1 University of Missouri, Columbia, USA.
2 Indiana University, Bloomington, USA.
J Fam Nurs. 2018 Feb;24(1):29-59. doi: 10.1177/1074840717745520. Epub 2018 Jan 10.
Drawing on a social determinants of health framework, we evaluated associations between perceived family-centered care (FCC) and positive developmental outcomes for youth with special health care needs across six different family structures (married biological families, cohabiting biological families, married stepfamilies, cohabiting stepfamilies, divorced/separated single-mother families, and never-married single-mother families). Using data from the 2011-2012 National Survey of Children's Health, we found that married biological families perceive greater FCC than do other family structures. Perceived FCC was positively associated with all three positive youth outcomes evaluated (children's health, participation in extracurricular activities, and flourishing) in married biological families, and two of the three outcomes (children's health and flourishing) in married stepfamilies and divorced/separated single-mother families. Implications for health care provision and future research with structurally diverse families are discussed.
我们借鉴健康的社会决定因素框架，评估了在六种不同家庭结构（已婚亲生家庭、同居亲生家庭、已婚继亲家庭、同居继亲家庭、离异/分居的单身母亲家庭和未婚单身母亲家庭）中，感知到的以家庭为中心的护理（FCC）与有特殊医疗需求的青年的积极发展结果之间的关联。利用 2011-2012 年全国儿童健康调查的数据，我们发现已婚亲生家庭感知到的 FCC 大于其他家庭结构。在已婚亲生家庭中，感知到的 FCC 与三个积极的青年结果（儿童健康、参加课外活动和茁壮成长）呈正相关，在已婚继亲家庭和离异/分居的单身母亲家庭中与其中两个结果（儿童健康和茁壮成长）呈正相关。讨论了对医疗保健提供和未来具有不同结构家庭的研究的影响。
