在北卡罗来纳州农村紧急情况部描述社会不安全
Elizabeth Gignac1, Godwin Y Dogbey1, Aleksandr Pevtsov1
1Campbell University School of Osteopathic Medicine, Harnett County, North Carolina.
The western journal of emergency medicine
|June 6, 2023
概括
社会不安全性在农村急诊室患者中普遍存在,特别是在美国原住民和黑人人口中. 关键因素包括粮食不安全,交通问题和暴力暴露,影响健康结果.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 农村卫生 农村卫生
背景情况:
- 社会不安全,定义为社会设施的剥夺,导致医疗负担和农村急诊室 (ED) 患者的健康状况不佳.
- 了解ED患者的社会不安全概况对于开发有针对性的干预措施以改善健康结果至关重要.
- 这项研究量化了北卡罗来纳州一家农村教学医院的ED患者的社会不安全概况,重点关注具有显著美洲原住民人口的人口.
研究的目的:
- 探索,描述和量化向农村急救部门提交的患者的社会不安全概况.
- 确定这一患者群体中社会不安全的关键决定因素.
- 检查基于种族/种族和性别的社会不安全差异.
主要方法:
- 一个横截面的,单中心的研究,使用匿名的纸质调查问卷给ED患者.
- 调查包括人口统计信息和关于通讯访问,交通,住房,粮食不安全和暴力暴露的验证问题.
- 用变化系数和克伦巴赫α可靠性来评估社会不安全指数因素.
主要成果:
- 总共分析了312项调查,响应率约为70%.
- 在所有测量的子域和总体上 (P <.001) 普遍存在社会不安全感.
- 确定的主要决定因素是粮食不安全,交通不安全和暴露在暴力中,根据种族/种族和性别观察到显著差异 (P <.05).
结论:
- 农村ED人口表现出严重的社会不安全感,影响了食物,交通和安全等基本需求.
- 历史上被边缘化的群体,包括美洲原住民和黑人,报告的社会不安全和暴力暴露率高于白人患者.
- 解决健康的社会决定因素对于改善健康结果和支持农村社区的福祉至关重要,强调需要更好的社会不安全性测量工具在ED环境中.
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