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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Influence of multiple social risks on children's health.
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Influence of multiple social risks on children's health.

机译：多种社会风险对儿童健康的影响。

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OBJECTIVE: Social risk factors such as growing up in poverty, racial/ethnic minority status, and maternal depression have been associated with poorer health outcomes for children. This study examined the strength of association of 8 social risk factors, both individually and as part of a cumulative social risk index, on parent-reported child health status. METHODS: We performed an analysis of cross-sectional data from the 2003 National Survey of Children's Health, a telephone survey of 102,353 parents of children aged 0 to 17 years. In bivariate and multivariate logistic regression models, 8 social risk factors were tested as independent predictors of 4 parent-reported child health outcomes: global health status, dental health, socioemotional health, and overweight. These risk factors were combined into a categorical "social risk index" ranging from low risk (0 risk factors) to very high risk (> or = 6 risk factors), and risk gradients were examined using linear polynomial testing and multivariate logistic regression. RESULTS: The percentage of children in poorer health increased with the number of social risk factors across all health outcomes. More than half of children had > or = 2 risk factors, and 24% had > or = 4. Low maternal mental health, black or Hispanic race/ethnicity, < 200% of the federal poverty level, low household education, unsafe neighborhoods, and lack of health insurance increased the odds for less than very good child health in adjusted models. CONCLUSIONS: Multiple social risk factors have a cumulative effect on parent-reported child health status across physical and socioemotional domains, demonstrating a very strong risk gradient effect. These findings emphasize the importance of addressing multiple levels of social risk to achieve improvements in child health.
机译：目的：诸如贫穷，种族/族裔少数群体地位上升和产妇抑郁等社会风险因素与儿童健康状况较差有关。这项研究检验了父母报告的儿童健康状况的8个社会风险因素的关联强度，无论是单独还是作为累积社会风险指数的一部分。方法：我们对2003年全国儿童健康调查的横截面数据进行了分析，该调查对102,353名0至17岁儿童的父母进行了电话调查。在双变量和多元逻辑回归模型中，测试了8个社会风险因素作为4个父母报告的儿童健康结果的独立预测因子：全球健康状况，牙齿健康，社会情感健康和超重。这些风险因素被组合成一个分类的“社会风险指数”，范围从低风险（0个风险因素）到极高风险（>或= 6个风险因素），并使用线性多项式检验和多元逻辑回归检验了风险梯度。结果：在所有健康结局中，健康状况较差的儿童的百分比随社会风险因素的数量而增加。超过一半的儿童有>或= 2个危险因素，有24％的儿童具有>或=4。产妇心理健康低下，黑人或西班牙裔种族/民族，<联邦贫困水平的<200％，家庭教育水平低，邻里不安全，在调整后的模型中，缺乏健康保险会增加儿童健康状况不佳的几率。结论：多种社会风险因素对父母报告的身体和社会情感领域的儿童健康状况具有累积影响，显示出非常强的风险梯度效应。这些发现强调了应对多种社会风险以改善儿童健康的重要性。

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