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多药在美国老年人中,英语水平有限:2013-2018年
Yimei Wan1, Reshma Ramachandran2,3, K Jane Muir4,5,6
1Yale School of Medicine, New Haven, CT, USA.
Journal of general internal medicine
|January 27, 2026
概括
具有有限英语水平 (LEP) 的老年人使用多种药物 (多种药物) 的可能性低于英语熟练的同龄人. 这可能表明进入障碍,而不是更好的健康结果,突出需要语言一致的护理.
科学领域:
- 老年学是一门学科.
- 医疗保健服务研究 医疗服务研究
- 药理学 药理学是指药理学的学科.
背景情况:
- 多药性在老年人中很普遍,与虚弱和跌倒等不良健康结果有关.
- 有限的英语水平 (LEP) 是人口老龄化中的一个日益增长的人口因素.
- 老年人中LEP和多药学之间的关系仍未得到充分研究.
研究的目的:
- 为了调查LEP的老年人与英语熟练的同行相比,是否更容易或更容易经历多药.
- 检查英语水平有限与社区老年人使用五种或更多处方药之间的关联.
主要方法:
- 2013-2018年全国代表性的美国医疗支出小组调查 (MEPS) 的横截面分析.
- 包括65岁及以上的社区成年人.
- 多药店的定义是五种或更多的处方药和LEP,基于自我报告的英语水平和在家中使用的语言.
- 多变量后勤回归模型根据人口,社会经济和健康因素进行调整.
主要成果:
- 这项研究分析了5050万居住在社区的老年人,其中4.6%的人被确定为LEP.
- 在未经调整的分析中,与英语熟练的老年人 (58.1%) 相比,患有LEP的老年人 (51.7%) 的多药性较少.
- 在对共变量进行调整后,患有LEP的老年人仍然不太可能经历多药性治疗 (aOR=0.79,95% CI 0.67-0.97).
结论:
- 与英语熟练的个人相比,英语水平有限的老年人显示多药的流行率较低.
- 这一发现可能表明LEP患者获得医疗保健服务的潜在障碍,而不是优越的药物管理.
- 强调有必要采取文化和语言上适当的干预措施,以确保多元化的老年人群获得和遵守公平的药物治疗.
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