韩国的粮食不安全和未满足的医疗保健需求
1Department of Consumer Science and Convergence Program for Social Innovation, Sungkyunkwan University, Seoul, South Korea.
International journal for equity in health
|August 4, 2023
概括
粮食不安全性显著增加了韩国成年人未得到满足的医疗保健需求,特别是可访问性. 解决粮食不安全问题对于改善弱势群体的健康结果和福祉至关重要.
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
- 健康的社会经济决定因素
背景情况:
- 粮食不安全是各种疾病的主要风险因素,也是获得医疗保健的障碍.
- 它经常与其他社会经济劣势同时发生,使得医疗服务的利用变得复杂.
- 了解粮食不安全与获得医疗保健之间的关系对于公共卫生干预至关重要.
研究的目的:
- 调查韩国家庭粮食不安全和未满足的医疗保健需求之间的联系.
- 确定经历粮食不安全的个人是否可以在需要时获得医疗保健服务.
- 分析粮食不安全人口中未满足医疗保健需求的具体原因.
主要方法:
- 一项重复的横截面研究,利用韩国国家健康和营养检查调查 (2013-2015年和2019-2021年) 的数据.
- 采用多变量物流回归模型来评估粮食不安全和未满足的医疗需求之间的联系.
- 分析包括检查任何放弃医疗服务的原因和未满足需求的原因 (可用性,可接受性,可访问性),控制倾向性,启用性和需求因素.
主要成果:
- 很大一部分参与者 (中度4.5%,严重粮食不安全0.9%) 报告粮食不安全.
- 适度和严重的粮食不安全性与未满足医疗保健需求的更高几率相关 (OR分别为1.47和3.32).
- 可访问性问题是未满足需求的主要驱动因素,粮食不安全个体的几率显著增加 (分别为中度和严重的OR为2.31和6.15).
结论:
- 粮食不安全与韩国成年人口中未得到满足的医疗保健需求增加密切相关.
- 这些发现突出了生活需求竞争对健康的累积影响.
- 解决粮食不安全和获得医疗保健之间的相互作用的干预措施对于改善健康平等和福祉至关重要.
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