实施社区和基于信仰的干预措施的障碍和促进者,以增加黑人美国人的眼睛护理使用率
Dominique A Alexis1, Olivia L Johnson2, Charles E Williams3
1Norton College of Medicine, SUNY Upstate Medical University, Syracuse, New York.
American journal of ophthalmology
|May 15, 2025
概括
了解健康的社会决定因素是提高高风险黑人社区眼睛护理使用率的关键. 解决障碍和利用促进者对于成功的社区干预至关重要.
科学领域:
- 公共卫生 公共卫生
- 眼科医生 眼科 眼科
- 健康差距 研究 研究 研究 研究
背景情况:
- 眼部疾病不成比例地影响着某些人群.
- 基于社区的干预措施对于增加获得医疗保健的机会至关重要.
- 了解特定的社区需求对于有效的健康计划至关重要.
研究的目的:
- 确定成功的基于社区的眼睛护理干预措施的决定因素.
- 在高风险人群中增加眼科护理的使用率.
- 探索卫生框架的社会决定因素中的障碍和促进因素.
主要方法:
- 使用半结构面试进行的定性研究.
- 在密歇根州底特律对40岁以上的黑人美国人进行了采访.
- 使用Dedoose软件进行主题分析,并使用代开发的代码库.
主要成果:
- 确定了15个障碍和14个促进眼科护理利用的因素.
- 所有主题都与健康模型的社会决定因素领域保持一致.
- 叙事主题在障碍物和促进者的总体类别下出现.
结论:
- 消除障碍物和识别促进者对于干预成功至关重要.
- 将干预措施与健康的社会决定因素相结合,可以改善眼科护理的准入.
- 基于社区的参与性研究对于实现眼科保健中的健康平等至关重要.
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