父母或兄弟姐妹获得性脑或脊髓损伤儿童的教育成就、劳动力市场依恋和家庭建立：一项全国性的登记研究。

IF 3.7 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation Pub Date : 2025-10-01 DOI:10.1016/j.apmr.2025.06.004

Mia Moth Wolffbrandt MSc , Marie Kruse PhD , Fin Biering-Sørensen MD, DMSc , Trine Schow PhD , Anne Norup PhD

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引用次数: 0

摘要

目的：探讨父母或兄弟姐妹发生获得性脑损伤（ABI）或脊髓损伤（SCI）对儿童的长期社会经济影响。设计：基于全国登记的研究。背景：通过丹麦国家人口登记数据，我们确定了1977-2006年间出生在丹麦的暴露儿童队列和非暴露参考人群。参与者：研究人群（n=111,405）包括18岁前经历过家庭伤害的儿童，分为四组：A)父母一方患有ABI的儿童（n=74,227）， B)兄弟姐妹患有ABI的儿童（n=32,664）， C)父母一方患有SCI的儿童（n=3,557）， D)兄弟姐妹患有SCI的儿童（n=957）。使用线性和逻辑回归模型将他们与参考人群（2,180,207）进行比较。干预措施：不适用。主要衡量指标：1)初中学业成绩与高中教育程度；2)劳动力市场依恋；3)家庭建立与破裂。结果：受家庭伤害的儿童在初中阶段的平均绩点明显降低，其中B组调整后的平均差异最大（-0.44[-0.47至-0.41]）。儿童开始和完成高中教育的概率较低，D组和B组的校正比值比最低（分别为0.47[0.25至0.90]和0.48[0.46至0.49]）。此外，这些孩子在26岁时获得长期病假和伤残抚恤金的可能性更高，组建家庭的可能性更低，离婚的风险更高。结论：本研究记录了暴露于家庭伤害的儿童在几个社会经济参数上受到显著影响。这些调查结果突出了社会不平等的风险，并强调需要采取支持性干预措施来保障他们的社会安全。

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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Educational Achievements, Labor Market Attachment, and Family Establishment in Children of Parents or Siblings With Acquired Brain or Spinal Cord Injury: A Nationwide Register Study

Objective

To investigate long-term socioeconomic consequences on children experiencing acquired brain injury (ABI) or spinal cord injury (SCI) in a parent or sibling.

Design

Nationwide register-based study.

Setting

Through Danish national population register data, we identified an exposed cohort of children and a nonexposed reference population born in Denmark between 1977 and 2006.

Participants

The study population (N=111,405) comprised children who experienced familial injury before the age of 18, divided into 4 groups: (1) children of a parent with ABI (n=74,227); (2) children with a sibling with ABI (n=32,664); (3) children of a parent with SCI (n=3557); and (4) children with a sibling with SCI (n=957). They were compared with the reference population (n=2,180,207) using linear and logistic regression models.

Interventions

Not applicable.

Main Outcome Measures

(1) Lower secondary school achievements and upper secondary educational attainment; (2) labor market attachment; and (3) family establishment and disruption.

Results

Children affected by familial injury achieved significantly lower grade point average in lower secondary school, with the highest adjusted mean difference in group B (–0.44 [–0.47 to –0.41]). Children had a lower probability of commencing and completing upper secondary education, with the lowest adjusted odds ratio for these outcomes in group D (0.47 [0.25-0.90]) and group B (0.48 [0.46-0.49]), respectively. In addition, these children had a higher probability of long-term sick leave and disability pension, lower probability of establishing a family, and higher risk of divorce by age 26.

Conclusions

This study documented that children exposed to familial injury were significantly affected across several socioeconomic parameters. These findings highlight the risk of social inequality and emphasize the need for supportive interventions to safeguard their social security.

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来源期刊

Archives of physical medicine and rehabilitation 医学-康复医学

CiteScore

6.20

自引率

4.70%

发文量

495

审稿时长

38 days

期刊介绍： The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.