围绕COVID-19流行病的青少年过渡准备:一个跨部门研究
Sarah P Cohen1,2,3, Andrew H Tran4, Robin Alexander5
1Division of Pulmonary Medicine, Nationwide Children's Hospital, 700 Children's Drive, Columbus, OH 43205, USA.
Health care transitions
|December 23, 2024
概括
美国青少年的过渡准备在COVID-19大流行期间保持不变. 一小部分青少年在2019年和2021年都接受了充分的准备.
科学领域:
- 公共卫生 公共卫生
- 青少年医学 青少年医学
- 医疗保健的转型 医疗保健的转型
背景情况:
- 青少年医疗保健转型包括为年轻人准备以成人为中心的医疗保健.
- COVID-19大流行严重影响了医疗保健和青少年的福祉.
- 了解这一时期的过渡准备对于识别差异和改善护理至关重要.
研究的目的:
- 为了比较美国青少年在COVID-19大流行之前和期间医疗保健过渡准备的充分性.
- 确定与适当的过渡准备相关的人口因素.
主要方法:
- 来自2019年和2021年国家儿童健康调查数据的分析.
- 青少年的过渡准备与前一年的医疗护理访问的比较.
- 使用单变量和多变量逻辑回归来评估与人口因素和调查年份的关联.
主要成果:
- 在2019年 (9.25%) 和2021年 (8.67%) 之间,在适当的过渡准备方面没有观察到显著差异.
- 年长的青少年,女性和来自西班牙语家庭的青少年有不同的充分准备的可能性.
- 尽管准备率没有变化,但护理人员的心理健康和保险状况等潜在的混因素恶化.
结论:
- COVID-19大流行并没有显著改变接受足够医疗保健过渡准备的青少年比例.
- 对于大多数美国青少年来说,适当的过渡准备仍然不足.
- 需要有针对性的干预措施来改善过渡准备,特别是对弱势群体.
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