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社会因素和生活事件作为儿童健康的预测因素。一项在全科医疗中的为期一年的前瞻性研究。

Social factors and life events as predictors for children's health. A one-year prospective study within a general practice.

作者信息

Aagaard J, Husfeldt P, Husfeldt V

出版信息

Acta Paediatr Scand. 1983 Mar;72(2):275-81. doi: 10.1111/j.1651-2227.1983.tb09711.x.

Abstract

During a period of one year information was obtained concerning social background, life events and diseases among children, who happened to consult the general practitioner. One year after this index consultation information concerning the children's present state of health was obtained. 43 (13%) had been admitted to hospital during the follow-up year. 45 (12%) had had more than 5 consultations at the general practitioner, and the parents of 23 children (6%) stated that their child had poor health. A multivariate predictor-analysis was performed. The associations discovered suggest 1) that the selected social or psycho-social factors do not appear to be of considerable importance for prediction of later hospitalization, 2) that indices for short-term psycho-social stress appear to increase the risk for many consultations at the general practitioner, 3) that "poor health" in the children is partly predicted by indices for more longterm psycho-social stress.

摘要

在一年的时间里,收集了前来咨询全科医生的儿童的社会背景、生活事件和疾病信息。在这次索引咨询一年后,获取了有关这些儿童当前健康状况的信息。在随访年度,43名(13%)儿童曾住院治疗。45名(12%)儿童在全科医生处进行了5次以上的咨询,23名儿童(6%)的家长表示他们的孩子健康状况不佳。进行了多变量预测分析。所发现的关联表明:1)所选的社会或心理社会因素对于预测后期住院似乎没有太大重要性;2)短期心理社会压力指标似乎会增加在全科医生处多次咨询的风险;3)儿童的“健康状况不佳”部分可由更长期的心理社会压力指标预测。

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