在最近无家可归或被监禁的全州队列中估计健康状况的普遍性
Lucas Zellmer1,2, Renee Van Siclen1, Peter Bodurtha1
1Health, Homelessness, and Criminal Justice Lab, Hennepin Healthcare Research Institute, Minneapolis, MN, USA.
无家可归或被监禁的人面临着严重的健康差异, 身体,精神和物质使用情况的比例更高. 需要新的支付模式来满足这些复杂的健康和社会需求.
科学领域:
- 公共卫生
- 医疗服务研究
- 流行病学
背景情况:
- 公共卫生数据系统往往缺乏有关无家可归或被监禁等严重不利情况的及时信息.
- 准确的人口数据对于了解和解决弱势群体的健康需求至关重要.
研究的目的:
- 估计全州范围内的身体,精神和物质使用情况,包括最近无家可归或被监禁的个人.
- 在这个群体中发现健康差异.
主要方法:
- 使用连接的全州电子健康记录 (EHR) 和明尼苏达电子健康记录联盟 (MNEHRC) 的行政数据进行观察队列分析.
- 包括2021-2023年期间在MNEHRC参与的卫生系统遇到的成年人.
- 根据年龄和性别调整的22种健康状况的患病率,分为最近的无家可归,监禁或监禁.
主要成果:
- 其中包括近期无家可归的人数超过2万人, 以及近期被监禁的人数超过5万人.
- 与一般人群相比,最近无家可归或被监禁的人患喘,慢性肺炎和物质使用障碍 (包括阿片类药物使用障碍) 的患病率更高.
- 最近无家可归的人患上精神疾病的比例最高; 最近无家可归的黑人患上精神疾病的比例最高.
结论:
- 在最近无家可归或被监禁的个人中存在显著的健康差异,特别是在心理健康和物质使用方面.
- 需要解决这些人群复杂的同时出现的健康和社会需求的医疗保健支付和提供模式.
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