根据医疗保健的主要来源对不良童年经历的暴露差异,行为风险因素监测系统2019-2020年
Alina W Yang1,2, John R Blosnich3
1Department of Population Public Health Sciences, Keck School of Medicine, University of Southern California, Los Angeles, CA.
在所有美国医疗保健系统中,不良童年经历 (ACE) 非常普遍. 与军方相关的和印度卫生服务系统显示,具有多个ACE的个体比例最高,为查策略提供了信息.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 关于基于医疗保健的对不良童年经历 (ACE) 查的有效性存在争议.
- 了解ACE在不同医疗保健系统中的分布对于实施查计划至关重要.
研究的目的:
- 为了估计ACE在美国人口样本中的患病率.
- 根据成年人使用的医疗保健的主要来源,分析ACE的患病率.
主要方法:
- 利用了来自美国8个州2019/2020年行为风险因素监测系统调查的数据.
- 分析了来自45,820名受访者的数据,将ACE分为0,1,2,3或≥4.4的类别.
- 总结了五个主要医疗保健来源的ACEs患病率:基于雇主,医疗保险/医疗补助,与军方有关的,印度卫生服务和其他.
主要成果:
- 在所有保险类型中,超过60%的个人报告至少有一次ACE.
- 患有≥4个ACE的个体的最高患病率在与军方有关的医疗保健 (21.6%) 和印度卫生服务 (45.4%) 观察到.
结论:
- 在所有医疗保健来源中,不良童年经历 (ACE) 普遍存在.
- 某些卫生系统,如印度卫生服务和与军事有关的护理,为不成比例地更高的ACE暴露率的人群提供服务.
- 调整临床ACE查策略以适应不同医疗保健系统的独特特征是必不可少的.
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