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挪威残疾儿童群体及其家庭的生活状况:家庭情况、母亲健康状况、经济援助。

Aspects of living conditions among groups of disabled children and their families in Norway: family situation, mothers' health, financial assistance.

作者信息

Storhaug K

出版信息

Soc Sci Med. 1983;17(23):1837-45. doi: 10.1016/0277-9536(83)90160-0.

Abstract

A survey of 875 disabled children in Norway aged 0-19, representing ten different disabling conditions, was carried out between January 1976 and December 1978. Parents of the disabled children were interviewed, medical records studied and the children examined. Mother's age, level of education, presence of disabled siblings, spouse's education and profession as well as emergency situations related to the disabled child's condition appeared to be factors influencing the mother's health and therefore inevitably the family's ability to cope with the situation. Social insurance seemed to have been granted in a rather haphazard way; only families of children suffering from hemophilia, mental retardation, spina bifida and cerebral palsy seemed to have received fairly adequate social insurance benefits. Families of children suffering from juvenile rheumatoid arthritis, asthma, congenital heart disease and epilepsy had received less social insurance assistance than those in the other groups. One-parent families had received more social insurance than others. Families with children who were totally dependent on their parents, who had several diagnoses or had spent much time in hospital, had also been granted more social insurance. Welfare benefits distributed by local authorities had mainly been given to families who were also receiving social insurance benefits and to families of children with brain damage. Almost half of all families expressed needs for welfare benefits which had not been met. Thus, there seemed to be an underconsumption of both social insurance and welfare benefits, particularly among some diagnostic groups.

摘要

1976年1月至1978年12月期间,对挪威875名0至19岁的残疾儿童进行了一项调查,这些儿童代表了十种不同的致残情况。研究人员采访了残疾儿童的父母,查阅了医疗记录并对儿童进行了检查。母亲的年龄、教育水平、残疾兄弟姐妹的情况、配偶的教育程度和职业,以及与残疾儿童病情相关的紧急情况,似乎都是影响母亲健康的因素,因此不可避免地也影响了家庭应对这种情况的能力。社会保险的发放似乎相当随意;只有血友病、智力迟钝、脊柱裂和脑瘫患儿的家庭似乎获得了相当充足的社会保险福利。患有青少年类风湿性关节炎、哮喘、先天性心脏病和癫痫的儿童家庭获得的社会保险援助比其他组的家庭少。单亲家庭获得的社会保险比其他家庭多。有完全依赖父母的孩子、有多种诊断或在医院住了很长时间的孩子的家庭,也获得了更多的社会保险。地方当局发放的福利主要给予了那些也在领取社会保险福利的家庭以及脑损伤儿童的家庭。几乎所有家庭中有一半表示他们对福利的需求未得到满足。因此,社会保险和福利似乎都存在消费不足的情况,尤其是在一些诊断类别中。

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