在内华达州南部的种族和少数民族群体中探索与痴呆相关的医疗保健医院的退院情况
Jalal Uddin1, Drew Blasco1, Timothy J Grigsby1
1Department of Social and Behavioral Health, School of Public Health, University of Nevada, Las Vegas, Nevada, USA.
Journal of palliative medicine
|June 24, 2025
概括
南内华达州痴呆症的种族和少数民族群体患有痴呆症的患病率较低. 这凸显了不同人群在终身护理获得的潜在差异.
科学领域:
- 老年学是一门学科.
- 公共卫生 公共卫生
- 健康差异 在健康上的差异
背景情况:
- 内华达州面临着一个显著且不断增长的老年痴呆症人口.
- 预计内华达州痴呆症病例的数量将急剧上升,这表明公共卫生问题至关重要.
- 这项研究解决了迫切需要了解这群人群的护理利用模式.
研究的目的:
- 调查内华达州南部痴呆症患者的种族和少数民族宿舍出院率的差异.
- 探索人口统计和医疗保健因素如何影响痴呆症患者进入宿舍.
- 识别不同人群的生命终端护理中的潜在不平等现象.
主要方法:
- 来自内华达州多个环境的综合医疗保健数据的分析 (2013-2021).
- 利用双变量分析和多重后勤回归来检查临终关怀医院出院差异.
- 在分析中考虑了人口和医疗保健相关的特征.
主要成果:
- 南内华达州只有6%的痴呆症医疗保健使用者被送往临终关怀中心.
- 在种族和少数民族群体 (p < 0.001) 中观察到临终关怀出院的显著差异.
- 与白人相比,黑人,亚洲太平洋岛民和西班牙裔/拉丁裔人的临终关怀出院几率低15-26% .
结论:
- 调查结果表明,对于患有痴呆症的种族和少数民族社区来说,临终关怀的机会可能存在差异.
- 需要进一步研究内华达州南部的这些不平等现象.
- 有必要采取干预措施,促进各种痴呆症人群获得公平的临终关怀.
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