MGH Institute of Health Professions, Charlestown, MA, USA.
Division of General Pediatrics, MassGeneral Hospital for Children, 125 Nashua St, Suite 860, Boston, MA, 02114, USA.
BMC Pediatr. 2022 Aug 25;22(1):508. doi: 10.1186/s12887-022-03566-x.
To examine the extent to which financial impacts and community resources utilization are associated with pediatric feeding difficulties. We hypothesize that children with feeding difficulties will have more financial impacts and community resources utilization than children without feeding difficulties.
We conducted a secondary analysis of cross-sectional data from the 2017-2018 National Survey of Children's Health (NSCH) regarding 14,960 children 0-5 years. NSCH utilized random sampling of families across the United States to collect nationally representative data. Outcomes included out-of-pocket costs, caregivers leaving a job due to the child's health, food insufficiency, receival of food or cash assistance, and receival of special education and/or developmental services. We used a multivariable logistic regression controlling for sociodemographic factors to examine the associations of feeding difficulties with financial impacts and community resources utilization outcomes.
Out of 14,690 respondents, children were a mean (SD) age of 2.53(0.03) years and 1.7% reported feeding difficulties. These children had higher odds of having out-of-pocket costs of ≥$1000 (OR: 3.01; 95% CI: 1.61, 5.62), having a caregiver that left a job due to their child's health (OR: 3.16; 95% CI: 2.01, 4.98), experiencing food insufficiency (OR: 1.67; 95% CI: 1.03, 2.71), and receiving special education and/or developmental services (OR 3.98; 95% CI: 2.46, 6.45) than children without feeding difficulties.
Children with feeding difficulties are more likely to have financial impacts and community resources utilization than children without feeding difficulties. This information can be used to tailor interventions to improve family-centered care and outcomes for children.
研究经济影响和社区资源利用与儿科喂养困难之间的关联程度。我们假设患有喂养困难的儿童比没有喂养困难的儿童会有更多的经济影响和社区资源利用。
我们对 2017-2018 年全国儿童健康调查（NSCH）的横断面数据进行了二次分析，共涉及 14960 名 0-5 岁儿童。NSCH 采用了美国各地家庭的随机抽样方法，收集具有全国代表性的数据。结果包括自付费用、因孩子健康问题而离职的照顾者、食物不足、接受食品或现金援助以及接受特殊教育和/或发展服务。我们使用多变量逻辑回归控制社会人口因素，以研究喂养困难与经济影响和社区资源利用结果之间的关联。
在 14690 名受访者中，儿童的平均（SD）年龄为 2.53（0.03）岁，1.7%报告有喂养困难。这些儿童更有可能有自付费用超过 1000 美元（OR：3.01；95%CI：1.61，5.62）、因孩子健康问题而离职的照顾者（OR：3.16；95%CI：2.01，4.98）、经历食物不足（OR：1.67；95%CI：1.03，2.71）和接受特殊教育和/或发展服务（OR 3.98；95%CI：2.46，6.45）的可能性高于没有喂养困难的儿童。
患有喂养困难的儿童比没有喂养困难的儿童更有可能出现经济影响和社区资源利用。这些信息可以用于定制干预措施，以改善以家庭为中心的儿童护理和结果。
