在SMI的美国退伍军人中,Covid 19测试和阳性的比率与SMI
Isabella Soreca1, Monique Y Boudreaux-Kelly2
1VA Pittsburgh Healthcare System, University Drive, Pittsburgh, PA 15240, USA; VISN 4 Mental Illness Research, Education and Clinical Center, VA Pittsburgh Healthcare System, Research Office Building (151RU/MIRECC), University Drive, Pittsburgh, PA 15240, USA.
Journal of psychosomatic research
|September 9, 2023
概括
患有严重精神疾病 (SMI) 的退伍军人不太可能接受COVID-19测试并取得阳性结果. 这项研究强调了这一弱势群体在获得医疗保健方面的差异.
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
- 心理健康服务 心理健康服务
背景情况:
- 严重精神疾病 (SMI) 影响了美国退伍军人人口的很大一部分.
- 了解SMI退伍军人获得医疗保健的差异对于公平护理至关重要.
- COVID-19测试和结果可能受到潜在的健康状况和获得护理的机会的影响.
研究的目的:
- 为了比较SMI和没有SMI的美国军方退伍军人之间的COVID-19测试率和阳性测试结果.
- 为了确定与COVID-19测试和退伍军人的结果相关的社会人口和临床因素.
- 评估疫情期间SMI退伍军人获得医疗保健的潜在差异.
主要方法:
- 一项使用VA企业数据仓库 (CDW) 数据的队列研究.
- 在2019-2020年期间,包括100多万退伍军人与门诊接触.
- 根据年龄,性别,种族和种族对非SMI退伍军人与SMI退伍军人进行匹配,以进行比较分析.
主要成果:
- 经过对共变量进行调整后,患有SMI的退伍军人接受COVID-19测试的可能性降低了6%.
- 特定的SMI诊断,如精神病和精神分裂症,与明显较低的测试率有关.
- 患有SMI的退伍军人也显示,他们接受COVID-19阳性测试结果的可能性较低.
结论:
- 在SMI和没有SMI的美国军方退伍军人中,COVID-19测试访问存在显著差异.
- 在SMI患者中,阳性测试结果的较低率可能有助于减少相关的耻辱感.
- 解决测试准入方面的差异对于改善严重精神疾病退伍军人的健康结果至关重要.
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