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首页> 外文学位 >The association between parental depression and children's health care utilization and expenditures: Exploring the dimensions of parental gender and timing of depressive symptoms.
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The association between parental depression and children's health care utilization and expenditures: Exploring the dimensions of parental gender and timing of depressive symptoms.

机译：父母抑郁与儿童医疗保健利用和支出之间的关联：探讨父母性别的维度和抑郁症状的发生时间。

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摘要

Objectives: Prior studies of the association between parental depression and children's use of health care services have been inconclusive. The objective of this study was to examine the association between parental depression and children's use of health care services and to explore whether parental gender and timing of depressive symptoms are important factors in the association.;Methods: The study used multiple years of data from the Medical Expenditure Panel Survey (MEPS) to estimate the association between parental depression and health utilization and expenditures for children age 2 through 17. Separate analyses were conducted for children by age category: 2 to 4, 5 to 10, and 11 to 17. In addition to socioeconomic variables and case-mix adjustment, the study used indicators for maternal depression, paternal depression, and timing of depressive symptoms to study relationships with children's health expenditures. Annual expenditures for all health care services, ER visits, and office based visits were examined as outcomes using multivariate logistic and linear regression analysis. STATA's survey commands were used to account for the complex sample design of the MEPS.;Results: Maternal depression was associated with increased odds of any annual health care expenditures and with increased odds of multiple office-based visits and any hospital ER visits, but only for children in age categories 5 to 10 and 11 to 17. Paternal depression was associated with increased odds of children's expenditures for children ages 11 to 17. Maternal depressive symptoms that were present in the prior year but not concurrently were associated with the odds of any hospital ER visits, but not with the odds of any health expenditures or with the odds of two or more office-based visits. Across all models, none of the parental depression indicators was associated with the level of children's health expenditures among children using services.;Conclusions: This study's results offer insights into the association between parental depression and children's health expenditures and utilization. Findings demonstrate that parental gender and timing of depressive symptoms are important dimensions in the association between parental depression and children's utilization of health care services. Additional research is needed to further understand the underlying mechanisms through which this association operates and to assess the feasibility and benefits screening and treatment of parental depression on children's health care expenditures and utilization.
机译：目标：先前关于父母抑郁与儿童使用医疗保健服务之间关系的研究尚无定论。这项研究的目的是研究父母抑郁与儿童使用医疗保健服务之间的关联，并探讨父母性别和抑郁症状的时机是否是关联的重要因素。方法：该研究使用了来自儿童的多年数据医疗支出小组调查（MEPS）估计了2至17岁儿童的父母抑郁与健康利用和支出之间的关联。针对年龄分别为2至4、5至10和11至17岁的儿童进行了单独的分析。除了社会经济变量和病例组合调整以外，该研究还使用了母亲抑郁，父亲抑郁和抑郁症状出现时间的指标来研究与儿童健康支出的关系。使用多元逻辑和线性回归分析，将所有医疗服务，急诊就诊和办公室就诊的年度支出作为结果进行检查。 STATA的调查命令用于解释MEPS的复杂样本设计。结果：产妇抑郁症与​​任何年度医疗保健支出的机会增加，多次基于办公室就诊和任何医院急诊就诊的机会增加有关，但仅对于5至10和11至17岁的儿童，父亲抑郁与11至17岁儿童的支出几率增加相关。上一年出现但未同时发生的母亲抑郁症状与任何儿童的几率相关医院急诊就诊，但不包括任何医疗费用或两次或两次以上基于办公室的就诊机会。在所有模型中，父母抑郁症指标均与使用服务的儿童的儿童健康支出水平无关。结论：这项研究的结果提供了对父母抑郁症与儿童健康支出和利用之间关联的见解。研究结果表明，父母的性别和抑郁症状的时机是父母抑郁与儿童利用医疗保健服务之间的重要联系。需要进一步的研究，以进一步了解该协会运作的基本机制，并评估筛查父母抑郁症对儿童医疗保健支出和利用的可行性和益处。

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  • 作者

    Gil, Isadora Brigitte.;

  • 作者单位

    The Johns Hopkins University.;

  • 授予单位 The Johns Hopkins University.;
  • 学科 Health Sciences Public Health.;Health Sciences Health Care Management.
  • 学位 Ph.D.
  • 年度 2012
  • 页码 122 p.
  • 总页数 122
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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