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健康的社会决定因素影响残疾人的心理痛苦
Jessica Kersey1, Amie Devlin2, Sarah Shyres1
1Program in Occupational Therapy, School of Medicine, Washington University, St. Louis, MO 63110, USA.
International journal of environmental research and public health
|October 26, 2024
概括
健康的社会决定因素对残疾人的心理痛苦有很大影响. 低收入,粮食不安全和住房不安全与更高的痛苦水平密切相关.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 关于残疾人的研究.
背景情况:
- 残疾人面临不公平的健康社会决定因素 (SDOH),导致心理痛苦等更糟糕的健康结果.
- 关于最严重影响该群体心理困扰的特定SDOH的研究有限,阻碍了有效的干预和资源分配.
研究的目的:
- 调查SDOH和残疾之间的关联.
- 确定哪些SDOH因素最强烈地影响残疾人的心理痛苦.
- 探索残疾和心理困扰之间的关系的潜在调节者.
主要方法:
- 用美国人口普查局的家庭脉冲调查 (3.5期) 的数据进行分析.
- 在大量残疾和无残疾人样本中检查了SDOH指标 (n=26,354).
- 使用后勤回归来计算严重心理困扰的赔率比率 (OR) 和置信区间 (CI).
主要成果:
- 在残疾人中,低收入 (OR=4.41),粮食不安全 (OR=3.75),住房不安全 (OR=3.17) 和无法工作 (OR=1.98) 与严重心理困扰的可能性显著增加有关.
- 难以支付家庭开支的困难成为残疾和严重心理痛苦之间的关联的唯一显著调节者 (OR=9.81).
- 这些因素突出了改善心理健康的干预关键领域.
结论:
- 解决经济稳定,粮食安全和住房安全问题对于改善残疾人的心理福祉至关重要.
- 政策和医疗保健干预措施应优先考虑这些SDOH以减轻心理痛苦.
- 针对就业和经济机会的有针对性的支持可以提高这一群体的心理健康结果.
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