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意大利罗马市处境不利社区儿童的健康和社会条件。

Health and social conditions of children living in disadvantaged neighborhoods in the city of Rome, Italy.

机构信息

Department of Sense Organs, Sapienza University of Rome, Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2020 Dec;24(23):12350-12357. doi: 10.26355/eurrev_202012_24029.

Abstract

OBJECTIVE

The number of children living in socio-economically disadvantaged neighborhoods in developed countries is constantly growing, resulting in important implications for children's development, physical and psychological health and increased future disparities. In this study, we explored several key elements of children living in poor neighborhoods, such as demographic characteristics, access to public health assistance and school, and availability of housing and basic hygienic conditions.

PATIENTS AND METHODS

The study included 711 children aged 0-17 years referring to primary care services in the suburbs of the city of Rome, Italy.

RESULTS

Most children were born in Italy, while almost none of their parents were. Nearly 60% of the children did not have access to basic pediatric care, causing possible misdiagnosis and delayed treatment for acute and chronic conditions. A smaller percentage of the children did not have access to basic housing (8%) and hygienic facilities, such as heating, running water, and refrigerator (3.2%), leading to malnutrition, isolation and poor physical and psychological development.

CONCLUSIONS

This study confirms a critical condition for children living in disadvantaged neighborhoods, whose vulnerability is further worsened by the limited access to paediatric health assistance and, in some cases, to basic facilities with a severe impact on their physical and psychological development.

摘要

目的

生活在发达国家社会经济弱势社区的儿童人数不断增加,这对儿童的发展、身心健康以及未来差距的扩大都产生了重要影响。在这项研究中,我们探讨了生活在贫困社区的儿童的几个关键要素,如人口特征、获得公共卫生援助和学校的机会,以及住房和基本卫生条件的可用性。

患者和方法

该研究纳入了 711 名年龄在 0-17 岁之间的儿童,他们均来自意大利罗马市郊区的初级保健服务。

结果

大多数儿童出生在意大利,但他们的父母几乎都不是。近 60%的儿童无法获得基本儿科护理,这可能导致对急性和慢性疾病的误诊和延迟治疗。较小比例的儿童无法获得基本住房(8%)和卫生设施,如暖气、自来水和冰箱(3.2%),导致营养不良、孤立和身心发育不良。

结论

本研究证实了生活在弱势社区的儿童的严峻状况,他们获得儿科保健援助的机会有限,在某些情况下,甚至无法获得基本设施,这进一步加剧了他们的脆弱性,对他们的身心发展产生了严重影响。

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