Lewis M R, Meyers A F
Health Care for the Homeless Project, Boston Department of Health and Hospital.
Public Health Rep. 1989 May-Jun;104(3):247-50.
In order to characterize the children who enter emergency shelters in Boston, we reviewed the data collected at intake interviews by the pediatric nurse practitioner visiting 10 family shelters and one hotel in Boston as part of the Boston Health Care for the Homeless Project. Families were interviewed soon after their entry into the shelter. Children were weighed and measured, and the Denver Developmental Screening Test (DDST) was administered. From November 1986 to November 1987, 133 families with 213 children were interviewed. Ninety-four percent of the children were in the care of their mothers, and 92 percent were younger than 5 years of age. Sixty-five percent of the families were black, 20 percent were white, and 11 percent were Hispanic. Eighty-nine percent of the families were receiving Aid to Families with Dependent Children benefits, 90 percent were receiving Medicaid benefits, 72 percent were receiving food stamps, and 52 percent were receiving benefits under the Special Supplement Food Program for Women, Infants, and Children. Eighty-five percent of the children were reported to have a regular source of primary pediatric care, and 23 percent were reported to have medical problems. Weight-for-age, weight-for-height, and height-for-age measurements were similar to those reported for national samples of low income children. Ten children (4.7 percent) were found to have abnormal or questionable DDST examinations.
为了描述进入波士顿紧急避难所的儿童的特征，我们回顾了作为波士顿无家可归者医疗保健项目一部分，儿科执业护士在访问波士顿10个家庭避难所和1家酒店时在收容面谈中收集的数据。家庭在进入避难所后不久就接受了面谈。对儿童进行了称重和测量，并进行了丹佛发育筛查测试（DDST）。从1986年11月到1987年11月，对133个家庭的213名儿童进行了面谈。94%的儿童由母亲照料，92%的儿童年龄小于5岁。65%的家庭是黑人，20%是白人，11%是西班牙裔。89%的家庭领取抚养儿童家庭补助，90%领取医疗补助，72%领取食品券，52%领取妇女、婴儿和儿童特别补充食品计划下的补助。据报告，85%的儿童有固定的儿科初级保健来源，23%的儿童有医疗问题。年龄别体重、身高别体重和年龄别身高测量结果与全国低收入儿童样本报告的结果相似。发现10名儿童（4.7%）的DDST检查结果异常或存疑。
