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首页> 外文期刊>International Journal of Environmental Research and Public Health >Access to Health Care and Religion among Young American Men
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Access to Health Care and Religion among Young American Men

机译：美国青年男子中获得医疗保健和宗教的机会

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In order to elucidate cultural correlates of utilization of primary health services by young adult men, we investigated religion in which one was raised and service utilization. Using data from a national survey we tested the hypothesis that religion raised predicts access to and utilization of a regular medical care provider, examinations, HIV and other STD testing and counseling at ages 18–44 years in men born between 1958 and 1984. We also hypothesized that religion raised would be more predictive of utilization for Hispanic Americans and non-Hispanic Black Americans than for non-Hispanic White Americans. The study included a national sample of 4276 men aged 18–44 years. Descriptive and multivariate statistics were used to assess the hypotheses using data on religion raised and responses to 14 items assessing health care access and utilization. Compared to those raised in no religion, those raised mainline Protestant were more likely (p vs. 79%), health insurance coverage (66% vs. 80%) and physical examination (43% vs. 48%). Religion raised was not associated with testicular exams, STD counseling or HIV testing. In multivariate analyses controlling for confounders, significant associations of religion raised with insurance coverage, a physician as usual source of care and physical examination remained which varied by race/ethnicity. In conclusion, although religion is a core aspect of culture that deserves further study as a possible determinant of health care utilization, we were not able to document any consistent pattern of significant association even in a population with high rates of religious participation.
机译：为了阐明成年男子利用初级保健服务的文化相关性，我们调查了培养成人的宗教信仰和服务利用情况。使用来自全国性调查的数据，我们检验了以下假设，即宗教信仰会预测1958年至1984年出生的男性在18-44岁时会获得定期医疗服务提供者的访问和利用，体检，艾滋病毒和其他性病检测和咨询。假设提出宗教信仰比非西班牙裔美国人更能预测西班牙裔美国人和非西班牙裔美国人的利用率。该研究纳入了全国4276名18-44岁男性的样本。描述性和多元统计数据用于评估假设，使用关于宗教信仰的数据以及对评估医疗保健获取和利用情况的14个项目的回答。与那些没有宗教信仰的人相比，那些以新教徒为主的人更有可能（p vs. 79％），医疗保险（66％vs. 80％）和体检（43％vs. 48％）。引发的宗教信仰与睾丸检查，性病咨询或HIV检测无关。在对混杂因素进行控制的多变量分析中，宗教与保险的关系显着增加，作为常规照料和身体检查来源的医生仍然随种族/民族而变化。总之，尽管宗教是文化的核心方面，值得进一步研究，这可能是决定医疗保健利用的一个决定因素，但即使在宗教参与率很高的人群中，我们也无法证明任何一贯的重要关联模式。

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