长期服务和支持以及与健康结果相关的未满足需求
Joseph Caldwell1, Elad Daniels1, Kaitlin Stober1
1Brandeis University, United States.
Disability and health journal
|August 8, 2024
概括
未满足的长期服务和支持 (LTSS) 需求不成比例地影响着年轻人,女性和非异性恋者. 这些未满足的需求与较差的健康结果有关,包括心理健康和自杀念头.
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
- 老年学是指老年学的学科.
背景情况:
- 在州和国家一级,关于未满足长期服务和支持 (LTSS) 需求的人口层面数据很少.
- 了解这些未满足的需求对于识别健康差异及其对健康结果的影响至关重要.
研究的目的:
- 调查各种社会人口统计因素中未得到满足的LTSS需求的差异.
- 检查未满足的LTSS需求与健康/预防性医疗保健结果之间的关联.
主要方法:
- 对2021年行为风险因素监测系统 (BRFSS) 对德克萨斯州LTSS需求的成年人调查数据的分析 (N=1232).
- 具有和没有未满足LTSS需求的成年人之间的社会人口特征的比较.
- 修改Poisson回归以评估未满足的LTSS需求和健康结果 (例如健康状况,心理健康,自杀念头) 和预防性护理 (例如检查,流感疫苗) 之间的关联.
主要成果:
- 没有满足LTSS需求的成年人更有可能是年轻的 (<65岁),女性,有更高的教育程度,并认为自己不是异性恋.
- 未满足的LTSS需求与较差的身体健康,心理健康和增加的自杀念头有关,即使控制了社会人口统计学变量.
结论:
- 加强对未得到满足的LTSS需求的数据收集对于为政策改革提供信息至关重要.
- 这些数据可以指导减少获得家庭和社区服务 (HCBS) 的差异,并改善整体健康结果的努力.
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