县级社会空间差异 老龄化和残疾服务组织的可用性
Claire Pendergrast1, Danielle Rhubart2
1Syracuse University.
概括
农村县面临着严重的老龄化和残疾服务短缺,造成了护理的"沙漠". 贫困和较高的黑人人口加剧了这些服务差距,影响了老年人获得公平的机会.
科学领域:
- 社区年龄学学科
- 空间上的不平等 空间上的不平等
- 医疗保健服务研究 医疗服务研究
背景情况:
- 老龄化和残疾服务对于老年人独立生活至关重要.
- 了解服务获取的地理和人口差异对于公平支持至关重要.
- 现有的研究往往忽视了农村-城市连续性和县级特征.
研究的目的:
- 调查农村-城市范围内的老龄化和残疾服务的可用性.
- 检查县级人口因素如何影响服务获取.
- 确定缺乏足够的老龄化和残疾服务的地区,称为"沙漠".
主要方法:
- 利用来自国家社区数据档案 (NaNDA) 和美国社区调查 (N=3142) 的县级数据.
- 应用社区老年学和空间不平等的理论框架.
- 采用统计模型来分析农村-城市分类和县人口统计的服务可用性.
主要成果:
- 农村县的老龄化和残疾服务荒漠的可能性显著更高.
- 较高的贫困率和非西班牙裔黑人居民的比例更大,与服务荒漠的可能性增加有关.
- 在不同的县组合中,服务获取方面的差异很明显,对西班牙裔人口的影响各不相同.
结论:
- 在获得基本的老龄化和残疾服务方面存在显著的地理差异.
- 需要采取政策和实践干预措施来解决服务沙漠问题,特别是在农村地区和服务不足的社区.
- 公平获得老龄化和残疾服务需要有针对性的战略,考虑社会经济和种族/种族因素.
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