Office of Epidemiology and Research, Maternal and Child Health Bureau, Health Resources and Services Administration, US Department of Health and Human Services, Rockville, MD 20857, USA.
Am J Public Health. 2013 Jun;103(6):e99-e106. doi: 10.2105/AJPH.2012.301001. Epub 2013 Apr 18.
We compared estimates for children with and without special health care needs (SHCN) at 2 time periods for national health objectives related to the Healthy People 2010 leading health indicators (LHIs).
Data were from the 2003 and 2007 National Surveys of Children's Health. Seven survey items were relevant to the LHIs and available in both survey years: physical activity, obesity, household tobacco use, current insurance, personal health care provider, past-month depressive symptoms, and past-year emergency department visits.
In 2003 and 2007, children with SHCN fared worse than those without SHCN with respect to physical activity, obesity, household tobacco exposure, depressive symptomology, and emergency department visits, but fared better on current insurance and having a personal health care provider. Physical activity and access to a personal health care provider increased for all children, whereas the absolute disparity in personal provider access decreased 4.9%.
Significant disparities exist for key population health indicators between children with and without SHCN. Analyses illustrated how population-based initiatives could be used to frame health challenges among vulnerable populations.
我们比较了两个时期内有和无特殊医疗需求（SHCN）的儿童在与“健康人民 2010 年主要健康指标（LHIs）”相关的国家健康目标方面的估计值。
数据来自 2003 年和 2007 年的全国儿童健康调查。有 7 项调查项目与 LHIs 相关，并且在这两年的调查中都可用：身体活动、肥胖、家庭吸烟、当前保险、个人医疗保健提供者、过去一个月的抑郁症状和过去一年的急诊就诊。
在 2003 年和 2007 年，与没有 SHCN 的儿童相比，有 SHCN 的儿童在身体活动、肥胖、家庭吸烟暴露、抑郁症状和急诊就诊方面表现较差，但在当前保险和拥有个人医疗保健提供者方面表现较好。所有儿童的身体活动和获得个人医疗保健提供者的机会都有所增加，而个人提供者获得的绝对差距缩小了 4.9%。
有和无 SHCN 的儿童在关键人群健康指标方面存在显著差异。分析说明了如何利用基于人群的倡议来框定弱势人群的健康挑战。
