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持续贫困县的心理健康服务差异与非持续贫困县的差异
Carissa van den Berk-Clark1, Nitin Katakam2, Danielle Thistle3
1Department of Family and Community Medicine, Saint Louis University School of Medicine, 1401 S. Grand Blvd., St. Louis, MO, 63104, USA. cvanden1@slu.edu.
The journal of behavioral health services & research
|September 28, 2025
概括
持续贫困县在心理健康服务方面存在差异,获得住院护理的机会较少,但更多的药物和辅助支持. 农村地区反映了类似的趋势,影响政策和实践.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 心理健康差异的差异
背景情况:
- 贫困与增加的精神问题有关.
- 了解持续贫困地区的心理健康服务差异至关重要.
- 现有研究强调了心理健康的社会经济梯度.
研究的目的:
- 调查持续贫困县和非贫困县之间心理健康服务可用性的差异.
- 分析各种精神卫生设施,行为健康,医疗,查,紧急和辅助服务的准入.
- 确定集中贫困地区的特定服务缺口和规定.
主要方法:
- 分析了从国家药物滥用和心理健康服务调查和美国人口普查美国社区调查的数据.
- 利用随机效应逻辑回归来评估访问不同类型服务的可能性.
- 检查了农村县的一个子样本,以评估结果的概括性.
主要成果:
- 持续贫困县的住房设施服务率较低 (OR=0.65),但药物使用率较高 (OR=1.58) 和辅助服务 (OR=1.10).
- 辅助服务包括慢性疾病管理,住房,密集病例管理和同行支持.
- 可用的创伤相关治疗方法较少,提供者更不太可能提供行为健康服务.
结论:
- 持续的贫困状况与心理健康服务的可用性和提供者提供的服务存在显著差异有关.
- 这些发现强调了在高贫困地区需要有针对性的心理健康政策和干预措施.
- 解决服务缺口,特别是在住院和创伤相关护理方面,对于公平的精神卫生保健提供至关重要.
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