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。

IF 1.9 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY
Ryan P Wexler, Juliet Ochura, Kerry Pearl, Jessica M Pisegna
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引用次数: 0

摘要

目的:研究表明,儿科喂养障碍会给照顾者带来巨大压力,并加剧卫生不平等。然而,健康的社会决定因素与儿科喂养障碍护理人员所经历的担忧之间的关系仍未得到探讨。方法:对238例言语语言病理学家和小儿喂养障碍患儿的访视情况进行图表回顾,收集人种、民族和语言资料。美国人口普查数据用于确定每个患者居住区域代码的家庭收入中位数和高中学历率。调查了健康的社会决定因素与护理人员在10分李克特量表上报告的担忧之间的统计关联。结果:该队列的平均焦虑水平为6.2 (SD = 3.0)。英语和非英语护理人员的忧虑水平分别为5.7和6.8 (p = 0.006)。对特定种族的平均担忧程度进行了调查:亚洲人(6.5),非洲裔美国人(6.2),西班牙裔(6.5),其他/未报告(6.1)和白人(6.2)(p = 0.890)。居住在家庭平均收入高于和低于群体平均的区号地区的护理员的忧虑水平分别为5.8和6.4 (p = 0.100)。居住在高中毕业率高于和低于组平均水平的地区的护理人员的平均担忧水平分别为6.1和6.3 (p = 0.584)。结论:语言障碍与儿童喂养障碍照料者的担忧增加有关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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.

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来源期刊
International Journal of Speech-Language Pathology
International Journal of Speech-Language Pathology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-REHABILITATION
CiteScore
3.10
自引率
16.70%
发文量
73
审稿时长
>12 weeks
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.
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