对卫生系统的负面看法和PSA查中的种族不平等
Saketh Damera1, Jenney R Lee2, Young-Rock Hong3
1Department of Health Services Research, Management & Policy, University of Florida, Gainesville, FL, USA.
负面的医疗保健看法和种族矛盾显著减少前列腺特异性抗原 (PSA) 查,特别是在老年黑人男性. 解决这些障碍对于缩小前列腺癌查差距至关重要.
科学领域:
- 健康差异 在健康上的差异
- 癌症查 癌症查
- 医疗保健服务研究 医疗服务研究
背景情况:
- 黑人男性面临更高的前列腺癌死亡率和更早的,积极的诊断.
- 差异与负面的医疗保健看法和种族矛盾有关,影响前列腺特异性抗原 (PSA) 查率.
- 这些因素与黑人男性PSA查吸收率降低之间的假设关联.
研究的目的:
- 检查负面的医疗保健看法和PSA查之间的关联.
- 评估这种关系是否因种族而异.
- 评估种族不和在影响查行为中的作用.
主要方法:
- 2018-2022年医疗支出小组调查数据的分析.
- 样本:2373名年龄在45-70岁之间的男性 (非西班牙裔白人或黑人).
- 使用健康感知指数 (HePI) 测量了负面的医疗保健感知.
主要成果:
- 较高的HePI得分与较低的PSA查率相关 (p < 0.01).
- 黑人男性的HEPI得分较高,其查可能性不成比例地较低.
- 种族不一致性独立地将查概率降低了约10.2% (p < 0.01).
- 高年龄的黑人男性具有高的HEPI和不一致的提供者最不可能接受查.
结论:
- 前列腺癌查差异是由负面的医疗保健观念和种族不和驱动的,特别是在年长的黑人男性中.
- 文化定制的教育,劳动力多样性和改善的提供者-患者关系可以减轻这些障碍.
- 医疗保健系统的认知是理解和解决查差异的关键.
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