Warden Clara, Yun Katherine, Semere Wagahta
PolicyLab, Children's Hospital of Philadelphia, 2716 South St, Philadelphia, PA, 19146, USA.
Division of General Pediatrics, Children's Hospital of Philadelphia & University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.
J Immigr Minor Health. 2019 Feb;21(1):189-197. doi: 10.1007/s10903-018-0719-4.
Children in immigrant families are less likely to screen positive with the Children with Special Health Care Needs Screener (CSHCN-S). This may indicate that children in immigrant families are healthier or require fewer health services than non-immigrant peers. Alternatively, the screener may under-identify special healthcare needs in this population. Using the 2011-2012 National Survey of Children's Health, we examined the prevalence of a positive CSHCN-S among children from first, second, and third generation households with an equivalent number of currently diagnosed chronic conditions (0, 1, 2+). Multivariate analyses controlled for sociodemographic factors. Among children with an equivalent number of chronic conditions, fewer children from first and second generation households screened positive with the CSHCN-S relative to children from third generation households. This association remained after adjusting for covariates. The CSHCN Screener may under-identify children from immigrant households, allowing for missed opportunities to allocate health resources.
移民家庭中的儿童通过特殊医疗保健需求儿童筛查工具（CSHCN-S）筛查呈阳性的可能性较小。这可能表明，移民家庭中的儿童比非移民家庭的同龄人更健康，或者需要的医疗服务更少。或者，该筛查工具可能未充分识别出这一人群中的特殊医疗保健需求。利用2011-2012年全国儿童健康调查，我们研究了第一代、第二代和第三代家庭中患有同等数量当前已确诊慢性病（0种、1种、2种及以上）的儿童中CSHCN-S筛查呈阳性的患病率。多变量分析对社会人口学因素进行了控制。在患有同等数量慢性病的儿童中，相对于第三代家庭的儿童，第一代和第二代家庭的儿童通过CSHCN-S筛查呈阳性的较少。在调整协变量后，这种关联仍然存在。CSHCN筛查工具可能未充分识别出移民家庭的儿童，从而导致错过分配卫生资源的机会。
