亚拉巴马州农村地区健康和结肠镜检查质量的社会生态决定因素
Nathan C English1, Burkely P Smith2, Abiha Abdullah3
1Department of General Surgery, University of Cape Town, Cape Town, South Africa.
在阿拉巴马州的农村地区,诸如有限的互联网接入,较低的健康素养和减少对医生的信任等因素与较低的结肠镜质量有关. 相反,强烈的个人责任感和社会支持与更好的查结果相关.
科学领域:
- 公共卫生 公共卫生
- 胃肠病学 胃肠病学
- 健康差异 在健康上的差异
背景情况:
- 农村人口面临更高的结直肠癌发病率和死亡率.
- 高质量的结直肠癌查对于减轻这些差异至关重要.
研究的目的:
- 检查亚拉巴马州农村地区健康和结肠镜检查质量的社会生态决定因素之间的关联.
- 确定在服务不足的地区影响查有效性的具体因素.
主要方法:
- 来自阿拉巴马州三个农村医院 (2021年8月至2023年7月) 的数据的回顾性审查.
- 包括接受结肠镜检查的成年人,他们完成了经过验证的社会生态健康决定因素调查.
- 分析了调查答复与关键质量指标之间的关联:肠道准备,管输液和腺瘤检测率.
主要成果:
- 在84名患者中,88.0%的患者有最佳的肠道准备,89.3%的患者实现了腹腔输管,腺瘤检测率为45.8%.
- 不理想的肠道准备与较低的互联网接入和理解书面材料有关.
- 较低的医生信任与未成功的管输管相关,而更高的患者责任和社会支持与更好的结果有关.
结论:
- 社会生态因素对农村环境中的结肠镜检查质量产生重大影响.
- 解决健康素养,互联网接入和医生信任问题可能会提高查质量.
- 调查结果强调了减少农村社区结直肠癌差异的干预目标.
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