Prevalence and Trends in Pediatric-Onset Chronic Conditions in the United States, 1999–2018

IF 3 3区医学 Q1 PEDIATRICS

Academic Pediatrics Pub Date : 2025-03-07 DOI:10.1016/j.acap.2025.102810

Lauren E. Wisk PhD , Niraj Sharma MD, MPH

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引用次数: 0

Abstract

Objective

We sought to provide an updated estimate of the current prevalence and recent trends (over the past two decades) in pediatric-onset conditions among a nationally-representative sample of youth to identify opportunities for prevention and intervention.

Methods

We performed a secondary data analysis of nationally-representative data on 236,412 participants (ages 5–25 years) from the 1999 to 2018 National Health Interview Survey. Chronic conditions (CCs) and functional limitations (FLs) were self-reported by the participant or a qualified proxy-respondent. We employed multivariate linear probability models to estimate annual average increase in CC/FL prevalence and differences in prevalence across sociodemographic characteristics.

Results

The prevalence of children (5–17 years) with a CC/FL has risen from 22.57% in 1999/2000 to 30.21% in 2017/2018 – an adjusted annual increase of 0.24% points per year (P < .0001) or about 130,000 additional children per year. The prevalence of young adults (18–25 years) with a CC/FL has risen similarly (adjusted annual increase of 0.33% points per year, P < .0001). Asthma and mental/behavioral health conditions were some of the leading CC and FL (respectively) contributors to this increase for both age groups. We estimate that approximately 1.2 million youth with a CC or FL currently turn 18 each year.

Conclusions

The US is currently seeing an unprecedented number of youth with pediatric-onset conditions. It is incumbent for the US health system to seek ways to treat these patients in pediatric settings and eventually matriculate them into adult care.

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1999-2018年美国儿科慢性疾病的患病率和趋势

背景和目的：我们试图在全国具有代表性的青年样本中提供儿科发病疾病当前患病率和近期趋势（过去二十年）的最新估计，以确定预防和干预的机会。方法：我们对1999-2018年全国健康访谈调查中236,412名参与者（5-25岁）的全国代表性数据进行了二次数据分析。慢性疾病（CCs）和功能限制（fl）由参与者或合格的代理受访者自我报告。我们采用多元线性概率模型来估计CC/FL患病率的年平均增长率以及患病率在不同社会人口统计学特征中的差异。结果：患有CC/FL的儿童（5-17岁）的患病率从1999/2000年的22.57%上升到2017/8年的30.21%，调整后每年增长0.24个百分点(结论：美国目前患有儿科发病疾病的青少年人数前所未有。美国卫生系统有责任寻求在儿科环境中治疗这些患者的方法，并最终将他们纳入成人护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Academic Pediatrics PEDIATRICS-

CiteScore

4.60

自引率

12.90%

发文量

300

审稿时长

60 days

期刊介绍： Academic Pediatrics, the official journal of the Academic Pediatric Association, is a peer-reviewed publication whose purpose is to strengthen the research and educational base of academic general pediatrics. The journal provides leadership in pediatric education, research, patient care and advocacy. Content areas include pediatric education, emergency medicine, injury, abuse, behavioral pediatrics, holistic medicine, child health services and health policy,and the environment. The journal provides an active forum for the presentation of pediatric educational research in diverse settings, involving medical students, residents, fellows, and practicing professionals. The journal also emphasizes important research relating to the quality of child health care, health care policy, and the organization of child health services. It also includes systematic reviews of primary care interventions and important methodologic papers to aid research in child health and education.