关于结构性脆弱性如何塑造缅因州波特兰的COVID-19测试行为的一项定性研究
Michael R Kohut1,2, Gloria D Sclar1,2, Leslie Nicoll3
1MaineHealth Institute for Research, Scarborough, ME, United States.
Frontiers in public health
|November 1, 2024
概括
由于经济,法律和医疗保健接入障碍,结构性弱势群体面临着严重的COVID-19测试差异. 解决这些系统性问题对于公平的流行病应对和未来的公共卫生准备至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 社会医学科学 社会医学科学
背景情况:
- 结构性弱势群体,包括移民,吸毒者和无家可归者,经历了不成比例的COVID-19测试差异.
- 这些差异与阻碍获得充分和适当测试的系统障碍有关.
研究的目的:
- 记录结构脆弱人群中COVID-19测试的障碍和促进者.
- 探索结构性漏洞如何创造或恶化COVID-19测试障碍.
主要方法:
- 与34名结构脆弱的个人和27名关键信息提供者 (2021-2022) 进行了半结构化采访.
- 使用了代式抽取分析与感应式和演式编码.
- 开发了一种混合型的COVID-19测试行为模型,以组织障碍.
主要成果:
- 确定经济不稳定性,法律不稳定性,医疗保健系统复杂性,只有英语的环境和污名化的遭遇是关键障碍.
- 这些情况增加了与测试相关的感知风险 (法律,金融,心理社会).
- 障碍物显著阻碍了获得医疗保健的机会,因此,COVID-19测试.
结论:
- 随着COVID-19的流行,现有的医疗保健提供差异变得更加突出.
- 未来的公共卫生战略必须解决结构性条件,以减少与检测相关的风险.
- 加强检测基础设施对于改善卫生危机期间的准入至关重要.
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