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在有或没有精神分裂症的女性医疗补助受益者中进行宫癌查
Alison R Hwong1,2, Karly A Murphy3, Eric Vittinghoff4
1Department of Psychiatry and Behavioral Sciences, University of California, San Francisco, San Francisco, CA, USA.
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概括
使用医疗补助的精神分裂症妇女的宫癌查率较低. 需要采取干预措施,改善对那些不太参与医疗保健或农村地区的人的查.
科学领域:
- 公共卫生 公共卫生
- 妇科瘤学 妇科瘤学
- 心理健康服务研究 心理健康服务研究
背景情况:
- 患有精神分裂症的女性面临着对妇科护理的重大障碍.
- 在美国的精神分裂症妇女中,宫癌查率尚不清楚,特别是在公共保险人口中.
研究的目的:
- 为了调查在美国范围内患有精神分裂症的女性医疗补助受益者中的子宫癌查率.
- 根据社会人口统计学,并发病症和医疗保健利用情况来确定查中的差异.
主要方法:
- 这是一项回顾性队列研究,利用来自44个州的美国医疗补助行政数据 (2002-2012).
- 对283,950名精神分裂症妇女和没有严重精神疾病的匹配对照组之间的查率进行了比较.
- 使用多变量逻辑回归来分析与精神分裂症妇女查完成相关的因素.
主要成果:
- 与对照组相比,患有精神分裂症的女性接受宫癌查的可能性较小 (OR = 0.76).
- 在精神分裂症组中,非白人,年轻女性,城市居民,有物质使用障碍,焦虑,抑郁和与初级保健相关的人群中观察到更高的查率.
结论:
- 宫癌查率对于被医疗补助覆盖的精神分裂症妇女来说是不理想的.
- 有针对性的干预措施对于解决查差异至关重要,重点关注那些不太参与医疗保健或居住在农村地区的人.
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