健康和健康信心的社会决定因素:一个跨部门研究
Laura Truman1, Patricia Calero1, Caroline Etland1
1Hahn School of Nursing and Health Science, Beyster Institute for Nursing Research, University of San Diego, San Diego, CA, USA.
SAGE open nursing
|May 19, 2025
概括
几乎一半的成年人患有低健康信心,这与压力和未满足的需求等社会决定因素有关. 解决这些因素对于改善自我护理和降低医疗保健成本至关重要.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 健康的社会决定因素
背景情况:
- 低健康信心与自我护理不良和医疗保健利用率增加有关.
- 了解健康社会决定因素 (SDOH) 对健康信心的影响对于健康公平至关重要.
- 迫切需要确定SDOH和健康信心之间的关系.
研究的目的:
- 探索健康和健康信心的社会决定因素之间的关系.
- 调查影响在紧急护理中心寻求护理的成年人健康信心的因素.
主要方法:
- 在加利福尼亚州南部的一家急诊中心对240名成年人的描述性横截面研究.
- 通过调查收集的数据,包括PRAPARE查仪器和健康信心问题.
- 两变量分析和后勤回归用于识别显著差异.
主要成果:
- 47%的参与者表示,他们对健康的信心很低.
- 低健康信心与未得到满足的需求,高压力水平,低收入和更大的社会风险有关.
- 减少社交接触 (每周1-5次) 和高压力与较低的健康信心相关.
结论:
- 社会孤立和压力显著影响健康信心.
- 强调SDOH影响健康信心的流行情况.
- 支持在医疗机构实施标准化SDOH查.
相关概念视频
Dimensions of Health and Illness
7.0K
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
7.0K
Factors Affecting Illness
4.1K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.1K
Cross-Sectional Research
11.1K
In cross-sectional research, a researcher compares multiple segments of the population at the same time. If they were interested in people's dietary habits, the researcher might directly compare different groups of people by age. Instead of following a group of people for 20 years to see how their dietary habits changed from decade to decade, the researcher would study a group of 20-year-old individuals and compare them to a group of 30-year-old individuals and a group of 40-year-old...
11.1K
Bias in Epidemiological Studies
112
Biases can arise at various stages of research, from study design and data collection to analysis and interpretation. Recognizing and addressing these biases is essential to ensure the validity and reliability of epidemiological findings.Broadly speaking, biases in epidemiology fall into three main categories: selection bias, information bias, and confounding. A more detailed description of possible biases is:
112
Lifestyle Factors and Health
30
Lifestyle factors play a critical role in maintaining overall health and preventing chronic diseases. Key elements, such as regular physical activity, a nutritious diet, and abstinence from smoking, can significantly enhance physical, mental, and emotional well-being while reducing the risk of several life-threatening conditions.
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
Benefits of Physical Activity
Physical activity, whether through structured exercise or casual activities like walking, biking, or dancing, is a cornerstone of a...
30
Confounding in Epidemiological Studies
121
Confounding in statistical epidemiology represents a pivotal challenge, referring to the distortion in the perceived relationship between an exposure and an outcome due to the presence of a third variable, known as a confounder. This variable is associated with both the exposure and the outcome but is not a direct link in their causal chain. Its presence can lead to erroneous interpretations of the exposure's effect, either exaggerating or underestimating the true association. This...
121


