在美国,眼睛护理利用的差异是由自我报告的视力困难和糖尿病状况在美国的差异
Jessica Brinson1, Priyanka Kumar2, Jiangxia Wang3
1Department of Ophthalmology, Howard University Hospital, Washington, DC, USA.
Ophthalmic epidemiology
|August 24, 2023
概括
视力障碍和糖尿病的成年人使用眼科护理服务最多,但边缘化群体的差异仍然存在. 解决这些不平等问题对于公平的眼睛健康至关重要. (34个单词) 的意思.
科学领域:
- 公共卫生 公共卫生
- 眼科医生 眼科 眼科
- 医疗保健服务研究 医疗服务研究
背景情况:
- 眼睛护理的使用对于保持视力健康至关重要,尤其是在糖尿病等慢性疾病患者中.
- 了解影响眼科护理获取的社会人口因素对于解决美国的健康差异至关重要.
研究的目的:
- 研究视力困难 (VD),糖尿病状况和美国成年人眼部护理使用的社会人口统计学特征之间的关系.
- 识别不同人口子组在眼科护理获取方面的差异.
主要方法:
- 来自国家健康访谈调查 (2010-2018) 的综合横截面数据分析,涉及18岁及以上的美国成年人.
- 过去一年的眼科护理使用率是结果指标,主要的独立变量包括静脉疾病和糖尿病状况的组合.
- 采用多变量后勤回归模型来检查关联,控制社会人口统计因素.
主要成果:
- 视力困难和糖尿病的成年人表现出最高的眼睛护理利用率 (OR=2.49).
- 女性 (OR=1.45) 和具有高等教育水平的个人 (OR=1.82) 报告说,眼睛护理使用率更高.
- 与其他种族群体相比,没有糖尿病的白人和美洲印第安人成年人使用率更高.
结论:
- 虽然视力障碍和糖尿病患者更多地参与眼科护理服务,但边缘化人口仍然存在重大差异.
- 需要有针对性的干预措施来消除障碍,并确保美国所有患者群体平等获得眼科护理.
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