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Diabetic Adult Access to Medical Care and Race and Ethnicity in Connecticut

机译:康涅狄格州的糖尿病成年人获得医疗服务以及种族和种族

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摘要

Diabetes is among the leading causes of death in Connecticut. An approximate of 330,000 adults in Connecticut have diabetes (diagnosed and undiagnosed). Those with diabetes have almost twice the risk of premature death throughout various age groups. The purpose of this cross-sectional study was to investigate whether disparities exist in access to medical care due to race and ethnicity; among adults with diabetes in the state of Connecticut. Furthermore, this study used the Andersen's behavioral model framework. Survey data from the behavioral risk factor surveillance system (BRFSS) were also analyzed. The research study covered 3 years (2013 to 2015) of data collection in the BRFSS (N = 3,091). Race and ethnicity were the primary independent variables. The 3 dependent variables were: source of care, length of time since routine check-up, and doctor's visit during the past 12 months. The overall data suggest that the disparity is significant in household income. Those who had healthcare coverage, higher income, and older age were significantly different from their counterparts in terms of length of time since the last routine checkup. In the regression analysis, healthcare coverage, income level and educational were the significant predictors of log length of time since the last routine checkup. Those who are Black, single, higher annual household income, and higher educational level, were significantly different from their counterparts in terms of doctors' visits during the past 12 months. The implication for social change is that policymakers must act both to eliminate barriers and challenge structures that encourage disproportionate income advantages for White households.
机译:糖尿病是康涅狄格州的主要死亡原因之一。康涅狄格州约有330,000名成年人患有糖尿病(已诊断和未诊断)。在各个年龄段中,患有糖尿病的人过早死亡的风险几乎是后者的两倍。这项横断面研究的目的是调查由于种族和种族而在获得医疗服务方面是否存在差异。康涅狄格州患有糖尿病的成年人中此外,本研究使用了安徒生的行为模型框架。还分析了来自行为危险因素监测系统(BRFSS)的调查数据。该研究涵盖了BRFSS中3年(2013年至2015年)的数据收集(N = 3,091)。种族和种族是主要的独立变量。这三个因变量是:护理来源,自常规检查以来的时间长度以及过去12个月中的医生就诊时间。总体数据表明,家庭收入差距悬殊。自上次例行检查以来,那些拥有医疗保健,较高收入和较高年龄的人与他们的同龄人在时间上有显着差异。在回归分析中,医疗保健覆盖率,收入水平和教育程度是自上次例行检查以来对数时间长度的重要预测指标。在过去的12个月中,黑人,单身,较高的家庭年收入和较高的教育水平与同龄人相比有显着差异。对社会变革的影响是,决策者必须采取行动消除障碍,并挑战鼓励白人家庭获得不成比例的收入优势的结构。

著录项

  • 作者

    Jerome, Natacha B.;

  • 作者单位

    Walden University.;

  • 授予单位 Walden University.;
  • 学科 Epidemiology.;Ethnic studies.
  • 学位 Ph.D.
  • 年度 2018
  • 页码 105 p.
  • 总页数 105
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 建筑科学;
  • 关键词

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