长期服务和支持 (LTSS) 的黑白差异沙漠:对未满足的护理需求的影响
Chanee D Fabius1, Kali S Thomas2, Jennifer C Cornman3
1Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Journal of the American Medical Directors Association
|July 11, 2025
概括
在长期服务和支持 (LTSS) 沙漠中存在种族差异,影响未满足的护理需求. 黑人老年人比白人老年人有更多未满足的护理需求,无论LTSS是否可用.
科学领域:
- 老年学是一门学科.
- 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:
- 对长期服务和支持 (LTSS) 沙漠及其对老年人的影响的理解有限.
- 在获得社区护理选择方面的种族差异没有得到充分记录.
研究的目的:
- 调查LTSS可用性和多样性的种族差异.
- 检查LTSS沙漠与非西班牙裔白人和黑人老年人未满足的护理需求之间的联系.
主要方法:
- 使用2019年国家健康和衰老趋势研究 (NHATS) 数据进行的横截面研究.
- 分析与县级LTSS市场措施相关的国家调查数据.
- 多变量后勤回归模型根据LTSS可用性 (肥沃,典型,沙漠) 和其他因素进行调整.
主要成果:
- 黑人老年人 (35.0%) 比白人老年人 (27.6%) 更有可能因未满足的护理需求而遭受不良后果.
- 年长的黑人成年人更有可能居住在LTSS沙漠中,尽管在统计学上并不显著.
- 生活在LTSS沙漠与白人,但不是黑人,老年人的未满足的护理需求增加有关.
结论:
- 在LTSS可用性如何影响黑人和白人老年人的未满足护理需求方面存在显著差异.
- 调查结果强调,需要解决在社区医疗服务中存在的种族差异.
- 建议对其他种族和少数民族进行进一步的研究.
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