紧急住房中无家可归的幼儿园儿童的哮喘与适应性功能
Asthma and adaptive functioning among homeless kindergarten-aged children in emergency housing.
作者信息
Cutuli J J, Herbers Janette E, Lafavor Theresa L, Ahumada Sandra M, Masten Ann S, Oberg Charles N
出版信息
J Health Care Poor Underserved. 2014 May;25(2):717-30. doi: 10.1353/hpu.2014.0099.
BACKGROUND
Children who experience homelessness have elevated rates of asthma, a risk factor for other problems. Purpose. Examine rates of asthma and its relation to health care use and adaptive functioning among young children staying in family emergency shelters.
METHODS
Children and caregivers (N = 138) completed assessments in shelters, including measurement of child cognitive functioning, parent report of child health care service utilization and asthma diagnosis, and teacher report of child school functioning.
RESULTS
Asthma diagnosis was reported for 21% of 4-to-6-year-old children, about twice the national and state prevalences. Children with asthma used more health care services and had worse peer relationships. Asthma did not relate to cognitive test performance or subsequent academic performance, or to other behavior problems in school.
CONCLUSIONS
High rates of asthma remain an important issue for children in emergency family housing, a context with high levels of child risk for toxic stress exposure and developmental problems.
背景
经历无家可归的儿童患哮喘的几率更高，而哮喘是引发其他问题的一个风险因素。目的：研究入住家庭紧急避难所的幼儿哮喘发病率及其与医疗保健利用和适应性功能的关系。
方法
儿童及其照料者（N = 138）在避难所完成评估，包括儿童认知功能测量、家长对儿童医疗保健服务利用情况和哮喘诊断的报告，以及教师对儿童学校功能的报告。
结果
4至6岁儿童中有21%被报告患有哮喘，约为全国和该州患病率的两倍。患有哮喘的儿童使用了更多的医疗保健服务，同伴关系也更差。哮喘与认知测试成绩或随后的学业成绩无关，也与学校中的其他行为问题无关。
结论
对于处于紧急家庭住房中的儿童来说，哮喘的高发病率仍然是一个重要问题，在这种环境中，儿童面临着接触有毒压力和出现发育问题的高风险。
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