移民使用医疗服务的减少通过内部控制来改善,特别是在男性中
Doreen Müller1,2, Julie O'Sullivan1,3,4, Paul Gellert1,3,4
1Charité- Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin and Humboldt-Universität zu Berlin, Institute of Medical Sociology and Rehabilitation Science, Germany.
内部控制中心 (LOC) 增加了医疗保健访问,特别是男性移民,抵消了与移民身份相关的访问减少. 这突显了LOC作为健康行为的关键资源.
科学领域:
- 医疗服务研究
- 健康社会学
- 健康心理学
背景情况:
- 医疗保健使用的差异仍然存在,特别是在移民人口中.
- 内部控制位置 (LOC) 对健康行为的影响需要进一步调查.
- 了解移民身份,居住地和性别在获得医疗保健方面的相互作用至关重要.
研究的目的:
- 检查内部控制点 (LOC),移民状况和性别如何影响医疗保健利用.
- 解决这些因素对移民获得医疗保健的影响的知识差距.
- 应用安德森模型来分析医疗保健使用模式.
主要方法:
- 2020年德国社会经济小组的横截面调查分析 (N=26,028名成年人,包括6,968名移民).
- 使用回归模型分析了四个医疗保健利用结果.
- 在分析中纳入了倾向性,支持性和需求性因素.
主要成果:
- 移民背景与医生访问的可能性降低.
- 内部控制点 (LOC) 显著增加了医生访问的可能性.
- 在移民中,LOC积极预测医生访问,特别是男性,减轻移民的负面影响.
- 在移民背景, LOC 和医院访问之间没有发现显著的关联.
- 仅在男性中观察到性别差异.
结论:
- 内部控制中心 (LOC) 作为健康行为的重要资源,提高了医疗保健的获取.
- 虽然迁移状态可能会对医生访问产生负面影响,但内部LOC可以减轻这种影响,特别是在男性中.
- 进一步的研究应探讨加强弱势群体内部的LOC以改善健康公平.
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