Pediatrics. 2019 Jan;143(1). doi: 10.1542/peds.2018-3258. Epub 2018 Dec 24.
Children in US military families share common experiences and unique challenges, including parental deployment and frequent relocation. Although some of the stressors of military life have been associated with higher rates of mental health disorders and increased health care use among family members, there are various factors and interventions that have been found to promote resilience. Military children often live on or near military installations, where they may attend Department of Defense-sponsored child care programs and schools and receive medical care through military treatment facilities. However, many families live in remote communities without access to these services. Because of this wide geographic distribution, military children are cared for in both military and civilian medical practices. This clinical report provides a background to military culture and offers practical guidance to assist civilian and military pediatricians caring for military children.
美国家庭的儿童在经历和面临挑战方面具有共同性和独特性,包括父母部署和频繁搬迁。虽然军队生活的一些压力源与家庭成员心理健康障碍发生率较高和卫生保健利用增加有关,但已经发现各种因素和干预措施可以促进恢复力。军人子女通常居住在军事设施附近或内部,他们可能参加国防部赞助的儿童保育计划和学校,并通过军事治疗设施获得医疗服务。但是,许多家庭居住在偏远社区,无法获得这些服务。由于这种广泛的地域分布,军人子女在军队和民间医疗机构接受护理。本临床报告提供了军队文化的背景,并为照顾军人子女的民用和军队儿科医生提供了实用指导。