Abstract:
OBJECTIVE:To examine the prevalence trends and coexisting conditions in attention-deficit/hyperactivity disorder (ADHD), autism spectrum disorder (ASD), and intellectual disability (ID) in the pediatric Supplemental Security Income (SSI) population and general population. METHODS:The Social Security Administration (SSA) provided data on primary and secondary diagnoses of children qualifying for SSI for years 2000 to 2011. We compared SSA data with 2000-2011 National Health Interview Survey data on the prevalence of mental health diagnoses among children in the general population living between 0 and 199% of the federal poverty line. We utilized linear regression analysis to test the statistical significance of differences in the trends of the conditions' prevalence. RESULTS:Over this time period, the SSI population experienced increases in ADHD (5.8%) and ASD (7.2%) and a decrease in ID (-10.3%). Comparison with change in the general population indicated no significant difference in ADHD but significant differences in ASD and ID. Relative percentage changes reflect similar changes. The SSI population qualifying for SSI with ADHD (70.8%) had higher rates of coexisting conditions than the general population (66.1%), but lower rates of coexisting conditions for ASD and ID. CONCLUSIONS:ADHD is on the rise among children receiving SSI and in the general population. This suggests that the rise of ADHD in the SSI population is expected and does not represent a misallocation of resources. Changes described among the SSI population in ASD and ID may allude to diagnostic/coding trends and/or true changes in prevalence. Limitations arise from the comparability of the 2 data sets.
journal_name
Acad Pediatrjournal_title
Academic pediatricsauthors
Pulcini CD,Perrin JM,Houtrow AJ,Sargent J,Shui A,Kuhlthau Kdoi
10.1016/j.acap.2015.05.002subject
Has Abstractpub_date
2015-07-01 00:00:00pages
439-43issue
4eissn
1876-2859issn
1876-2867pii
S1876-2859(15)00170-9journal_volume
15pub_type
杂志文章abstract:OBJECTIVE:To investigate timing and strength of associations between mental health and overweight in childhood; to investigate how the cumulative burden of each of these problems affects the other. METHODS:Participants were 3197 children in the population-based Longitudinal Study of Australian Children. At 4 biennial ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2012.12.001
更新日期:2013-03-01 00:00:00
abstract:OBJECTIVE:Literacy promotion is a pediatric standard of care in which clinicians provide guidance on shared reading. Latino parents are more likely to hear advice to read with children but are less likely to do so. We sought to understand literacy promotion from the perspective of Latino parents and to identify facilit...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.08.003
更新日期:2020-01-01 00:00:00
abstract:BACKGROUND:Limited English proficiency (LEP) is a known barrier to preventive care. Children from families with LEP face socioeconomic circumstances associated with increased odds of developmental delays and decreased participation in early care and education programs. Little is known about developmental surveillance a...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.12.007
更新日期:2016-09-01 00:00:00
abstract:BACKGROUND:The American Board of Pediatrics requires that pediatricians be able to initiate stabilization of a newborn. After residency, 45% of general pediatricians routinely attend deliveries. However, there is no standard approach or tool to measure resident proficiency in newborn resuscitation across training progr...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.09.004
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To evaluate whether school nurses can assist pediatricians in providing asthma care and reduce school absenteeism through a program called Easy Breathing for Schools (EzBfS), a 5-element school nurse-led asthma management program and the effectiveness in reducing school absenteeism. METHODS:Fifteen public sc...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.07.007
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:To examine whether infrequent bullying perpetration and victimization (once or twice a month) are associated with elevated levels of internalizing and externalizing problems and to assess evidence for a minimum frequency threshold for bullying involvement. METHODS:The analytic sample included 128,681 6th, 9t...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2013.02.004
更新日期:2013-05-01 00:00:00
abstract:BACKGROUND:Given the high prevalence of asthma and obesity in minority children, there is a need to identify targets for intervention to decrease the impact of these conditions on children's functioning in this high-risk group. OBJECTIVE:To examine in urban children with persistent asthma, 1) differences in asthma ind...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.07.001
更新日期:2020-01-01 00:00:00
abstract:OBJECTIVE:The aim of this study was to determine the percentage of hospitals with adequate sample size to meaningfully compare performance by using the Agency for Healthcare Research and Quality (AHRQ) pediatric quality indicators (PDIs), which measure pediatric inpatient adverse events such as decubitus ulcer rate and...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2010.04.025
更新日期:2010-07-01 00:00:00
abstract:OBJECTIVE:To evaluate a pediatric otoscopy curriculum with the use of outcome measures that included assessment of skills with real patients. METHODS:Thirty-three residents in an intervention group from 2 institutions received the curriculum. In the previous year, 21 residents in a nonintervention group did not receiv...
journal_title:Academic pediatrics
pub_type: 杂志文章,多中心研究
doi:10.1016/j.acap.2018.02.009
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVE:Burnout is a work-related syndrome characterized by emotional exhaustion (EE), depersonalization (DP), and lack of personal accomplishment (PA). We hypothesized that the transition into an environment of high physical, intellectual, and emotional demands of the medical profession would lead to an increase in ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2013.12.001
更新日期:2014-03-01 00:00:00
abstract:BACKGROUND:Adults tend to underestimate their personal risk of disease, but little is known about parents' perceptions of children's risk. METHODS:In total, 648 parents of children 0 to 18 years old attending 2 pediatric practices were surveyed about their children's exposure to smoking; 344 parents with children ≥2 y...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.09.008
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:Being asleep at the time of a residential fire increases fire-related fatality risk. This study tested whether children awaken from slow wave sleep and perform an escape procedure better to a voice smoke alarm that uses their mother's voice compared with a female stranger's voice or a low-frequency tone alarm...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.06.016
更新日期:2020-04-01 00:00:00
abstract::Primary care pediatricians and psychology practitioners who comanage mental health problems can develop interdisciplinary communication and collaborative skills from joint standardized patient encounters and debriefings, combined with brief didactics. Learners showed increased confidence in shared management of behavi...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2017.06.014
更新日期:2018-01-01 00:00:00
abstract::Electronic medical records (EMRs) are increasingly common in pediatric patient care. EMR data represent a relatively novel and rich resource for clinical research. The fact, however, that pediatric EMR data are collected for the purposes of clinical documentation and billing rather than research creates obstacles to t...
journal_title:Academic pediatrics
pub_type: 杂志文章,评审
doi:10.1016/j.acap.2011.02.007
更新日期:2011-07-01 00:00:00
abstract::Over the past 30 years, there have been major expansions in public health insurance for low-income children in the United States through Medicaid, the Children's Health Insurance Program (CHIP), and other state-based efforts. In addition, many low-income parents have gained Medicaid coverage since 2014 under the Affor...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.12.011
更新日期:2016-04-01 00:00:00
abstract:OBJECTIVE:To compare job search experience and postresidency position of pediatric residents on the basis of childhood location (United States or international) and medical school location (American medical graduates [AMG] or international medical graduate [IMG]). METHODS:Annual national random samples of 1000 graduat...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.06.005
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:(1) To describe coparenting among adolescent mothers and the biological fathers of their children. (2) To examine the effects of coparenting on young children's social-emotional development and whether these effects vary by father's residence status, parental education, and child characteristics. METHODS:Sec...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2012.07.007
更新日期:2012-11-01 00:00:00
abstract:OBJECTIVE:Although it is known that children with mental health problems utilize primary care services more than most other children, it is unknown how addressing mental health problems in primary care affects children's subsequent services utilization. This study measures primary care utilization in the context of a r...
journal_title:Academic pediatrics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.acap.2010.06.012
更新日期:2010-09-01 00:00:00
abstract:OBJECTIVE:To compare the prevalence of a medical home for children with public versus private insurance and identify components of the medical home that contribute to any differences. METHODS:We performed a secondary data analysis of the 2007 National Survey of Children's Health. A medical home was defined as meeting ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2011.03.006
更新日期:2011-07-01 00:00:00
abstract::Neonatal intensive care unit networks that encompass regions, states, and even entire countries offer the perfect platform for implementing continuous quality improvement initiatives to advance the health care provided to vulnerable neonates. Through cycles of identification and implementation of best available eviden...
journal_title:Academic pediatrics
pub_type: 杂志文章,评审
doi:10.1016/j.acap.2013.04.014
更新日期:2013-11-01 00:00:00
abstract:OBJECTIVE:To determine the initial effectiveness of a novel, pediatric office-based intervention in motivating mothers to seek further assessment of positive depression screens. METHODS:In this pilot randomized controlled trial, English-speaking mothers (n = 104) with positive 2-question depression screens and present...
journal_title:Academic pediatrics
pub_type: 杂志文章,随机对照试验
doi:10.1016/j.acap.2014.11.008
更新日期:2015-05-01 00:00:00
abstract:OBJECTIVE:Fewer than 50% of children with developmental delay are identified before they start school, and only 10% of those identified receive services. Between May 2014 and August 2016, the Home Visiting Collaborative Improvement and Innovation Network (HV-CoIIN) aimed to improve early detection and linkage to servic...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.08.020
更新日期:2020-09-03 00:00:00
abstract:OBJECTIVE:The goal of this study was to categorize reasons behind missed opportunities for human papillomavirus (HPV) vaccine initiation in an under-resourced population and to identify associated patient and clinic characteristics. METHODS:Manual chart review was performed for patients aged 11 to 18 years who visited...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2020.12.003
更新日期:2020-12-21 00:00:00
abstract:BACKGROUND AND PURPOSE:The coming years could be a watershed period for children and health care as the nation implements the most significant federal health care legislation in 50 years: the Accountable Care Act (ACA). A year earlier, the American Recovery and Reinvestment Act (ARRA) set up a framework and road map fo...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2010.10.003
更新日期:2011-05-01 00:00:00
abstract:BACKGROUND:Children with special health care needs (CSHCN) are at increased risk for functional disabilities. Care coordination has been shown to decrease unmet health service use but has yet been shown to improve functional status. We hypothesize that care coordination services lower the odds of functional disability ...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2014.08.006
更新日期:2015-03-01 00:00:00
abstract:BACKGROUND:Neonatal tracheal intubation (NTI) is an important clinical skill. Suboptimal performance is associated with patient harm. Simulation training can improve NTI performance. Improving performance requires an objective assessment of competency. Competency assessment tools need strong evidence of validity. We hy...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.07.008
更新日期:2019-03-01 00:00:00
abstract:OBJECTIVE:Accurate parental weight perception of one's child is an important step in addressing healthy behaviors, but its associations with socioeconomic status (SES) and household food insecurity (HFI) are unclear. We aimed to assess the association of parental weight perception with HFI. METHODS:This was a secondar...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2019.04.009
更新日期:2020-03-01 00:00:00
abstract:OBJECTIVE:The demand for global health electives among medical students and residents has grown substantially, yet perspectives of international hosts are not well documented. This study aimed to assess how host country supervising clinical preceptors perceive learners on short-term global health electives of up to 6 w...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2015.11.002
更新日期:2016-05-01 00:00:00
abstract:OBJECTIVE:Validated questionnaires help community pediatric services to identify emotional and behavioral problems (EBPs). This study assesses the psychometric properties of the self-report version of the Strengths and Difficulties Questionnaire (SDQ) for the identification of EBPs in adolescents (13 to 14years old) an...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2018.12.008
更新日期:2019-01-01 00:00:00
abstract:OBJECTIVE:To prevent iron deficiency, 2014 Canadian recommendations for healthy term infants from 6 to 24 months recommend iron-rich complementary foods such as meat and meat alternatives 2 or more times a day. The purpose of our study was to evaluate the association between meat and meat-alternative consumption and ir...
journal_title:Academic pediatrics
pub_type: 杂志文章
doi:10.1016/j.acap.2016.01.003
更新日期:2016-01-01 00:00:00