Ryan P Wexler, Juliet Ochura, Kerry Pearl, Jessica M Pisegna
{"title":"探索影响儿童喂养障碍照顾者担忧程度的健康社会决定因素。","authors":"Ryan P Wexler, Juliet Ochura, Kerry Pearl, Jessica M Pisegna","doi":"10.1080/17549507.2025.2521044","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>Research suggests that paediatric feeding disorder induces significant stress in caregivers and exacerbates health inequities. However, the relationship between social determinants of health and the worry that paediatric feeding disorder caregivers experience remains unexplored.</p><p><strong>Method: </strong>Race, ethnicity, and language data were collected via chart review from 238 visits between speech-language pathologists and children with paediatric feeding disorder. USA census data were used to determine median household income and high school degree rates for each patient's residential area code. Statistical associations between social determinants of health and the worry that caregivers reported on a 10-point Likert scale were investigated.</p><p><strong>Result: </strong>The mean worry level for the cohort was 6.2 (<i>SD =</i> 3.0). English and non-English speaking caregivers experienced worry levels of 5.7 and 6.8 respectively (<i>p =</i> 0.006). The mean worry for select races was investigated: Asian (6.5), African American (6.2), Hispanic (6.5), Other/not-reported (6.1), and White (6.2) (<i>p =</i> 0.890). The worry levels of caregivers living in area codes with mean household incomes above and below the group average were 5.8 and 6.4 respectively (<i>p =</i> 0.100). Caregivers living in area codes with high school degree rates above and below the group average had mean worry levels of 6.1 and 6.3 respectively (<i>p =</i> 0.584).</p><p><strong>Conclusion: </strong>Language barriers are associated with increased worry in caregivers of children with paediatric feeding disorder.</p>","PeriodicalId":49047,"journal":{"name":"International Journal of Speech-Language Pathology","volume":" ","pages":"1-7"},"PeriodicalIF":1.9000,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Exploring the social determinants of health affecting caregiver level of worry for children with paediatric feeding disorder.\",\"authors\":\"Ryan P Wexler, Juliet Ochura, Kerry Pearl, Jessica M Pisegna\",\"doi\":\"10.1080/17549507.2025.2521044\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>Research suggests that paediatric feeding disorder induces significant stress in caregivers and exacerbates health inequities. However, the relationship between social determinants of health and the worry that paediatric feeding disorder caregivers experience remains unexplored.</p><p><strong>Method: </strong>Race, ethnicity, and language data were collected via chart review from 238 visits between speech-language pathologists and children with paediatric feeding disorder. USA census data were used to determine median household income and high school degree rates for each patient's residential area code. Statistical associations between social determinants of health and the worry that caregivers reported on a 10-point Likert scale were investigated.</p><p><strong>Result: </strong>The mean worry level for the cohort was 6.2 (<i>SD =</i> 3.0). English and non-English speaking caregivers experienced worry levels of 5.7 and 6.8 respectively (<i>p =</i> 0.006). The mean worry for select races was investigated: Asian (6.5), African American (6.2), Hispanic (6.5), Other/not-reported (6.1), and White (6.2) (<i>p =</i> 0.890). The worry levels of caregivers living in area codes with mean household incomes above and below the group average were 5.8 and 6.4 respectively (<i>p =</i> 0.100). Caregivers living in area codes with high school degree rates above and below the group average had mean worry levels of 6.1 and 6.3 respectively (<i>p =</i> 0.584).</p><p><strong>Conclusion: </strong>Language barriers are associated with increased worry in caregivers of children with paediatric feeding disorder.</p>\",\"PeriodicalId\":49047,\"journal\":{\"name\":\"International Journal of Speech-Language Pathology\",\"volume\":\" \",\"pages\":\"1-7\"},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2025-06-27\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"International Journal of Speech-Language Pathology\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/17549507.2025.2521044\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Speech-Language Pathology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/17549507.2025.2521044","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY","Score":null,"Total":0}
Exploring the social determinants of health affecting caregiver level of worry for children with paediatric feeding disorder.
Purpose: Research suggests that paediatric feeding disorder induces significant stress in caregivers and exacerbates health inequities. However, the relationship between social determinants of health and the worry that paediatric feeding disorder caregivers experience remains unexplored.
Method: Race, ethnicity, and language data were collected via chart review from 238 visits between speech-language pathologists and children with paediatric feeding disorder. USA census data were used to determine median household income and high school degree rates for each patient's residential area code. Statistical associations between social determinants of health and the worry that caregivers reported on a 10-point Likert scale were investigated.
Result: The mean worry level for the cohort was 6.2 (SD = 3.0). English and non-English speaking caregivers experienced worry levels of 5.7 and 6.8 respectively (p = 0.006). The mean worry for select races was investigated: Asian (6.5), African American (6.2), Hispanic (6.5), Other/not-reported (6.1), and White (6.2) (p = 0.890). The worry levels of caregivers living in area codes with mean household incomes above and below the group average were 5.8 and 6.4 respectively (p = 0.100). Caregivers living in area codes with high school degree rates above and below the group average had mean worry levels of 6.1 and 6.3 respectively (p = 0.584).
Conclusion: Language barriers are associated with increased worry in caregivers of children with paediatric feeding disorder.
期刊介绍:
International Journal of Speech-Language Pathology is an international journal which promotes discussion on a broad range of current clinical and theoretical issues. Submissions may include experimental, review and theoretical discussion papers, with studies from either quantitative and/or qualitative frameworks. Articles may relate to any area of child or adult communication or dysphagia, furthering knowledge on issues related to etiology, assessment, diagnosis, intervention, or theoretical frameworks. Articles can be accompanied by supplementary audio and video files that will be uploaded to the journal’s website. Special issues on contemporary topics are published at least once a year. A scientific forum is included in many issues, where a topic is debated by invited international experts.