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在北卡罗来纳州的低收入,未经查的妇女中,宫癌查的预期和实际成本的种族差异
Sinéad Isaacson1, Lisa P Spees2, Michael G Hudgens3
1University of North Carolina at Chapel Hill Chapel Hill United States.
概括
预计为宫癌查支付200美元的个人大大高估了实际成本 (5美元). 这凸显了对负担得起的查选择的认识较低,特别是在黑人妇女中.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 健康差异 在健康上的差异
背景情况:
- 对于宫癌查的财务障碍在美国很普遍.
- 仅有有限的数据可以将感知成本与实际查费用进行比较.
- 了解这些差异对于解决查差异至关重要.
研究的目的:
- 为了比较宫癌查的预期和实际成本.
- 分析黑人和白人参与者之间的成本差异.
- 调查感知到的金融障碍如何有助于选差距.
主要方法:
- 利用MBMT-3试验中的对照组数据 (n=227).
- 收集的基线预期成本 (选,工资损失,运输,护理).
- 选后记录的实际成本和分析的差异.
主要成果:
- 参与者预计查的平均成本为200美元,但实际成本平均为5.5美元.
- 黑人参与者预计比白人参与者预期的成本要高 (265美元) (205美元).
- 在所有成本类别中都出现过高估计;实际成本对于黑人和白人参与者来说是相似的.
结论:
- 关于负担得起的查服务的教育宣传可以减少人们认为的财务障碍.
- 解决意识差距至关重要,特别是对于边缘化群体.
- 预期的高成本表明人们对可用的补贴查选项的认识很低.
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