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首页> 美国卫生研究院文献>Springer Open Choice >Health Disparities Between Appalachian and Non-Appalachian Counties in Virginia USA
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Health Disparities Between Appalachian and Non-Appalachian Counties in Virginia USA

机译：美国弗吉尼亚州阿巴拉契亚县与非阿巴拉契亚县之间的健康差异

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摘要

The examination of health disparities among people within Appalachian counties compared to people living in other counties is needed to find ways to strategically target improvements in community health in the United States of America (USA). Methods: A telephone survey of a random sample of adults living in households within communities of all counties of the state of Virginia (VA) in the USA was conducted. Findings: Health status was poorer among those in communities within Appalachian counties in VA and health insurance did not make a difference. Health perception was significantly worse in residents within communities in Appalachian counties compared to non-Appalachian community residents (30.5 vs. 17.4% rated their health status as poor/fair), and was worse even among those with no chronic diseases. Within communities in Appalachian counties, black residents report significantly better health perception than do white residents. Conclusion: Residents living in communities in Appalachian counties in VA are not receiving adequate health care, even among those with health insurance. More research with a larger ethnic minority sample is needed to investigate the racial/ethnic disparities in self-reported health and health care utilization within communities.
机译：需要对阿巴拉契亚县内居民与其他县内居民之间的健康差异进行检查，以找到策略性地改善美利坚合众国（美国）社区健康的方法。方法：对美国弗吉尼亚州（VA）所有县社区内的家庭中的成年人进行随机抽样电话调查。结果：弗吉尼亚州阿巴拉契亚县社区中的健康状况较差，健康保险没有影响。与非阿巴拉契亚社区居民相比，阿巴拉契亚县社区居民的健康知觉显着更差（30.5比17.4％的人将他们的健康状况评为“差/一般”），甚至在没有慢性病的居民中也更差。在阿巴拉契亚县的社区中，黑人居民的健康知觉比白人居民好得多。结论：居住在弗吉尼亚州阿巴拉契亚县社区的居民，即使在拥有健康保险的居民中，也没有得到足够的医疗保健。需要进行更多的具有较大少数族裔样本的研究，以调查自我报告的健康状况和社区内部卫生保健利用方面的种族/种族差异。

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