与监禁人员中长期疾病不接受治疗相关的因素
Wendy Nieto-Gutiérrez1, Aleksandar Cvetković-Vega2, María E Cáceres-Távara3
1Universidad San Ignacio de Loyola, Unidad de investigación para la generación y síntesis de evidencia en salud, Lima, Peru.
许多患有长期疾病的囚犯没有接受治疗. 诸如生孩子,语言,地理位置和感知到的歧视等因素增加了这个弱势群体不接受治疗的风险.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 监狱医学 监狱医学
背景情况:
- 长期患有长期疾病的囚犯的健康状况经常被忽视.
- 这种人群在获得一致的医疗保健方面面临着独特的挑战.
研究的目的:
- 确定与秘鲁监禁人员中长期疾病不治疗相关的因素.
- 为改善医疗保健在惩戒设施的获取提供信息的有针对性的干预措施.
主要方法:
- 来自秘鲁监禁人员普查的二次数据的横截面分析.
- 包括12512名被诊断患有长期疾病的个人.
- 用于评估与非治疗相关的因素的普森回归模型.
主要成果:
- 39%的长期疾病的囚犯没有接受治疗.
- 不接受治疗与性别,年龄,家长身份,语言,性身份,司法地位,地点,感知到的歧视和先前的医疗保险有关.
- 增加非治疗患病率的关键因素包括有孩子,使用西班牙语,非利马监狱的位置和感知到的歧视.
结论:
- 了解与不治疗相关的因素对于制定有效的医疗保健策略至关重要.
- 干预措施应优先考虑监狱系统内的弱势群体.
- 密切的健康跟踪和并发症管理对于被监禁的人群至关重要.
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