从青春期中期到青春期的年轻人:谁仍然参与?
Morayo Akande1, Kathryn Van Eck2, Xingyun Wu1
1Division of Adolescent/Young Adult Medicine, Department of Pediatrics, Johns Hopkins School of Medicine, Baltimore, Maryland.
概括
许多青少年和年轻人 (AYAs) 保持年度健康访问出席率,但发生下降,特别是在男性中. 健康需求显著影响WVA,突出了超出社会决定因素的因素.
科学领域:
- 青少年和年轻人的健康.
- 医疗服务研究 医疗服务研究
- 纵向队列研究是指纵向队列研究.
背景情况:
- 美国的指导方针建议青少年和年轻成年人 (AYAs) 在21岁之前每年参加健康检查 (WVA).
- 尽管有建议,但WVA率仍然低于最佳水平.
- 了解纵向WVA模式对于这个年龄组至关重要.
研究的目的:
- 为了探索AYA的纵向WVA模式.
- 为了确定WVA模式和样本特征之间的关联.
主要方法:
- 利用了来自NEXT世代健康研究的数据,这是一个全国代表性的纵向队列.
- 每年跟踪2,766名参与者7年 (年龄15-23岁).
- 采用了同时进行的三步潜伏类增长分析,以根据性别识别WVA模式并检查关联.
主要成果:
- 鉴定了男性的三个WVA模式:"参与"",参与衰退"和"持续脱离".
- 确定了女性的三个WVA模式:"参与"",参与衰退"和"逐渐重新参与".
- 患有慢性疾病的男性更有可能"订婚";女性患有抑郁症状的可能性较小. 与健康,保险,财富,种族/种族,地区和出生地相关的WVA类成员资格.
结论:
- 虽然许多AYA保持WVA,但在两性,特别是男性中都观察到下降.
- 健康需求与WVA密切相关,将知识扩展到社会决定因素之外.
- 调查结果为政策和实践提供信息,以支持从青春期到年轻成年期的关键过渡期间的持续医疗保健参与.
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