邻里儿童机会指数与家庭社会需求。

IF 6.2 2区 医学 Q1 PEDIATRICS
Michael J Luke,Chén C Kenyon,Andrew F Beck,Zoe Bouchelle,Stephanie G Menko,Philip V Scribano,Aditi Vasan
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引用次数: 0

摘要

背景与目的新法规要求医院筛查患者健康相关社会需求(HRSNs)。邻里指数,如儿童机会指数(COI),可能有助于确定面临HRSNs风险的家庭,并为卫生系统资源和支持的目标提供信息。然而,社区水平COI预测家庭水平HRSNs的效果如何尚不清楚。方法在这项横断面研究中,研究人员对2022年7月至2023年8月在一家第四医院住院的1096名患者进行了研究,将标准化筛查的家庭hrsn数据与每位患者的社区COI数据结合起来。我们使用逻辑回归来估计相对于3个最高的五分位数(中等/高/非常高)而言,COI最低的2个五分位数(低/非常低)的家庭经历HRSNs的几率。然后,我们计算了低/非常低COI在确定家庭HRSNs方面的阳性和阴性预测值,并比较了低/非常低COI与中/高/非常高COI之间的资源连接率。结果低/非常低的COI与报告家庭HRSNs的几率较大相关(优势比,2.62;95% ci, 2.04-3.36)。COI在识别HRSNs方面显示较低的阳性预测值(3%至31%),在每种需求方面显示较高的阴性预测值(91%至99%),除了心理健康(76%)。不同COI地层的资源连接率差异不显著。结论弱势社区家庭报告HRSNs的几率较大,但COI不能作为家庭一级筛查的有效指标。研究结果表明,卫生系统可以使用COI将HRSN筛查和干预措施的重点放在报告的HRSN患病率可能最高的社区。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Neighborhood Child Opportunity Index and Household-Level Social Needs.
BACKGROUND AND OBJECTIVES New regulations require hospitals to screen patients for health-related social needs (HRSNs). Neighborhood indices, like the Child Opportunity Index (COI), may help identify families at risk of experiencing HRSNs and inform targeting of health system-based resources and support. However, it is unknown how well the neighborhood-level COI predicts household-level HRSNs. METHODS In this cross-sectional study of 1096 patients admitted to a quaternary children's hospital from July 2022 to August 2023, we combined data on household-level HRSNs from standardized screening with data on each patient's neighborhood COI. We used logistic regression to estimate odds of experiencing HRSNs among families in the 2 lowest COI quintiles (low/very low), relative to the 3 highest quintiles (moderate/high/very high). We then calculated positive and negative predictive values of low/very low COI in identifying household-level HRSNs and compared rates of resource connection among those with low/very low COI vs moderate/high/very high COI. RESULTS Low/very low COI was associated with greater odds of reporting household-level HRSNs (odds ratio, 2.62; 95% CI, 2.04-3.36). COI showed low positive predictive value (3% to 31%) in identifying HRSNs and high negative predictive value for each need (91% to 99%) except mental health (76%). Resource connection rates were not significantly different across COI strata. CONCLUSIONS Families in disadvantaged neighborhoods have greater odds of reporting HRSNs, but COI is a poor proxy for household-level screening. Findings suggest that health systems can use COI to focus HRSN screening and interventions on communities with the likely highest prevalence of reported HRSNs.
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来源期刊
Pediatrics
Pediatrics 医学-小儿科
CiteScore
12.80
自引率
5.00%
发文量
791
审稿时长
2-3 weeks
期刊介绍: The Pediatrics® journal is the official flagship journal of the American Academy of Pediatrics (AAP). It is widely cited in the field of pediatric medicine and is recognized as the leading journal in the field. The journal publishes original research and evidence-based articles, which provide authoritative information to help readers stay up-to-date with the latest developments in pediatric medicine. The content is peer-reviewed and undergoes rigorous evaluation to ensure its quality and reliability. Pediatrics also serves as a valuable resource for conducting new research studies and supporting education and training activities in the field of pediatrics. It aims to enhance the quality of pediatric outpatient and inpatient care by disseminating valuable knowledge and insights. As of 2023, Pediatrics has an impressive Journal Impact Factor (IF) Score of 8.0. The IF is a measure of a journal's influence and importance in the scientific community, with higher scores indicating a greater impact. This score reflects the significance and reach of the research published in Pediatrics, further establishing its prominence in the field of pediatric medicine.
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