成人胎儿酒精综合征的医疗保健利用和特征:加拿大安大略省一项基于人群的描述性队列研究

IF 1.2 4区 医学 Q1 EDUCATION, SPECIAL
Danijela Dozet, Claire de Oliveira, Yona Lunsky, Andrew Calzavara, Svetlana Popova
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引用次数: 0

摘要

背景:成人胎儿酒精综合征(FAS)经历了许多不良的健康和社会后果,但他们的医疗保健利用研究不足。方法:这项基于人群的描述性队列研究利用ICES省级行政卫生数据库和加拿大死亡生命统计数据,通过使用基于医院的服务(2002-2013年)识别患有FAS的成年人,并检查他们的人口统计学、医疗保健利用、心理健康和成瘾诊断以及随访期间的死亡率(2014-2017年)。结果:565名成年FAS患者被纳入队列。在随访期间,27%的患者接受了住院精神病治疗;30%急诊12次以上;28%的人至少住院一次;17%的人使用家庭护理服务。他们表现出较高的身体和精神健康合并症、物质使用障碍、滥用史和社会救助收入。结论:成年FAS患者需要可获得和广泛的医疗保健服务,以满足其复杂的需求并改善长期预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Healthcare utilisation and characteristics of adults with fetal alcohol syndrome: a descriptive population-based cohort study in Ontario, Canada.

Background: Adults with Fetal Alcohol Syndrome (FAS) experience many adverse health and social outcomes, yet their healthcare utilisation is under-researched.

Method: This population-based descriptive cohort study utilised ICES provincial administrative health databases and Canadian Death Vital Statistics to identify adults with FAS via usage of hospital-based services (2002-2013) and examine their demographics, healthcare utilisation, mental health and addiction diagnoses, and mortality during follow-up (2014-2017).

Results: 565 adults with FAS were included in the cohort. During the follow-up period, 27% used in-patient psychiatric care; 30% the emergency department 12 + times; 28% were hospitalised at least once; and 17% used home care services. They displayed high rates of physical and mental health comorbidities, substance use disorders, history of abuse, and income from social assistance.

Conclusion: Adults with FAS require accessible and extensive healthcare services to address their complex needs and improve long-term outcomes.

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来源期刊
CiteScore
3.40
自引率
7.70%
发文量
35
期刊介绍: Journal of Intellectual & Developmental Disability (formerly the Australia and New Zealand Journal of Developmental Disabilities) is the official journal of the Australasian Society for the Study of Intellectual Disability (ASSID). JIDD is an international, multidisciplinary journal in the field of intellectual and developmental disability. The journal publishes original qualitative and quantitative research papers, literature reviews, conceptual articles, brief reports, case reports, data briefs, and opinions and perspectives.
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