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在美国维尔京群岛灾难期间解决非传染性疾病管理问题:混合方法研究
Michelle Teresa Wiciak1, Stephen Perez2, Tess Richards3
1Department of Medicine, Emory University School of Medicine, Atlanta, GA, United States.
患有非传染性疾病 (NCD) 的人在美国维尔京群岛的风期间面临着管理健康的重大挑战,突出了灾难准备和弱势群体获得医疗保健的关键差距.
科学领域:
- 公共卫生 公共卫生
- 灾难医学 灾难医学
- 健康差异 在健康上的差异
背景情况:
- 极端天气事件不成比例地影响患有非传染性疾病 (NCD) 的个人,加剧了健康差异.
- 美国维尔京群岛 (USVI) 在非传染性疾病护理质量和灾难准备方面面临重大挑战.
研究的目的:
- 探索在风伊尔玛和玛丽亚期间患有非传染性疾病的个人的经历.
- 确定改善NCD患者灾害准备和应对策略.
主要方法:
- 一个混合方法的横截面研究,涉及113个定量调查和15个定性访谈.
- 在圣托马斯的联邦合格健康中心 (FQHC) 进行,USVI.
主要成果:
- 近三分之一的参与者因压力,缺乏药物和医疗保健中断而在灾后与非传染性疾病管理斗争.
- 报告说,精神健康负担很大,包括焦虑,抑郁和PTSD症状.
- 许多参与者缺乏量身定制的灾难准备信息,这强调了医疗保健提供者需要改善沟通的必要性.
结论:
- 在USVI中,对于患有非传染性疾病的个体的防灾准备存在关键差距.
- 加强医疗保健基础设施,心理健康支持和有针对性的教育对于提高性至关重要.
- 需要加强灾害应对策略,以减少脆弱人群中NCD发病率和死亡率.
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