본문 바로가기
KERD
논문KCI 등재

경기도 위스타트 사업을 위한 미취학 빈곤 아동 건강 및 양육 실태

Health and Child Rearing Status of Infants and Preschool Children in Poverty - For the We Start Program in Kyunggi Province -

1

조회

0

다운로드

21

인용

0

참고문헌

키워드

초록

Objectives : This study was performed to investigate the differences in the levels of a child's general health status and child rearing status between households of average income and poverty-level income. Methods : The population surveyed was of low socioeconomic status and was selected from 3 cities with the We Start program. Data from these surveys were used for this study. Data from 186 households having infants or preschoolers, and 118 households in the general status population of the same district were analyzed using the χ2-test and t-test with SPSS Win program. Results : Children under 2 years of age from poverty-level households showed more health-related problems such as hospital admission (p=0.054), congenital disease (p= 0.068), and pre-term (p=0.087) than those of the average group. Also children from the same group 2~6 showed more developmental delay (p=0.048), allergy (p=0.072), dental problems (p=0.001), and emotional problems (p=0.078) like anxiety or fear. There was a significant difference between incomes groups in the mother's child health management. The former group's ratio of prenatal check-up (p=0.004) and homemade baby food made (p=0.006) were lower than the latter group. Both had a trouble with child rearing and there was no difference. Conclusions : These results suggest that children in low socioeconomic status are likely to have more health problems and health risks. According to these finding, it seems that the involvement of health professionals in the low socioeconomic group would be beneficial. Our research can assist future healthcare planning and the target interventions for the health of children in poverty.

Abstract

Objectives : This study was performed to investigate the differences in the levels of a child's general health status and child rearing status between households of average income and poverty-level income. Methods : The population surveyed was of low socioeconomic status and was selected from 3 cities with the We Start program. Data from these surveys were used for this study. Data from 186 households having infants or preschoolers, and 118 households in the general status population of the same district were analyzed using the χ2-test and t-test with SPSS Win program. Results : Children under 2 years of age from poverty-level households showed more health-related problems such as hospital admission (p=0.054), congenital disease (p= 0.068), and pre-term (p=0.087) than those of the average group. Also children from the same group 2~6 showed more developmental delay (p=0.048), allergy (p=0.072), dental problems (p=0.001), and emotional problems (p=0.078) like anxiety or fear. There was a significant difference between incomes groups in the mother's child health management. The former group's ratio of prenatal check-up (p=0.004) and homemade baby food made (p=0.006) were lower than the latter group. Both had a trouble with child rearing and there was no difference. Conclusions : These results suggest that children in low socioeconomic status are likely to have more health problems and health risks. According to these finding, it seems that the involvement of health professionals in the low socioeconomic group would be beneficial. Our research can assist future healthcare planning and the target interventions for the health of children in poverty.

참고문헌 (34)

  1. <삭제>,
  2. 강희경, "학령기 자녀를 둔 빈곤가족의 스트레스-일 지역 빈곤가족의 실태와 경험을 중심으로", 아동간호학회지, 5(2), pp.185~197 (1999)
  3. 김광혁, "빈곤이 아동의 심리사회적 발달에 미치는 영향", 사회과학논총, 20, pp.109~125 (2005)
  4. 방경숙, "미취학아동 어머니의 모자보건관련 특성, 양육부담감, 사회적지지에 대한 사회계층별 비교", 대한아동간호학회지, 13(4), pp.390~398 (2007), 아동간호학회
  5. 손미아, "부모의 사회계급이 1995-2001년도 출생아의 저체중에 미치는 영향", 보건행정학회지, 14(1), pp.148~168 (2004), 한국보건행정학회
  6. 윤태호, "부모의 사회경제적 지위와 어린이 사망의 연관성", 보건과 사회과학, 1, pp.29~46 (2007)
  7. 이상이, "우라나라 사회계층별 저체중아 출생률의 차이", 보건과 사회과학, 13, pp.61~79 (2003)
  8. 조용수, "우리나라의 연령별 빈곤실태와 결정요인에 대한 실증 연구", 사회보장연구, 23(3), pp.101~124 (2007), 한국사회보장학회
  9. "빈곤아동․청소년 실태파악 및 정책방안 연구"[URL]
  10. 황혜원, "가정빈곤과 이를 예측하는 변인들이 유아의 사회정서발달에 미치는 영향", 한국가족복지학, 9(1), pp.219~229 (2004)
  11. Bradley RH, "ocioeconomic status and child development", Annu Rev Psychol, 53, pp.371~399 (2002)
  12. Brody J, "The global epidemic of childhood obesity: poverty, urbanization, and the nutrition transition", Nutrition bytes, 8(2) (2002)
  13. Caughy MO, "The effects of the health steps for young children program: results from observations of parenting and child development", Early Childhood Research Quarterly, 19, pp.611~630 (2004)
  14. D'Ascoli PT, "Parental factors influencing patterns of prenatal care utilization", J Perinatol, 17(4), pp.283~287 (1997)
  15. Fish M, "Attachment in infancy and preschool in low socioeconomic status rural Appalachian children", Dev Psychopathol, 16(2), pp.293~312 (2004)
  16. Gottlieb G, "How early experience matters in intellectual development in the case of poverty", Prev Sci, 5(4), pp.245~252 (2004)
  17. Haelterman E, "Social deprivation and poor access to care as risk factors for severe preeclampsia", Eur J Obstet Gynecol Reprod Biol, 111(1), pp.25~32 (2003)
  18. "Program services//Head Start/2007"[URL]
  19. Hubbs-Tait L, "Relation of head start attendance to children's cognitive and social outcomes: moderation by family risk", Early Childhood Research Quarterly, 17, pp.539~558 (2002)
  20. Ismail AL, "Determinants of health in children and the problem of early childhood caries", Pediatr Dent, 25(4), pp.328~333 (2003)
  21. Kobak R, "Attachment disruptions in seriously emotionally disturbed children: implications for treatment", Attach Hum Dev, 3(3), pp.243~258 (2001)
  22. Love JM, "The effectiveness of early head start for 3-year-old children and their parents: lessons for policy and programs", Dev Psychol, 41(6), pp.885~901 (2005)
  23. Nikiema B, "Poverty and cumulative hospitalization in infancy and early childhood in the Quebec birth cohort: a puzzling pattern of association", Matern Child Health J, 10 (2007), pressing
  24. Paredes I, "Factors associated with inadequate prenatal care in Ecuadorian women", Int J Gynaecol Obstet, 88(2), pp.168~172 (2005)
  25. Reid MJ, "Halting the development of conduct problems in head start children: the effects of parent training", J Clin Child Adolesc Psychol, 33(2), pp.279~291 (2004)
  26. Reynolds AJ, "Research on early childhood interventions in the confirmatory mode", Child Youth Serv Rev, 26, pp.15~38 (2004)
  27. Smith LK, "Socioeconomic inequalities in very preterm birth rates", Arch Dis Child Fetal Neonatal Ed, 92(1), pp.11~14 (2007)
  28. Thomas L, "What nurses can do to combat poverty", Nurs Stand, 28(34), pp.25~ (2004)
  29. Turky M, "Environmental allergens and asthma morbidity in low-income children", J Asthma, 43(6), pp.453~457 (2006)
  30. Vieweg VR, "Correlation between high risk obesity groups and low socioeconomic status in school children", South Med J, 100(1), pp.8~13 (2007)
  31. Weiss H, "Growing up in poverty as a developmental risk", Educational and Child Psychology, 21(1), pp.8~19 (2004)
  32. Zeanah CH, "Infant development and developmental risk: a review of the past 10 years", J Am Acad Child Adolesc Psychiatry, 36(2), pp.165~178 (1997)

관련 논문AI추천

이 간행물의 다른 논문 (9건)