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Updated: Jun 9, 2025

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Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
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两个农村老兵群体的社会需求和健康结果
Hannah R Friedman1, Ida Griesemer2, Leslie R M Hausmann3,4
1Center for Healthcare Organization and Implementation Research (CHOIR), Boston VA Healthcare System, Boston, Massachusetts, USA.
概括
农村退伍军人面临着重大的社会需求,超过80%的人报告至少有一个. 财务需求和日常生活活动 (ADL) 与较差的身体和心理健康结果有很强的相关性.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
- 退伍军人健康的医疗服务
背景情况:
- 解决社会需求是诸如退伍军人卫生管理局 (VA) 等卫生系统的关键优先事项.
- 很大一部分退伍军人,近25%,生活在农村地区,面临着高负担的社会需求.
- 本研究调查了两个不同的农村退伍军人群体中社会需求的流行率和健康结果的关联.
研究的目的:
- 评估两个农村VA地点的退伍军人中发现的11个社会需求的普遍性.
- 确定个人社会需求与四个关键健康结果之间的关联.
- 为了比较东北和东南 (SE) 农村地区的退伍军人之间的发现.
主要方法:
- 在两个VA农村地区 (东北和东南) 对1150名退伍军人进行了调查.
- 该调查评估了11个社会需求,包括社会脱离,就业,金融,食品,交通,住房,公用事业,互联网接入,法律需求,日常生活活动 (ADL) 和歧视.
- 权重后勤回归模型被用来预测缺乏护理机会的概率,没有出现的访问,以及基于个人社会需求的自我评估的身体和心理健康.
主要成果:
- 超过80%的受访退伍军人报告至少有一种社会需求,其中社会脱离是最普遍的.
- 与东北地区相比,东南地区的退伍军人表现出明显更高的社会需求率.
- 在11个社会需求中,有9个与身体和精神健康不良的可能性增加有关,特别是财务需求 (AME:0.21-0.32) 和ADL需求 (AME:0.27-0.34).
- 社会需求与缺乏护理机会或无人出访之间的关联不那么明显.
结论:
- 社会需求的高普遍性及其对健康结果的重大影响强调了在卫生系统中解决健康的社会决定因素的重要性.
- 观察到的两个农村地区之间的社会需求普遍性和关联的差异表明,需要针对退伍军人群体进行量身定制的,地理特定的干预措施.
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