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在青少年中放弃了医疗保健
C A Ford1, P S Bearman, J Moody
1Department of Medicine, University of North Carolina, Chapel Hill 27599-7225, USA. caf@med.unc.edu
JAMA
|December 22, 1999
概括
许多青少年放弃了必要的医疗保健,增加了身体和精神健康问题的风险. 解决影响先决护理的因素对于改善青少年健康结果至关重要.
科学领域:
- 青少年健康 青少年健康
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
背景情况:
- 缺乏需要但没有获得医疗保健的青少年的年度国家估计.
- 了解与预先护理相关的健康问题风险至关重要.
研究的目的:
- 确定每年报告放弃医疗保健的青少年比例.
- 检查社会人口结构因素,保险状况,先前的医疗保健利用情况以及影响先前护理的健康风险.
主要方法:
- 从全国青少年健康纵向研究 (1995) 获得的第1波数据的横截面分析.
- 在美国各地对20746名青少年 (7-12年级) 进行了家庭访谈.
- 评估基于个人/家庭特征,保险,过去的护理,健康行为和症状的预期护理.
主要成果:
- 18.7%的青少年报告说,在过去的一年中,他们放弃了医疗保健.
- 持续的保险和最近的体检降低了失去护理的风险.
- 增加的风险因素包括年龄较大,少数种族/族裔,单亲家庭,残疾,吸烟,频繁饮酒,性活动和报告的健康症状.
结论:
- 放弃医疗保健的青少年面临身体和精神健康问题的风险增加.
- 改善青少年健康的干预措施必须考虑和解决先前护理的决定因素.
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