在安全网卫生系统中,儿童保育障碍和妇女不遵守约会的障碍
Anisha P Ganguly1, Robert Martin2,3, Erin Barnett3
1Division of General Medicine and Clinical Epidemiology, Department of Internal Medicine, University of North Carolina at Chapel Hill.
儿童保育障碍显著增加了女性的约会不遵守,特别是年轻的母亲和幼儿. 解决这些与健康相关的社会需求 (HRSNs) 对于改善医疗保健准入至关重要.
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
- 妇女健康 妇女健康
背景情况:
- 与健康相关的社会需求 (HRSNs) 影响预约遵守.
- 儿童保育需求是一个未被认可的HRSN,不成比例地影响女性.
- 了解儿童保育障碍对于获得医疗保健至关重要.
研究的目的:
- 调查自我报告的儿童保育障碍与女性不遵守约会之间的关联.
- 确定与儿童保育障碍相关的特定人口和护理因素.
主要方法:
- 横截面研究,将调查和电子健康记录 (EHR) 数据联系起来.
- 参与者:18岁以上的妇女在安全网系统中被转诊至妇科,以检查异常的宫癌查.
- 分析:根据自我报告的儿童保育障碍,对任命不遵守率的回归分析.
主要成果:
- 在671名妇女中,有486人负有照顾孩子的责任,105人报告了照顾孩子的障碍 (21.6%).
- 儿童保育障碍的妇女更年轻,更有可能成为医疗补助计划的接受者,并照顾更多/更年轻的孩子.
- 在照顾儿童障碍的妇女中,不遵守约会的比例高出8.8个百分点 (调整后的差异).
结论:
- 自我报告的儿童保育障碍与女性不遵守预约的增加显著相关.
- 拥有幼儿的年轻女性面临着与照顾儿童有关的最大的约会障碍.
- 作为HRSN,对儿童护理需求进行查和干预是必不可少的.
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