在中年和老年人中,与在医疗保健中的歧视相关的因素
Michael D Green1, Heather R Farmer2, Hanzhang Xu3
1Duke University School of Medicine.
Research square
|May 9, 2025
概括
黑人成年人比白人成年人遭受更多的医疗保健歧视,特别是在中年. 解决这些差异对于改善老年人护理至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 卫生社会学 卫生社会学
- 老年学是一门学科.
背景情况:
- 在医疗保健机构的歧视会对护理质量和健康结果产生负面影响.
- 医疗保健体验中的种族差异是一个重大的公共卫生问题.
研究的目的:
- 检查中年和老年人对医疗保健歧视的种族差异.
- 确定与经历歧视相关的社会人口和临床因素.
主要方法:
- 来自健康和退休研究 (2008-2020) 的纵向队列数据的分析.
- 包括17,478名50岁以上的美国成年人,最近使用医疗保健.
- 使用通用线性混合模型来评估与自我报告的歧视相关的因素.
主要成果:
- 黑人成年人报告的医疗保健歧视率明显高于白人成年人.
- 在被研究的队列中,差异在较年轻的年龄段最明显.
- 与歧视相关的因素包括种族,性别,婚姻状况,保险,教育,抑郁症状,功能限制和BMI.
结论:
- 黑人成年人在医疗保健中面临着更高的歧视感,特别是在中年成人时期.
- 社会人口统计学和临床因素显著影响这些经验.
- 解决医疗保健歧视对于加强老年人群中患者与医疗服务提供者的关系至关重要.
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