性少数群体地位和乡村地区在心脏代谢性住院风险中的双重差异:使用基于人口数据的二次分析
Neeru Gupta1, Samuel R Cookson1
1Department of Sociology, University of New Brunswick, Fredericton, NB E3B 5A3, Canada.
Healthcare (Basel, Switzerland)
|November 14, 2023
概括
农村地区的性少数群体因心脏代谢疾病而面临更高的住院风险. 这突显了加拿大偏远社区的女同性恋,同性恋或双性恋 (LGB) 个人在医疗保健获取和结果方面的差异.
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
- 卫生社会学 卫生社会学
背景情况:
- 性少数群体的人群往往比异性恋人群更糟糕的慢性健康结果.
- 与城市居民相比,农村人口还面临着健康差异.
- 性少数群体地位和农村生活对健康的影响的交叉是研究不足的.
研究的目的:
- 调查女同性恋,同性恋或双性恋 (LGB) 身份和农村/偏远居住的交叉点上的医疗保健模式.
- 检查在工作年龄的成年人中可能避免的与心脏代谢相关的住院住院的风险.
主要方法:
- 加拿大国家健康调查,医院记录和偏远指数的二次分析.
- 使用后勤回归模型来评估住院风险.
- 对社会人口统计学因素,行为风险和初级医疗保健准入进行了调整.
主要成果:
- 在农村/偏远地区患有心脏代谢疾病的成年人,如果确定LGB,就有更高的住院风险 (OR:4.2;95%CI:1.5-11.7).
- 这种关联在同性恋和双性恋男性中是显著的 (OR: 5.6;CI: 1.3-24.4).
- 这种关联在女同性恋和双性恋女性中没有统计学意义 (OR:3.5;CI:0.9-13.6).
结论:
- 居住在农村和偏远地区的LGB个人面临心脏代谢住院的风险较高.
- 对于农村地区的性少数群体而言,医疗保健存在差异.
- 需要进一步的研究来理解和解决这些交叉影响健康.
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