Assuntos
Anestesiologia/educação , Internato e Residência/métodos , Ensino/normas , Feminino , Humanos , MasculinoRESUMO
The incidence of developmental delay and early intervention (EI) service utilization is not well documented among unauthorized Mexican immigrants, a vulnerable population. Individual interviews were conducted in Spanish with Mexican born women receiving maternal health care. Children 12-60 months of age were screened for developmental delay using the Ages and Stages Questionnaire. 12 % (n = 8) of children assessed (n = 65) were at risk for developmental delay. Of those at risk 38 % (n = 3) participated in EI. An additional 26 % of the children (n = 17) qualified for further monitoring, and of those 59 % (n = 10) received EI. Women with low health literacy had more than four times the odds of having a child with risk of developmental delay (aOR 4.4; 95 % CI 1.3-15.4). Developmental delay was associated with low maternal health literacy in unauthorized Mexican immigrants; however, rates of self-reported EI use in this population are higher than those seen nationally.
Assuntos
Deficiências do Desenvolvimento/etnologia , Letramento em Saúde/estatística & dados numéricos , Americanos Mexicanos/psicologia , Mães/psicologia , Imigrantes Indocumentados/psicologia , Adulto , Pré-Escolar , Deficiências do Desenvolvimento/diagnóstico , Intervenção Educacional Precoce/estatística & dados numéricos , Feminino , Humanos , Lactente , Masculino , Serviços de Saúde MaternaRESUMO
BACKGROUND: While literacy is a key factor in health across the life course, the association of literacy and teenage childbearing has not been assessed in the US. STUDY DESIGN: Prospective cohort study using standardized reading data from 12,339 girls in the seventh grade in the 1996-97 or 1997-98 academic years of the Philadelphia Public School System linked to birth records from the city of Philadelphia (1996-2002). RESULTS: Less than average reading skill was independently associated with two and a half times the risk of teen childbearing than average reading skill (aHR 2.51, 95% CI: 1.67-3.77). Above average reading skill was associated with less risk (aHR 0.27, 95% CI 0.17-0.44). A significant interaction (p<.05) between reading skill and race/ethnicity indicated that Hispanic and African American girls had greater risk of teen-childbearing by literacy. CONCLUSIONS: Literacy strongly predicts risk of teenage childbearing independent of confounders. The effects of literacy were stronger among girls with Hispanic or African American race/ethnicity.