Division of Public Health, Department of Pediatrics and Human Development, Michigan State University and Hurley Children's Hospital Pediatric Public Health Initiative, Flint, Michigan, USA.
Division of Public Health, Michigan State University and Hurley Children's Hospital Pediatric Public Health Initiative, Flint, Michigan, USA.
Paediatr Perinat Epidemiol. 2022 Sep;36(5):750-758. doi: 10.1111/ppe.12888. Epub 2022 May 16.
Children in Flint, Michigan, have multiple risk factors for behavioural challenges, including exposure to lead during the Flint water crisis. However, their behavioural health status is largely unknown. Robust data from the Flint Registry can help understand the burden of behavioural outcomes and inform the allocation of resources.
This population-level evaluation of Flint children's behavioural outcomes aims to answer the question: What is the burden of parent-reported child behaviour problems in Flint Registry enrolled children?
This cross-sectional study describes parent-reported behavioural outcomes of children 2-17 years old who enrolled in the Flint Registry between December 2018 and December 2020. Parents/guardians completed behavioural assessments including the Behavior Assessment System for Children (BASC-3) Parent Rating Scale and Behavior Rating Inventory of Executive Function (BRIEF2) Screening Parent Form. Demographics of enrolees were compared with census data. Composite BASC-3 T scores were compared with national norms. Distributions for clinically relevant categories of BASC-3 and BRIEF2 scores were examined across age and sex groups.
Of the 3579 children included in this study (mean age 9.73 ± 3.96 years), about half were female and 79.7% were eligible for free or reduced-price lunch. Almost half of the children were reported to have clinically concerning scores on the BASC-3 Parent Rating Scale (44.7%) and the BRIEF2 Screening Parent Form (46.7%). Across most age and sex groupings, the reported adaptive skills were relatively low and behaviour symptoms relatively high.
Results reveal a substantial burden of parent-reported behavioural problems in Flint Registry children. This is clinically significant and indicates that a large number of children may require comprehensive neuropsychological evaluation and potential medical and/or educational services. Recognising the potential for long-term manifestations of childhood exposures to environmental hazards, longitudinal surveillance is critical to continue to identify and support participants.
密歇根州弗林特市的儿童存在多种行为挑战风险因素，包括在弗林特水危机期间接触铅。然而，他们的行为健康状况在很大程度上是未知的。弗林特登记处的可靠数据有助于了解行为结果的负担，并为资源分配提供信息。
本研究旨在评估弗林特儿童的行为结果，以回答以下问题：弗林特登记处登记的儿童中，父母报告的儿童行为问题的负担有多大？
这是一项横断面研究，描述了 2-17 岁在 2018 年 12 月至 2020 年 12 月期间登记弗林特登记处的儿童的父母报告的行为结果。父母/监护人完成了行为评估，包括行为评估系统儿童版（BASC-3）父母评定量表和行为评定量表的执行功能（BRIEF2）筛查父母表。登记者的人口统计学特征与人口普查数据进行了比较。比较了 BASC-3 综合评分与全国常模。检查了 BASC-3 和 BRIEF2 评分的临床相关类别在不同年龄和性别组的分布。
在这项研究中，纳入了 3579 名儿童（平均年龄 9.73±3.96 岁），约一半为女性，79.7%符合免费或减价午餐的条件。将近一半的儿童 BASC-3 父母评定量表（44.7%）和 BRIEF2 筛查父母表（46.7%）报告的得分具有临床意义。在大多数年龄和性别分组中，报告的适应技能相对较低，行为症状相对较高。
结果显示，弗林特登记处儿童的父母报告的行为问题负担很大。这具有临床意义，表明许多儿童可能需要进行全面的神经心理评估，并可能需要医疗和/或教育服务。认识到儿童暴露于环境危害的长期表现的潜在可能性，需要进行纵向监测，以继续识别和支持参与者。
