美国青年在医疗保健过渡准备中的差异
Samhita M Ilango1, Olivia R Sappenfield2, Lydie A Lebrun-Harris2
1The National Alliance to Advance Adolescent Health/Got Transition, Washington, DC.
对于所有年轻人,特别是男性,年轻青少年和少数群体来说,医疗保健过渡准备水平较低. 需要有针对性的干预措施来解决这些在获得医疗保健方面的差异.
科学领域:
- 儿科健康 儿科健康
- 医疗保健服务研究 医疗服务研究
- 健康差异 在健康上的差异
背景情况:
- 对年轻人来说,获得医疗保健过渡准备服务至关重要.
- 关于获得这些重要服务的差异的研究有限.
研究的目的:
- 确定与美国青年在医疗保健过渡准备方面的差异相关的个人,家庭和卫生系统因素.
- 检查哪些青年子组最不可能获得这些服务.
主要方法:
- 使用2018-2022年全国儿童健康调查数据进行的横截面研究.
- 分析了77,280名年龄在12-17岁的青少年的家长/监护人的回答.
- 用于评估关联的双变量和多变量逻辑回归模型.
主要成果:
- 只有18%的年轻人获得了医疗保健过渡准备服务.
- 12-14岁的男性,西班牙裔,黑人或亚洲裔的年轻人不太可能获得服务.
- 没有特殊医疗保健需求,没有医疗住所,没有保险,或只有高中教育的家庭的年轻人获得的服务较少.
结论:
- 医疗保健过渡准备的总体流行率很低.
- 存在显著的差异,突出了需要有针对性的支持的子组.
- 临床和系统级干预措施是必要的,以改善所有年轻人的准备和准备.
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