残疾不歧视:种族与残疾交集的健康不平等
Brooke Dorsey Holliman1,2, Michelle Stransky3, Nathalie Dieujuste2,4
1Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO, United States.
Frontiers in rehabilitation sciences
|July 24, 2023
概括
具有残疾的种族和民族少数群体面临着更大的未满足的医疗保健需求. 这项研究发现,与没有残疾的人相比,残疾的黑人和西班牙裔成年人更有可能推迟或放弃护理.
科学领域:
- 健康差异 在健康上的差异
- 卫生社会学 卫生社会学
- 公共卫生 公共卫生
背景情况:
- 对残疾人种族和民族少数群体的歧视可能会加剧种族主义和能力主义.
- 这种复合效应可能会扩大健康和医疗保健差距.
- 了解未满足的医疗保健需求对于解决这些差异至关重要.
研究的目的:
- 探索黑人,非西班牙裔和西班牙裔成年人的未满足的医疗保健需求.
- 为了确定是否有残疾的黑人和西班牙裔成年人与没有残疾的人相比,面临着未满足医疗保健需求的风险增加.
主要方法:
- 利用了2018年国家卫生访谈调查 (NHIS) 的数据.
- 分析了美国全国代表性的社区成年人样本.
- 专注于比较种族/族群内残疾人和没有残疾人的未满足医疗保健需求.
主要成果:
- 黑人和非西班牙裔成年人最常报告的是与流动性相关的残疾.
- 在所有种族/种族群体中,残疾人更有可能延迟或放弃医疗保健.
- 与非残疾同龄人相比,近30%的残疾黑人和西班牙裔成年人因成本而放弃服务.
结论:
- 患有残疾的黑人和西班牙裔成年人经历了更大的医疗保健准入差距.
- 种族和少数民族残疾人的健康差异可能受到种族主义和能力主义的影响.
- 解决双重系统性因素对于减少健康不平等至关重要.
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