在残疾人中获得生殖健康服务的机会
M Antonia Biggs1, Rosalyn Schroeder1, M Tara Casebolt2
1Advancing New Standards in Reproductive Health (ANSIRH), Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California San Francisco, San Francisco.
JAMA network open
|November 29, 2023
概括
残疾人在获得生殖健康 (RH) 服务方面遇到重大障碍. 物流和访问问题是最常见的,突出了改善基础设施和包容性护理的需要.
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
- 关于残疾人的研究.
背景情况:
- 残疾人在获得生殖健康 (RH) 服务方面面临不平等.
- 在不同类型的残疾人中,这些进入障碍的全国性流行程度尚不清楚.
研究的目的:
- 确定残疾人遇到的RH服务障碍的全国流行情况.
- 确定残疾人在获得RH护理时遇到的特定类型的障碍.
主要方法:
- 一项横截面研究分析了关于RH经验 (2021年12月-2022年1月) 的在线全国调查数据.
- 这项研究包括6956名参与者,分别在出生时被分配为女性 (AFAB),年龄在15-49岁之间.
- 使用华盛顿集团功能项目的短集来评估残疾状态,后勤回归分析了与RH接入障碍的关联.
主要成果:
- 8.5%的参与者表示有残疾. 残疾人更有可能是非西班牙裔黑人,西班牙裔/拉丁裔,LGBTQAI+,低于联邦贫困线,并且经历过医疗虐待.
- 近69%的残疾人面临RH服务的障碍,而没有残疾人的43%面临障碍.
- 物流和进入障碍是最普遍的,特别是对于那些影响日常生活,沟通或多个领域的残疾人来说.
结论:
- 在残疾人获得RH服务方面存在重大差异.
- 解决这些不平等问题需要改善交通基础设施,并实施以患者为中心,包容性的医疗保健方法.
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