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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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公衆衛生

Zhigang Xie1

  • 1University of North Florida, Jacksonville, FL, USA.

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まとめ
この要約は機械生成です。

州の方針はLGBTQ+の健康に影響を与えます。制限的な方針は、性的マイノリティの成人における主観的認知低下（SCD）率の上昇と相関しています。保護的な方針は、認知ケアへのアクセスを改善します。

キーワード:
公衆衛生健康政策性的マイノリティ主観的認知低下LGBTQ+

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科学分野:

  • 公衆衛生
  • 健康政策
  • 老年医学

背景:

  • 2023年には510件を超えるLGBTQ+に対する法案が提出され、慢性的なストレスが増加し、健康に影響を与える可能性があります。
  • 主観的認知低下（SCD）は、特に脆弱な集団において、増大する懸念事項です。

研究 の 目的:

  • 州のLGBTQ+方針環境と性的マイノリティの成人におけるSCDとの関連を調査すること。
  • この人口統計における認知機能のケアへのアクセスに対する方針の影響を調査すること。

主な方法:

  • 2019年から2022年の行動リスク因子監視システム（BRFSS）のデータを利用しました。
  • BRFSSデータと2017年から2021年の方針集計を組み合わせて、多変量ロジスティック回帰分析を行いました。
  • 45歳以上の性的マイノリティの成人を対象としました。

主要な成果:

  • 10,487人の性的マイノリティの成人を対象とした調査では、9.9%がSCDを報告しました。
  • 保護的なLGBTQ+方針がある州の参加者は、SCDを報告するオッズが低いことがわかりました（調整オッズ比=0.63）。
  • SCDのある参加者のうち、保護的な方針がある州の参加者は、医療提供者と認知の問題について話し合う可能性（調整オッズ比=1.68）、および必要な支援を受ける可能性（調整オッズ比=1.55）が高いことがわかりました。

結論:

  • SCDを経験している性的マイノリティの成人は、制限的なLGBTQ+方針がある州でより多く見られます。
  • 州の保護的な方針は、SCDのある性的マイノリティの成人にとって、認知ケアと支援へのアクセスを増加させることと関連しています。