亚裔美国人的独占区和医疗保健的可获得性:在五个州进行的生态研究
Alice Guan1, Sandi L Pruitt2, Kevin A Henry3
1Department of Epidemiology & Biostatistics, University of California San Francisco, San Francisco, California.
亚裔美国人封闭区在地理上更好地获得初级保健,并且与非封闭区相比,不利因素更少. 这一发现凸显了这个日益增长的人口促进健康的社区特征.
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
- 社会学 社会学 社会学
背景情况:
- 获得初级保健对人口健康至关重要.
- 亚裔美国人,通常居住在种族封闭区,不充分利用医疗保健服务.
- 了解这些封闭区的地理可访问性对于这个人口群体的健康至关重要.
研究的目的:
- 评估亚裔美国人包围区内的地理初级保健可及性.
- 确定这些封闭区的社会和建筑环境特征.
- 为改善亚裔美国人获得医疗保健的战略提供信息.
主要方法:
- 利用美国人口普查数据 (2000年,2010年) 来定义亚裔美国人.
- 应用了双步浮动流域方法,用于国家供应商标识符数据的可访问性措施.
- 采用多变量波桑回归来分析封闭区与初级保健可访问性之间的关联.
主要成果:
- 亚裔美国人包围区占分析的人口普查面积的26.1%.
- 封闭区的贫困率较低,犯罪率较低,没有保险的人数较少.
- 在亚裔美国人 (APR=1.23) 地区,初级保健的可用性显著更高.
结论:
- 亚裔美国人群体显示,弱势标志物减少,地理上获得初级保健的机会增加.
- 这些社区具有促进健康的特点.
- 调查结果支持有针对性的干预措施,以改善在少数民族地区内的医疗保健准入.
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