在接受公共资助的家庭和社区服务的老年人中,种族和种族差异在未满足的需求中
Chanee D Fabius1, Romil Parikh2, Jack M Wolf3
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Journal of the American Geriatrics Society
|August 30, 2024
概括
在老年人中,在家庭和社区服务 (HCBS) 的未满足需求方面存在种族和民族差异. 与白人相比,亚裔和黑人个人在个人护理和成人日间服务方面有更高的未满足需求.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 健康 公平 卫生 公平
背景情况:
- 家庭和社区服务 (HCBS) 的大量未满足需求不成比例地影响来自种族和少数民族的老年人.
- 了解这些差异对于公平获得老龄人口护理至关重要.
研究的目的:
- 为了检查65岁及以上的人群中未满足HCBS需求的种族和民族差异.
- 确定差异最明显的特定HCBS.
主要方法:
- 分析国家核心指标-衰老和残疾调查数据 (2015-2019) 来自21,739名65岁以上的HCBS消费者.
- 后勤回归模型评估了六种服务类型的种族/种族和未满足需求之间的关联,并对共变量进行了调整.
主要成果:
- 与非西班牙裔白人消费者相比,亚裔和黑人消费者对个人护理和成人日间服务的未满足需求的可能性更高.
- 黑人消费者也有更高的可能性未满足的需要餐饮配送和护理人员支持服务.
- 没有发现有意义的关联在家庭主妇/家务或运输服务的未满足需求的种族/种族.
结论:
- 在未满足的HCBS需求中,种族和民族差异是显而易见的,特别是在个人护理和成人日间服务方面.
- 需要进一步的研究,以了解这些差异的根本原因,并制定与文化相关的干预措施.
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