在黑人/非洲裔美国男性中探索预防性医疗保健利用情况
Harrell Jordan1, Rohan Jeremiah1, Karriem Watson1
1College of Nursing, University of Illinois Chicago, Chicago, IL, USA.
American journal of men's health
|January 20, 2024
概括
黑人/非洲裔美国男性面临预防性医疗保健的重大障碍,宗教和医疗不信任减少了参与度. 他们对健康的看法往往与实际的健康结果不一致,突出了改善获得和文化敏感护理的关键需求.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 卫生社会学 卫生社会学
背景情况:
- 在美国,黑人/非裔美国人 (BAA) 男性的预期寿命最低,死亡率最高.
- BAA男性更有可能使用急诊室进行常规护理,这表明预防服务的利用不足.
- 现有的研究发现,医疗不信任和宗教信仰是障碍,但影响目前预防护理使用的因素仍未得到充分研究.
研究的目的:
- 检查BAA男性当前的预防性医疗保健实践.
- 利用安德森医疗保健利用模型,探索对BAA男性预防性医疗保健利用的倾向性,支持性和需要因素的影响.
- 调查收入,教育,宗教信仰和医疗不信任等因素如何交叉影响医疗保健参与.
主要方法:
- 一项涉及176名黑人/非裔美国男性的横截面研究.
- 基于安德森医疗保健利用模型的分析.
- 检查预防性医疗保健实践及其与人口,态度和基于需求的因素的相关性.
主要成果:
- 正如预期的那样,更高的收入和教育水平与医疗保健利用率有积极联系.
- 一个重要的发现是宗教归属,更高的医疗不信任和减少医疗保健参与之间的反向关系,宗教作为障碍.
- 对健康的看法因性取向,教育和收入而异,但参与者的自我感知健康状况与他们的客观健康状况不一致.
结论:
- 宗教信仰和对医生的不信任显著阻碍了BAA男性的预防性医疗利用.
- 感知和实际健康结果之间的差异强调了健康意识和参与度的关键差距.
- 未来的研究应该考虑男性规范的作用,作为在这个人群中预防性护理的潜在推动因素.
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