在智力和发育障碍的中年和老年人中完成预防性医疗保健查
Jeffrey E Stokes1, Danielle A Waldron2, Emily G Hartford2
1Gerontology, University of Massachusetts Boston, Boston, MA, USA.
概括
智力和发育障碍 (IDD) 的成年人经常错过例行预防性查. 诸如年龄,生活状况和社区接入等因素影响了乳房影像和结肠镜检查的完成,突出了改善医疗保健接入的领域.
科学领域:
- 为残疾人提供医疗保健服务.
- 预防性的健康查.
- 公共卫生政策 公共卫生政策
背景情况:
- 智力和发育障碍 (IDD) 的人面临着严重的医疗保健接入障碍.
- 定期的预防性查对于保持健康至关重要,特别是对于那些有复杂需求的人来说.
- 在这一群体中,乳房影像和结肠镜检查率的差异很普遍.
研究的目的:
- 调查影响成年IDD的乳房镜和结肠镜完成的个人和州级因素.
- 确定预防性查普及的人口,社会和环境决定因素.
- 探索医疗补助扩大对IDD成年人查率的影响.
主要方法:
- 利用多层次的物流回归模型.
- 分析了2012-2013年和2018-2019年波段全国核心指标面对面调查 (NCI-IPS) 的数据.
- 检查了个人特征 (年龄,生活状况,交通,社区参与) 和州级因素 (医疗补助扩张) 与查完成之间的关联.
主要成果:
- 年龄,生活状况,交通便利和社区参与与完成乳房影像和结肠镜检查显著相关.
- 医疗补助计划的扩张与结肠镜检查的完成有着积极的关联,但仅适用于年轻人 (50多岁).
- 这些因素共同影响了IDD成年人的基本预防卫生服务的采用.
结论:
- 个人和环境因素在成年人IDD预防性查完成方面发挥着关键作用.
- 针对交通,社区融合和生活状况的有针对性的干预措施可以提高查率.
- 政策变化对查的影响,如医疗补助扩大,需要进一步调查,特别是在IDD人口中的特定年龄组.
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