美国社区的补贴住房可用性和预防性护理利用率
Jordan Baeker Bispo1, Daniel Wiese2, Kilan Ashad-Bishop3
1American Cancer Society, Surveillance and Health Equity Science, 270 Peachtree Street NW Suite 1300, Atlanta, GA, 30303, USA. jordan.baeker@cancer.org.
Journal of general internal medicine
|June 30, 2025
概括
补贴住房的可用性与极端贫困社区的宫癌和胆固醇查增加有关. 这凸显了社会需求计划在改善预防性护理获取方面的作用.
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:
- 负担得起的住房可以通过经济和社会因素影响预防性护理的使用.
- 政府的住房补贴对有收入资格的人群的影响力有限.
- 这项研究调查了美国社区的补贴住房和预防性护理之间的关联,根据贫困水平分层.
研究的目的:
- 检查补贴住房的可用性与参与常规预防性护理服务之间的关系.
- 评估这些协会的整体情况,以及不同地区贫困层次的相关情况.
- 了解住房政策对健康公平的影响.
主要方法:
- 使用了2018-2019年美国人口普查区域级数据.
- 评估了乳腺癌,宫癌,结直肠癌和胆固醇查的流行率.
- 雇佣加权多变量线性回归,控制社会人口统计学和医疗保健准入因素,分析五分位数和贫困水平 (低,高,极端) 的住房补贴.
主要成果:
- 分析包括70,006份人口普查卷.
- 在极端贫困地区,更高的补贴住房可用性与子宫癌和胆固醇查的增加有关.
- 宫癌查在补贴住房的最高五分位数中高出5.47个百分点,而在极端贫困地区的最低五分位数中则高出5.47个百分点.
结论:
- 在极端贫困地区,补贴住房的可用性与宫癌和胆固醇查有积极的关联.
- 这些发现支持了这样一个假设:社会需求计划可以提高贫困社区的预防性护理利用率.
- 这项研究强调了负担得起的住房作为健康的社会决定因素的重要性.
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