无家可归,住房障碍和医疗保健障碍的风险因素对心理健康结果的相对影响:单中心研究
Lorelle Sun1, Mary Meyers1, Anjna Nair1
1Medical College of Wisconsin, Milwaukee, Wisconsin.
WMJ : official publication of the State Medical Society of Wisconsin
|November 6, 2025
概括
增加的医疗保健障碍显著恶化了心理健康结果,比住房问题更严重. 解决获得护理的问题对于改善低收入,没有保险的人的心理健康至关重要.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 心理健康服务 心理健康服务
- 健康的社会决定因素
背景情况:
- 住房和医疗保健对健康至关重要,但它们对心理健康的明显影响尚不清楚.
- 住房和医疗保健方面的障碍会对健康结果产生负面影响.
- 这项研究侧重于在威斯康星州密尔沃基的一家免费诊所的低收入,没有保险的患者.
研究的目的:
- 检查住房状况,医疗保健接入障碍和心理健康之间的关系.
- 调查无家可归风险因素,住房障碍和医疗保健障碍对心理健康的相对影响.
- 了解弱势患者群体的心理健康结果.
主要方法:
- 在2023年6月至12月期间,对94名临床患者进行了调查.
- 收集的数据包括人口统计,住房/医疗保健障碍以及心理健康指标 (PHQ-2,GAD-2,孤独,自我评估心理健康).
- 统计分析确定了心理健康结果的预测因素.
主要成果:
- 更高的医疗保健障碍和无家可归的风险因素预测了更糟糕的心理健康得分和增加的孤独感.
- 住房障碍没有显著预测任何测量的心理健康结果.
- 医疗保健障碍与保险,成本和运输问题有关;人们对心理健康提供者的信任度较低.
结论:
- 医疗保健障碍对心理健康的负面影响比住房障碍更大.
- 消除医疗保健获取障碍对于改善心理健康结果至关重要.
- 调查结果强调了针对弱势患者群体进行有针对性的干预的必要性.
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