在不同痴呆症护理人员中使用护理支持服务,按地理背景分类
Aya Yoshikawa1, Erin D Bouldin2,3, Mónika López-Anuarbe4
1School of Health Promotion and Kinesiology, Texas Woman's University, Denton, Texas, USA.
The Gerontologist
|June 15, 2023
概括
在使用痴呆症照顾者支持服务方面存在种族和种族差异,地理背景起着关键作用. 影响服务使用的因素也因种族/种族而异.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 社会学 社会学 社会学
背景情况:
- 对种族/族裔和地理背景如何影响痴呆症照顾者支持服务的利用理解有限.
- 需要探索获得正式护理服务的差异.
研究的目的:
- 根据种族/种族和地理环境 (地铁与非地铁) 调查正式支持服务使用 (支持小组,休息护理,培训) 的差异.
- 检查如何倾向性,启用性和需求特征影响不同种族/种族群体的服务使用.
主要方法:
- 分析了482名65岁以上可能患有痴呆症的个人主要护理人员的数据 (2017年国家健康和衰老趋势研究/国家护理研究).
- 利用加权流行率估计和后勤回归模型 (Hosmer-Lemeshow统计) 来确定最合适的模型.
主要成果:
- 少数民族护理人员在地铁 (35%) 和非地铁 (15%) 地区使用服务更多;非西班牙裔白人护理人员显示相反 (47%的非地铁,29%的地铁).
- 倾向性,启用性和需求因素影响了这两个群体的服务使用.
- 年龄较小和家庭分歧增加了服务使用;护理人员/护理受理者的健康对少数族裔护理人员来说很重要;非大都会背景和干扰活动对非西班牙裔白人护理人员来说很重要.
结论:
- 地理背景显著影响痴呆症照顾者支持服务的使用.
- 倾向性,启用性和需求因素对服务利用的影响是种族/种族的依赖,突出了定制干预的必要性.
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