Lent Austin, Dunn Ayden, Eldawy Nada, Jhumkhawala Vama, Rao Meera, Sohmer Joshua, Sacca Lea
Department of Population Health and Social Medicine, Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, FL 33431, USA.
Pediatr Rep. 2024 Nov 11;16(4):983-1000. doi: 10.3390/pediatric16040084.
This study examines nationwide prevalence of US childhood behavioral, mental, and developmental problems in the 6-11 age group category between 2019 and 2022, and several key metrics related to caregiver social determinants of health.
We used NSCH data for 6-11-year-old children for the years 2019-2022. Summary statistics for the selected sample were generated and binary logistic regressions were conducted for each severity level binary variable for each study year with caregiver mental or emotional health as a covariate.
Our study found significant associations between severe childhood anxiety and "fair" or "poor" caregiver rankings of mental and emotional health for both the 2020 and 2022 survey years. Our study also found that caregiver mental and emotional health may play a role in childhood ADD and ADHD prevalence rates as caregivers who ranked their mental health as "fair" or "good" had significantly higher odds of having a child with severe ADD or ADHD than caregivers who reported "excellent" mental and emotional health.
These findings support prospects of an increase in the need for developmental health services, thus necessitating efforts towards effective allocation and focus of developmental treatment programs tailored to children and pediatric population groups.
本研究调查了2019年至2022年美国6至11岁儿童行为、心理和发育问题的全国患病率，以及与照顾者健康社会决定因素相关的几个关键指标。
我们使用了2019 - 2022年6至11岁儿童的全国儿童健康调查（NSCH）数据。生成了所选样本的描述性统计数据，并以照顾者的心理或情绪健康作为协变量，对每个研究年份的每个严重程度二元变量进行二元逻辑回归分析。
我们的研究发现，在2020年和2022年的调查年份中，严重儿童焦虑与照顾者心理和情绪健康的“一般”或“较差”排名之间存在显著关联。我们的研究还发现，照顾者的心理和情绪健康可能在儿童注意力缺陷障碍（ADD）和注意力缺陷多动障碍（ADHD）患病率中起作用，因为将自己心理健康评为“一般”或“良好”的照顾者，其孩子患有严重ADD或ADHD的几率显著高于报告心理和情绪健康“极佳”的照顾者。
这些发现支持了对发育健康服务需求增加的前景，因此有必要努力有效地分配和聚焦针对儿童和儿科人群的发育治疗项目。
