Maternal and Child Health Bureau, Health Resources and Services Administration, 5600 Fishers Lane, Rockville, MD, USA.
J Dev Behav Pediatr. 2012 Jan;33(1):42-54. doi: 10.1097/DBP.0b013e31823e18fd.
To explore geographic differences in diagnosed emotional and behavioral mental health conditions and receipt of treatment.
Data are from the 2007 National Survey of Children's Health, a nationally representative, parent-reported, cross-sectional survey. Pediatric mental health conditions were identified using parents' responses to 3 questions regarding whether a health care provider had ever told them that their child had depression, anxiety problems, or behavioral or conduct problems. Parents also reported on past-year treatment or counseling by a mental health professional. State-level differences in condition prevalence were identified using unadjusted and adjusted prevalence estimates. Multivariate logistic regression assessed the odds of not receiving treatment by state and diagnoses.
Nearly 8% of children aged 6 to 17 years have ever been diagnosed with depression or anxiety, and 5.4% have ever been diagnosed with behavioral or conduct problems. State-level estimates of parent-reported depression or anxiety varied from 4.8% in Georgia to 14.4% in Vermont, while prevalence of behavioral problems ranged from 3.2% in California to 9.2% in Louisiana. Nearly 10% of all school-aged children and 53.1% of those ever diagnosed with either condition type received past-year treatment. The odds of receiving past-year parent-reported treatment did not differ by state of residence with the exception of Louisiana and Nevada: children ever diagnosed had approximately 2.5 times the odds of not receiving past-year treatment in these states.
The prevalence of parent-reported mental health disorders among children varies by geographic and sociodemographic factors, while receipt of treatment is generally dependent on sociodemographic and health-related factors.
探讨诊断出的情绪和行为心理健康状况以及治疗的地域差异。
数据来自 2007 年全国儿童健康调查，这是一项具有全国代表性的、由父母报告的、横断面调查。儿科心理健康状况是通过父母对三个问题的回答来确定的，这些问题是关于医疗保健提供者是否曾经告诉他们孩子患有抑郁症、焦虑症、行为或品行问题。父母还报告了过去一年是否接受过心理健康专业人员的治疗或咨询。通过未调整和调整后的流行率估计值，确定了各州之间疾病流行率的差异。使用多变量逻辑回归评估了各州和诊断结果对未接受治疗的可能性。
年龄在 6 至 17 岁之间的儿童中，近 8%曾被诊断患有抑郁症或焦虑症，5.4%曾被诊断患有行为或品行问题。家长报告的抑郁或焦虑症的州级估计值从佐治亚州的 4.8%到佛蒙特州的 14.4%不等，而行为问题的患病率从加利福尼亚州的 3.2%到路易斯安那州的 9.2%不等。近 10%的所有学龄儿童和 53.1%的曾被诊断出患有任何一种疾病类型的儿童接受了过去一年的治疗。除了路易斯安那州和内华达州之外，儿童居住地所在州的治疗率没有差异：这些州的儿童曾被诊断出患有任何一种疾病的可能性大约是未接受过去一年治疗的 2.5 倍。
父母报告的儿童心理健康障碍的流行率因地理和社会人口因素而异，而治疗的获得通常取决于社会人口和健康相关因素。
