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现实世界精神分裂症中的贫困和不平等:一项全国性研究
Guillaume B Fond1,2, Dong Keon Yon3,4, Bach Tran2,5
1Fondation FondaMental, Créteil, France.
Frontiers in public health
|November 29, 2023
概括
生活在贫困中的精神分裂症患者经历较差的健康和社会结果,尽管平等获得护理. 有针对性的干预措施对于解决这些差异和改善他们的生活质量至关重要.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 社会经济学 社会经济学
背景情况:
- 精神分裂症在严重精神疾病中显著影响社会经济地位.
- 贫困加剧了精神分裂症患者的健康不平等.
研究的目的:
- 调查临床医生和患者报告的不平等.
- 将贫困线以下的患者与贫困线以上的患者进行比较.
主要方法:
- 在10个国家中心对916名精神分裂症患者进行了全面评估.
- 评估包括疾病的严重程度,成和患者报告的结果.
主要成果:
- 80.7%的患者属于贫困群体,表现出较差的客观疾病结果和减少对社会角色 (住房,育儿) 的准入.
- 尽管获得了类似的治疗,但贫困群体的代谢参数更受干扰,但矛盾的是,他们报告了更高的自尊.
- 在抑郁症,危险行为或成方面没有发现显著差异.
结论:
- 法国社会制度确保平等获得护理,但贫困患者的精神和身体健康状况仍然较差.
- 减少社会融入可能会导致贫困群体的自尊心提高,因为减少了耻辱的暴露.
- 贫困的精神分裂症患者是弱势群体,需要有针对性的公共卫生计划和量身定制的干预措施,以改善社会融合和健康结果.
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