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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Racial, ethnic, socioeconomic, and access disparities in the use of preventive services among women.
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Racial, ethnic, socioeconomic, and access disparities in the use of preventive services among women.

机译:妇女在使用预防服务方面的种族,族裔,社会经济和获取差距。

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In this article we estimate the variations in receipt of age-appropriate preventive services among adult women between 21 and 64 years of age, by race and ethnic group, socioeconomic status, and access to health care. We also assess whether differences in access to care and socioeconomic status may explain racial and ethnic differences in the use of preventive services.Nationally representative data on adult women from the Medical Expenditure Panel Survey were used to estimate the effect of socioeconomic characteristics on the receipt of each preventive service. Receipt of each of four preventive services-cholesterol test, blood pressure reading, and two cancer screening tests (Papanicolaou smear, mammogram)-according to the 1996 recommendations of the U.S. Preventive Services Task Force were examined.An overwhelming majority of adult women (93%) had had a blood pressure reading within the last 2 years. Eighty-four percent of women had had their cholesterol checked within the last 5 years. Seventy-fivepercent of women had received a mammogram and 80% received Pap tests. College education, high income, usual source of care, and health insurance consistently predicted use of preventive services. These factors also explained ethnic disparities in the receipt of preventive services between Latinas and white women.The results from our study are encouraging because only a minority of women do not receive age-appropriate preventive services. However, low socioeconomic status, lack of insurance, and lack of a usual source of care represent significant barriers to preventive care for adult women.
机译:在本文中,我们根据种族和族裔,社会经济地位以及获得医疗保健的机会,估算了21至64岁之间的成年女性在接受适合年龄的预防服务方面的差异。我们还评估了获得护理和社会经济状况的差异是否可以解释预防性服务使用中的种族和种族差异。医疗支出小组调查中成年女性的全国代表性数据被用来估计社会经济特征对接受医疗服务的影响每个预防性服务。根据美国预防服务工作队1996年的建议,对四种预防服务的收据(胆固醇测试,血压读数和两项癌症筛查测试(帕帕尼可拉涂片,乳房X线照片))进行了检查。绝大多数成年女性(93 %)在最近2年内有血压读数。在过去的5年中,有84%的妇女接受了胆固醇检查。 75%的妇女接受了乳房X光检查,而80%的妇女接受了巴氏检查。大学教育,高收入,通常的护理来源和健康保险始终预测预防性服务的使用。这些因素也解释了拉丁美洲人和白人妇女在接受预防服务方面的种族差异。我们的研究结果令人鼓舞,因为只有少数妇女没有获得适合年龄的预防服务。但是,低的社会经济地位,缺乏保险以及缺乏通常的护理来源构成了成年女性预防性护理的重大障碍。

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