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成年人心理健康照顾的社会人口差异
Emma K Boswell1, Peiyin Hung1, Jiajia Zhang2
1University of South Carolina Rural Health Research Center, Arnold School of Public Health, University of South Carolina, Columbia.
Psychiatric services (Washington, D.C.)
|August 21, 2025
概括
人们在获得心理健康服务方面存在差异. 农村人口获得远程医疗的机会较少,而种族和族裔少数群体面临着对门诊和住院服务的不平等,这凸显了需要公平的护理举措.
科学领域:
- 公共卫生
- 医疗服务研究
- 健康上的差异
背景情况:
- 没有治疗的精神疾病会给社会和个人带来重大负担.
- 持续存在的社会人口差异限制了获得心理健康护理的机会.
- 农村和种族边缘化的人群遇到独特的障碍,
研究的目的:
- 分析精神卫生保健机构的城乡差异.
- 在心理健康护理环境中研究种族差异.
- 为服务不足的人群提供有针对性的干预信息.
主要方法:
- 利用国家药物使用和健康调查数据 (2021-2022) 进行横截面研究.
- 分析了92639名成年受访者.
- 罗-斯科特奇方测试和复杂调查权重的多变量逻辑回归.
主要成果:
- 在住院或门诊治疗方面没有观察到农村和城市的差异.
- 非地铁受访者使用虚拟护理 (远程医疗) 的可能性较低.
- 种族种族差异:非西班牙裔白人更有可能接受门诊护理,药物治疗和远程医疗;非西班牙裔黑人更有可能接受住院护理.
结论:
- 远程医疗的采用并没有在农村和城市分类中均地改善接入.
- 在使用心理健康服务方面仍然存在显著的种族和民族差异.
- 促进文化能力和种族平等的倡议对于心理健康护理至关重要.
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