儿童心理健康护理的州差异
Genevieve Graaf1, Phillip M Hughes2, Kristin H Gigli3
1School of Social Work (G Graaf), University of Texas at Arlington.
Academic pediatrics
|October 3, 2024
概括
儿童获得心理健康护理的地理差异很大,州一级的差异超过了种族,收入或保险群体的差异. 这些不平等现象凸显了儿童获得基本心理健康服务所面临的持续挑战.
科学领域:
- 儿童和青少年健康 儿童和青少年健康
- 医疗保健服务研究 医疗服务研究
- 心理健康护理 获取 获取
背景情况:
- 儿童获得心理健康护理是一个关键的公共卫生问题.
- 在整个美国,未得到满足的需求和获取困难存在显著差异.
- 了解这些差异对于有针对性的干预至关重要.
研究的目的:
- 估计和比较国家特定的未满足儿童心理健康护理需求的概率.
- 评估和比较各州在获得儿童心理健康护理方面的具体困难.
- 分析跨种族/种族,收入和保险子组的这些概率.
主要方法:
- 使用汇集的2016-2019年全国儿童健康调查数据进行回顾性,横截面研究设计.
- 有边际后估计的物流回归模型来生成调整后的概率.
- 分析国家,州和子集团对未满足需求和获取困难的估计.
主要成果:
- 国家调整后的概率:21%未满足需求,46%难以获得护理.
- 国家对未满足需求的概率在8%到32%之间,差异很大.
- 进入困难的州概率在28%到57%之间,地理不平等往往大于社会人口统计学不平等.
结论:
- 在儿童获得心理健康护理方面存在持续的地理不平等.
- 在国家层面上,获取机会的差异比社会人口统计学群体之间的差异更为明显.
- 解决这些地理差异对于改善全国儿童心理健康结果至关重要.
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