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首页> 外文期刊>Disability and health journal >Parenting aggravation and autism spectrum disorders: 2007 National Survey of Children's Health.
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Parenting aggravation and autism spectrum disorders: 2007 National Survey of Children's Health.

机译：父母教养加重和自闭症谱系障碍：2007年全国儿童健康调查。

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BACKGROUND: Studies suggest autism spectrum disorders (ASDs) are associated with high parenting stress and aggravation. Research on specific risk factors is needed. OBJECTIVE/HYPOTHESES: To assess aggravation level among parents of children with and without ASDs. METHODS: The sample of 73,030 children aged 4 to 17 years in the 2007 National Survey of Children's Health and their parent respondents were divided into mutually exclusive groups based on child ASD status and other special health care needs. Adjusted prevalence ratios (aPR) for associations between a high Aggravation in Parenting scale score and various risk factors were computed from multivariable models. RESULTS: High-aggravation percentages were comparable for parents of children with a current ASD (36.6%), ASD reported previously but not currently (35.2%), and another (non-ASD) developmental problem (31.2%) but were significantly lower for parents of children with other special health care needs (6.5%) and no special health care needs (5.1%). Within the current-ASD group, high aggravation was associated with young child age (aPR = 1.8 [1.2-2.6]), lack of health insurance (aPR = 1.5 [1.0-2.4]), lack of a medical home (aPR = 2.2 [1.4-3.5]), recent child mental health treatment (aPR = 2.1 [1.5-3.0]), lack of parenting emotional support (aPR = 1.5 [1.1-2.1]), and ASD severity (aPR = 1.4 [1.0-1.6]). Some of these same factors were associated with aggravation in the non-ASD groups. However, the medical home finding was specific to the ASD groups. CONCLUSIONS: Parenting a child with ASD is associated with high aggravation; however, there is variability within health care and social support subgroups. Strategies to strengthen medical home components for children with ASDs should be considered.
机译：背景：研究表明，自闭症谱系障碍（ASD）与较高的父母教养压力和加重有关。需要研究特定的风险因素。目的/假设：评估患有和不患有自闭症儿童的父母的恶化程度。方法：2007年全国儿童健康调查中的73,030名4至17岁的儿童及其父母受访者根据儿童的ASD状况和其他特殊医疗需求分为互斥组。通过多变量模型计算了父母教养量表得分高加重与各种危险因素之间的相关关系的校正患病率（aPR）。结果：目前患有自闭症的孩子的父母的高加重百分比是可比较的（36.6％），先前曾报告过但目前未报告的儿童（35.2％），以及另一个（非自闭症）的发育问题（31.2％），但显着降低有其他特殊保健需要（6.5％）而没有特殊保健需要（5.1％）的孩子的父母。在当前的ASD组中，高加重与幼儿年龄（aPR = 1.8 [1.2-2.6]），缺乏健康保险（aPR = 1.5 [1.0-2.4]），缺少医疗所（aPR = 2.2）有关。 [1.4-3.5]），近期儿童心理健康治疗（aPR = 2.1 [1.5-3.0]），缺乏父母情感支持（aPR = 1.5 [1.1-2.1]）和ASD严重程度（aPR = 1.4 [1.0-1.6] ]）。在非ASD组中，某些相同的因素与加重有关。但是，医疗房屋发现是针对ASD组的。结论：父母对儿童进行自闭症会导致病情加重。但是，医疗保健和社会支持小组之间存在差异。应该考虑采取策略加强针对自闭症儿童的医疗之家。

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