Special health care needs among children in the child welfare system

被引:79
|
作者
Ringeisen, Heather [1 ]
Casanueva, Cecilia [1 ]
Urato, Mathew [1 ]
Cross, Theodore [2 ]
机构
[1] RTI Int, Res Triangle Pk, NC 27709 USA
[2] Univ Illinois, Sch Social Work, Child & Family Res Ctr, Urbana, IL 61801 USA
关键词
child development; chronic conditions; maltreatment; special needs; survey;
D O I
10.1542/peds.2007-3778
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
OBJECTIVE. The aim of this study was to determine levels of special health care need among children in the child welfare system and how these needs may affect children's functioning. METHODS. Data were from the National Survey of Child and Adolescent Well-being, a national probability study of children investigated for child maltreatment. The sample consisted of 5496 children aged 0 to 15 years at baseline. For analysis, we used descriptive statistics to determine special health care needs and children's functioning from baseline to 3-year follow-up. Logistic regression was used to examine correlates of special health care needs. RESULTS. At any point in the study period, approximately one third of the children were identified as having special health care needs. Overall, across 3 years of follow-up data, 50.3% of the children were identified as having special health care needs. Boys were significantly more likely than girls to have had special health care needs, and children aged 0 to 2 years at baseline were significantly less likely to have had special health care needs than older children. Adopted and foster children were significantly more likely to have had special health care needs than children never placed out of the home. The most commonly reported type of chronic health condition was asthma. The most commonly reported type of special need was a learning disability. CONCLUSIONS. Special health care needs are prevalent among children in the child welfare system. Many children with special health care needs have cognitive, language, adaptive, social, or behavioral functional impairments. Mechanisms are needed to ensure that this vulnerable population has access to and receives coordinated health and related social services.
引用
收藏
页码:E232 / E241
页数:10
相关论文
共 50 条
  • [1] Wellbeing of children and adolescents with special health care needs in the child welfare system
    Jaudes, Paula K.
    Weil, Lindsey E. G.
    Prior, Jennifer M.
    Sharp, Douglas P.
    Holzberg, Mark
    McClelland, Gary M.
    [J]. CHILDREN AND YOUTH SERVICES REVIEW, 2016, 70 : 276 - 283
  • [2] A national assessment of children with special health care needs: Prevalence of special needs and use of health care services among children in the military health system
    Williams, TV
    Schone, EM
    Archibald, ND
    Thompson, JW
    [J]. PEDIATRICS, 2004, 114 (02) : 384 - 393
  • [3] Health Care Disparities Among Children with Special Health Care Needs
    Acharya, Kruti
    Msall, Michael E.
    [J]. PEDIATRIC ANNALS, 2017, 46 (10): : E358 - E359
  • [5] Delayed or forgone care among children with special health care needs: An Analysis of the 2001 National Survey of Children with Special Health Care Needs
    Huang, ZJ
    Kogan, MD
    Yu, SM
    Strickland, B
    [J]. AMBULATORY PEDIATRICS, 2005, 5 (01) : 60 - 67
  • [6] Children With Special Health Care Needs: How Special Are Their Health Care Needs?
    Huang, Li
    Freed, Gary L.
    Dalziel, Kim
    [J]. ACADEMIC PEDIATRICS, 2020, 20 (08) : 1109 - 1115
  • [7] Oral Health Among Children and Youth With Special Health Care Needs
    Lebrun-Harris, Lydie A.
    Canto, Maria Teresa
    Vodicka, Pamella
    Mann, Marie Y.
    Kinsman, Sara B.
    [J]. PEDIATRICS, 2021, 148 (02)
  • [8] Adverse Experiences and Special Health Care Needs Among Children
    Kan, Kristin
    Gupta, Ruchi
    Davis, Matthew M.
    Heard-Garris, Nia
    Garfield, Craig
    [J]. MATERNAL AND CHILD HEALTH JOURNAL, 2020, 24 (05) : 552 - 560
  • [9] Trajectories and Outcomes Among Children With Special Health Care Needs
    Quach, Jon
    Jansen, Pauline W.
    Mensah, Fiona K.
    Wake, Melissa
    [J]. PEDIATRICS, 2015, 135 (04) : E842 - E850
  • [10] Adherence to immunization among children with special health care needs
    Solis O., Yanahara
    Bolte M., Lilian
    Johnson M., Jennipher
    Cerda L., Jaime
    Potin S., Marcela
    [J]. REVISTA CHILENA DE INFECTOLOGIA, 2007, 24 (06): : 485 - 490