Sexual activity in the young female adolescent.
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Biomedical subjects
Publications and source records attributed to L C Berti.
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Childhood tuberculosis continues to rise in the United States, with minority children living in large urban areas at increased risk. Most children have no symptoms or have nonspecific symptoms. Diagnosis is usually made on contact investigation for an adult with active disease. This article reviews for the pediatric nurse practitioner the pathogenesis of tuberculosis, diagnostic criteria, and specific therapeutic and interventional modalities.
OBJECTIVE: Our objective was to compare health problems and medical coverage of homeless and housed children who used a school-based health center (SBHC) for comprehensive care. METHODS: Medical charts of homeless children (n = 76) and housed children (n = 232) seen for comprehensive care at an SBHC in New York City during the 1998-99 school year were systematically reviewed and compared. RESULTS: Controlled for ethnicity and medical coverage, homeless children were 2.5 times as likely (P <.001) to have health problems and 3 times as likely (P <.001) to have severe health problems as housed children. The most common health problems identified in the homeless population were asthma (33%), vision (13%), mental health (9%), and acute problems (8%). Lack of medical coverage was evident in 58% of homeless children, compared with 15% of housed children (P <.001). CONCLUSION: Study findings identify homeless children as being at increased risk for health problems and lack of medical coverage. These findings support use of an SBHC for comprehensive care by underserved segments of the population and a need for increased vigilance on the part of health care providers caring for homeless children.