美国自闭症儿童因门诊护理敏感状况住院的种族差异。
Racial Disparities in Hospitalization Due to Ambulatory Care Sensitive Conditions Among U.S. Children with Autism.
机构信息
Department of Health Sciences, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Division of Occupational Science and Occupational Therapy, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
出版信息
J Autism Dev Disord. 2024 Jul;54(7):2430-2439. doi: 10.1007/s10803-023-05995-8. Epub 2023 May 4.
PURPOSE
This study was to investigate the factors associated with preventable hospitalization due to ambulatory care sensitive conditions (ACSCs) in children with autism.
METHODS
Using secondary data from the U.S. Nationwide Inpatient Sample (NIS), multivariable regression analyses were conducted to determine the potential effect of race and income level on the likelihood of inpatient stays for ACSCs among autistic children. Pediatric ACSCs included three acute conditions (dehydration, gastroenteritis, and urinary infection) and three chronic conditions (asthma, constipation, and diabetes short-term complications).
RESULTS
In this analysis, there were 21,733 hospitalizations among children with autism; about 10% were hospitalized due to pediatric ACSCs. Overall, the odds of ACSCs hospitalization were greater among Hispanic and Black autistic children versus White autistic children. Both Hispanic and Black autistic children from the lowest income level had the highest odds to be hospitalized for chronic ACSCs.
CONCLUSION
Inequities of access to health care among racial/ethnic minorities were most notable for autistic children with chronic ACSC conditions.
目的
本研究旨在探讨与自闭症儿童因门诊护理敏感条件（ACSCs）而可避免住院相关的因素。
方法
本研究使用来自美国全国住院患者样本（NIS）的二级数据，通过多变量回归分析来确定种族和收入水平对自闭症儿童因 ACSC 住院的可能性的潜在影响。儿科 ACSC 包括三种急性疾病（脱水、肠胃炎和尿路感染）和三种慢性疾病（哮喘、便秘和糖尿病短期并发症）。
结果
在这项分析中，有 21733 名自闭症儿童住院治疗；约 10%的住院是由于儿科 ACSC。总体而言，西班牙裔和非裔自闭症儿童比白人自闭症儿童因 ACSC 住院的可能性更大。来自收入最低水平的西班牙裔和非裔自闭症儿童因慢性 ACSC 住院的可能性最高。
结论
在患有慢性 ACSC 疾病的自闭症儿童中，少数族裔在获得医疗保健方面的不平等现象最为明显。
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