移民和难民年轻人的语言能力和虚拟精神保健利用:基于人口的队列研究
Hodan Mohamud1, Alene Toulany1,2,3,4, Sonia M Grandi1,3
1University of Toronto, Toronto, Ontario, Canada.
Archives of disease in childhood
|September 20, 2024
概括
移民的孩子 移民的孩子
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
- 移民研究 移民研究
背景情况:
- 随着COVID-19的流行,虚拟护理的采用加速了.
- 虚拟护理的使用可能不适合所有人群.
- 儿童移民和难民人口可能面临独特的障碍.
研究的目的:
- 调查虚拟精神卫生保健使用与儿童移民因素之间的关系.
- 识别儿童移民和难民在虚拟心理健康护理获取方面的差异.
主要方法:
- 基于人口的队列研究在加拿大安大略省 (2020年3月至2021年12月).
- 包括3至17岁的移民和难民.
- 检查的加拿大语言能力 (CLA) 和移民类别 (经济,家庭,难民) 作为暴露.
- 使用链接的卫生行政数据测量虚拟与实体心理健康护理访问.
- 使用修改后的Poisson回归来估计调整后的利率比率 (aRR).
主要成果:
- 在71,375次心理健康访问中,67.2%是虚拟的.
- 与患有CLA的经济阶级移民相比,患有CLA的难民和家庭类移民的虚拟护理使用率较低.
- 没有CLA的难民的虚拟护理使用率明显较低 (aRR为0.80).
- 在CLA和其他群体的经济阶级移民中,没有发现虚拟护理使用的显著差异.
结论:
- 加拿大语言能力和移民类别与儿童使用虚拟精神卫生保健有关.
- 调查结果表明,难民和缺乏CLA的人在获得CLA方面存在潜在的不平等.
- 需要进一步研究,以了解这些模式是否反映了偏好或可访问性障碍.
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