接受西班牙语访谈的组中精神科药物使用较少这一情况无法用自变量来解释，而抗生素使用方面的差异则可以。
根据文化适应程度，西班牙裔儿童之间存在差异，且文化适应程度会影响处方药的使用。这些发现可用于更具体地满足西班牙裔儿童的需求，尤其是心理健康需求。
