客观社会隔离与未满足的医疗需求之间的关联:在韩国进行的一项全国性跨部门研究
Jeong Min Yang1, Seul Ki Lee1, Jae Hyun Kim2
1Department of Public Health, General Graduate School of Dankook University, Cheonan, Korea.
概括
社会隔离 (SI) 与成年人未满足的医疗需求 (UMN) 有关. 这种关联在老年人中更为强烈,突出了解决社会联系的干预措施的必要性,以改善获得医疗保健的机会.
科学领域:
- 公共卫生 公共卫生
- 老年学是一门学科.
- 社会学 社会学 社会学
背景情况:
- 社会隔离 (SI) 是一个越来越严重的问题,影响健康结果.
- 未满足的医疗需求 (UMN) 是获得医疗保健的重要障碍.
- 了解SI和UMN之间的关系对于公共卫生干预至关重要.
研究的目的:
- 调查19岁及以上成年人客观社会隔离与未得到满足的医疗需求之间的联系.
- 探索这种关联在不同年龄组之间如何变化.
主要方法:
- 使用2019年韩国社区健康调查对208,619名成年人的横截面分析.
- 使用奇平方测试和逻辑回归分析来评估SI和UMN之间的关系.
- 按年龄组进行了分层分析.
主要成果:
- 经历过社会隔离的个体患有未满足医疗需求的患病率高出1.14倍.
- 由于社会隔离类型的数量增加,未满足医疗需求的几率比率显著增加,在五种类型中达到2.77.
- 观察到社会隔离与未满足的医疗需求之间有很强的联系,特别是在65岁及以上的成年人中 (OR, 1.53).
结论:
- 社会隔离与未得到满足的医疗需求有很大关系,可能是由与人际关系相关的恐惧和焦虑驱动的.
- 这些发现强调了解决社会隔离的重要性,以减少未满足的医疗需求,特别是在老年人群中.
- 建议在未来进行纵向研究,以确定社会隔离与未满足的医疗需求之间的因果关系.
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