医疗保健的获取和利用以及拉丁裔健康悖论
Clara B Barajas1, Alexandra C Rivera-González2, Arturo Vargas Bustamante3
1Department of Health Management and Policy, Dornsife School of Public Health, Drexel University, Philadelphia, PA.
Medical care
|April 10, 2024
概括
拉丁裔的健康悖论仍然存在,即使考虑到医疗保健的获取和利用. 外国出生的拉丁裔通常比美国出生的非拉丁裔白人健康状况更好,除了超重/肥胖和糖尿病.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 流行病学 流行病学
背景情况:
- 拉丁裔健康悖论描述了与长期居民和美国出生的人口相比,最近的拉丁裔移民的健康状况更好.
- 这种现象在各种健康指标中被观察到,这促使对促成因素的进一步调查.
研究的目的:
- 为了确定拉丁裔健康悖论是否在调整医疗保健获取和利用后仍然具有意义.
- 分析外国出生的拉丁裔,美国出生的拉丁裔和美国出生的非拉丁裔白人之间的健康结果差异.
主要方法:
- 使用了2019-2020年国家健康访谈调查数据.
- 在人口群体中比较健康结果 (自我报告的健康状况,超重/肥胖,高血压,心脏病,糖尿病,癌症,抑郁症).
- 调整以获得医疗保健 (通常的护理来源,保险,医生访问) 和倾向性/支持因素为准.
主要成果:
- 与美国出生的非拉丁裔白人相比,外国出生的拉丁裔人对大多数不良健康结果的概率较低,除了超重/肥胖和糖尿病.
- 美国出生的拉丁裔比美国出生的非拉丁裔白人更容易患超重/肥胖和糖尿病,抑郁率也更低.
- 即使控制了医疗保健的获取和使用,这种悖论仍然存在.
结论:
- 拉丁裔健康悖论甚至在考虑医疗保健的获取和利用时也很明显.
- 医疗保健因素虽然很重要,但不能完全解释观察到的健康差异.
- 需要进一步的研究来了解推动拉丁裔健康悖论的潜在机制.
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