The Extent and Patterns of Multiple Chronic Conditions in Low-Income Children

被引：11

作者：

Clark, Noreen M. ^{[1
]}

Lachance, Laurie ^{[1
]}

Benedict, M. Beth ^{[2
]}

Little, Roderick ^{[1
]}

Leo, Harvey ^{[1
]}

Awad, Daniel F. ^{[1
]}

Wilkin, Margaret K. ^{[1
]}

机构：

[1] Univ Michigan, Ann Arbor, MI 48109 USA

[2] US Dept HHS, Bethesda, MD USA

来源：

CLINICAL PEDIATRICS | 2015年 / 54卷 / 04期

关键词：

multiple chronic conditions; low income children; US; medicaid claims; patterns of comorbidities; health care utilization; asthma; PREVALENCE; MEDICAID; OBESITY; ASTHMA; IMPACT;

D O I：

10.1177/0009922815574073

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

Background and objectives. Little is known about the magnitude of multiple chronic conditions (MCC) in children. This study describes the prevalence of and patterns of comorbidities in children receiving Medicaid assistance. Methods. Diagnoses from 5 years of Medicaid claims data were reviewed and identified 128044 children with chronic conditions. The relationship between comorbidities and significant urgent health care events was analyzed using logistic regression modeling. Results. More than 15000 children (12%) had claims for more than 1 condition. The most frequent combination was asthma and allergic rhinitis. Significant health care events ranged from 18% to 51% in children, and the odds of having a significant event increased with each additional condition. Those with 4 conditions had 4.5 times the odds of a significant event compared with those with 1 condition (P < .0001). Conclusion. MCC are prevalent in low-income children and are associated with greater risk for urgent health care use.

引用

页码：353 / 358

页数：6

共 17 条

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