Elizabeth Hisle-Gorman (
Apryl Susi is a pediatric clinical research associate in pediatrics, Uniformed Services University of the Health Sciences.
Health Aff (Millwood). 2019 Aug;38(8):1358-1365. doi: 10.1377/hlthaff.2019.00276.
Parental injuries and illnesses affect child and family life. We hypothesized that military parental injury would adversely affect children's preventive care, injuries, maltreatment, mental health care, and psychiatric medication prescriptions. Visit and prescription data of 485,002 military-connected children ages 2-16 were tracked for two years before and two years after the injury of a parent in the period 2004-14. Adjusted negative binomial regression compared pre- and post-injury visit and prescription rates. Children with injured parents had decreased rates of preventive care visits and increased rates of visits for injuries, maltreatment, and mental health care, as well as increased psychiatric medication use, following their parent's injury. Across all categories of care, children of parents with posttraumatic stress disorder (PTSD), both alone and with traumatic brain injury, appeared to have more pronounced changes in care patterns. Parental injury and illness are associated with changes in children's health care use, and PTSD in a parent increases the effect.
父母受伤和患病会影响儿童和家庭生活。我们假设军人父母受伤会对儿童的预防保健、受伤、虐待、心理健康护理和精神科药物处方产生不利影响。在 2004-14 年期间，对 485002 名 2-16 岁有军人亲属的儿童的就诊和处方数据进行了为期两年的前瞻性和两年的回顾性追踪。调整后的负二项式回归比较了受伤前后的就诊和处方率。父母受伤后，儿童预防保健就诊率下降，受伤、虐待和心理健康护理就诊率上升，精神科药物使用增加。在所有护理类别中，患有创伤后应激障碍（PTSD）的父母的子女，无论是单独患有 PTSD 还是同时患有创伤性脑损伤，其护理模式的变化似乎更为明显。父母受伤和患病与儿童医疗保健使用的变化有关，而父母患有创伤后应激障碍会增加这种影响。
