亚拉巴马州农村健康的社会生态决定因素的新描述
Nathan C English1, Burkely P Smith2, Bayley A Jones2
1Division of Gastrointestinal Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama; Department of General Surgery, University of Cape Town, Cape Town, South Africa.
The Journal of surgical research
|July 21, 2024
概括
健康的社会生态决定因素 (SEDOHs) 在阿拉巴马州农村社区有显著的差异. 据SEDOH-88调查显示,确定减少健康差异的目标具有很高的可接受性和可行性.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 农村卫生 农村卫生
背景情况:
- 健康的社会生态决定因素 (SEDOH) 显著影响手术结果,并导致健康差异.
- 测量SEDOH对于解决这些差异至关重要,但也带来了挑战.
- 经过验证的SEDOH-88调查被用来评估农村环境中的这些决定因素.
研究的目的:
- 通过SEDOH-88调查,评估阿拉巴马州三个农村社区的社会生态健康决定因素 (SEDOH).
- 假设和评估不同农村地区SEDOH的显著变化.
- 确定在这些人群中测量SEDOH的可接受性和可行性.
主要方法:
- 从2021年8月到2023年7月的外科病人的前性维护数据库的回顾性审查.
- 患者完成了SEDOH-88调查和关于可接受性和可行性的二次调查.
- 从三个农村医院收集的数据:Demopolis (DM),亚历山大市 (AC) 和格林维尔 (GV).
主要成果:
- 分析了107名参与者,在不同地点的个人因素 (种族,健康素养) 和结构/环境因素 (医疗补助入学,新鲜农产品获取,互联网访问) 中存在显著差异.
- 与AC和GV相比,Demopolis (DM) 的黑人人口比例,医疗补助计划的入学人数和互联网接入不足的比例更高.
- 在SEDOH-88调查中,总体可接受性和可行性得分高达90.9%.
结论:
- 农村社区的社会生态健康决定因素 (SEDOH) 存在显著差异,影响个人,结构和环境因素.
- SEDOH-88调查是评估这些决定因素的可接受和可行的工具.
- 这种工具有潜力确定旨在减少手术结果健康差异的干预目标.
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