在COVID-19大流行期间,检查德克萨斯州越南裔美国人的健康保险和非医疗挑战
Alexander Le1,2, Saba Siddiqi3, Celine Nguyen1,4
1Vietnamese Culture and Science Association, Houston, TX 77036, USA.
International journal of environmental research and public health
|February 26, 2025
概括
在COVID-19大流行期间,缺乏医疗保险显著增加了德克萨斯州越南裔美国人的住房和粮食不安全等非医疗挑战. 分散数据对于健康公平至关重要.
科学领域:
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
- 健康和疾病的社会学
背景情况:
- 综合的COVID-19数据掩盖了特定社区的担忧,导致对越南裔美国人的研究有限.
- 了解边缘化群体面临的非医学挑战,对于解决健康不平等问题至关重要.
研究的目的:
- 在COVID-19大流行期间,调查越南裔美国人在德克萨斯州的医疗保险覆盖和非医疗挑战之间的关联.
- 突出保险状况对获得基本资源和医疗保健的影响.
主要方法:
- 电子管理NIH社区参与联盟 (CEAL) 共同调查2英语和越南语对德克萨斯州越南裔美国成年人的电子管理.
- 在2021年9月至2022年3月期间通过社区合作伙伴关系招聘.
- 后勤回归分析比较了受保险和无保险参与者的反应.
主要成果:
- 在217名受访者中,有11%的人没有保险,而43%的人在疫情期间失去了保险.
- 没有保险的人面临住房 (OR=6.10),食物 (OR=6.41) 和药物 (OR=3.45) 的挑战的几率明显更高.
- 没有保险的个人报告说,自从他们最后一次医疗保健访问以来的时间显着更长 (正则OR=0.20).
结论:
- 在COVID-19大流行期间,缺乏医疗保险与越南裔美国人在德克萨斯州的非医疗挑战增加密切相关.
- 分解数据对于识别和解决健康的非医疗驱动因素以及促进边缘化社区的健康公平至关重要.
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