根据农村地区的医疗复杂性儿童的照顾者之间的COVID-19测试观念的差异
Kristina Devi Singh-Verdeflor1, Michelle M Kelly1, Gregory P DeMuri1
1Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, United States of America.
PloS one
|May 13, 2025
概括
医疗复杂性儿童 (CMC) 的农村照顾者有类似的COVID-19测试访问权限,但测试意图较低. 解决医疗保健准入问题可以改善对这些弱势儿童的检测.
科学领域:
- 儿科健康 儿科健康
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于患有医疗复杂性 (CMC) 的儿童,COVID-19测试至关重要.
- 测试访问和使用的障碍影响其有效性.
- 农村地区对CMC护理人员的COVID-19测试的影响尚未被探索.
研究的目的:
- 调查农村和COVID-19测试之间的关联 访问,意图,动机和担忧.
- 为了比较CMC的农村和城市护理人员在测试行为方面.
- 确定影响CMC群体测试决策的因素.
主要方法:
- 在美国中西部,对1,432名CMC护理人员 (5-17岁) 进行了横截面调查.
- 农村地区使用农村-城市通勤区代码进行分类.
- 后勤回归分析了农村和测试结果之间的关联.
主要成果:
- 农村护理人员报告了类似的测试访问,但测试意图显著降低 (aOR0.53).
- 农村的护理人员更有可能认为,如果他们的孩子检测阳性 (aOR 2.49) 时,他们难以获得医疗保健.
- 受访者的人口和临床特征各不相同.
结论:
- 虽然农村和城市CMC护理人员的COVID-19测试访问量很高,但意图可以改进.
- 关于测试实用性,时间和治疗准入的沟通是关键的可修改因素.
- 解决医疗保健准入问题可能会提高农村CMC人口的测试普及率.
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