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首页> 外文期刊>Families, systems & health: the journal of collaborative family healthcare >Are Marital Relationships a Barrier to Health Care Utilization in Southern Appalachia?: A Dyadic Examination of the Link Between Marital Quality and Individual Health Care Usage
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Are Marital Relationships a Barrier to Health Care Utilization in Southern Appalachia?: A Dyadic Examination of the Link Between Marital Quality and Individual Health Care Usage

机译：婚姻关系是南部阿巴拉契亚南部的保健利用障碍吗？：对婚姻质量和个人医疗用途之间的联系的二次审查

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摘要

Introduction: There are substantial health disparities in Appalachia partially due to the poor access and utilization of health care. Social support, especially in Appalachia, is consistently linked to the utilization of available health care. The present study aims to identify how on aspect of social support, relationship functioning, are associated with health care utilization for couples in Southern Appalachian. Method: Individual and couple data (N = 147, individuals; n = 76, couples) were collected from participants interested in a brief couple interventions. Individuals and Dyadic Path analyses were conducted in Mplus using methods to account for the dependence in the data. Results: Relational aggression was the only marital factor linked to health care utilization in multivariate analyses while constructive communication was only linked to health care utilization in bivariate correlations, r = .24, p < .05. Dyadic results indicate that men's health care utilization may benefit from partner's relational aggression while women's utilization may be negatively influenced by her own self-reported relational aggression. Discussion: An individual's social context must be considered in order to completely understand barriers to health care utilization. Further, the inclusion of couple/dyadic level interventions should be considered in order to improve health care utilization in the Appalachian region and similarly rural regions.
机译：介绍：由于医疗保健的访问和利用差，阿巴拉契亚存在大量健康差异。社会支持，特别是在阿巴洛西亚，与可用医疗保健的利用一致。本研究旨在确定社会支持的方面，关系功能如何与南方阿巴拉契亚南部夫妇的医疗利用有关。方法：个人和情侣数据（n = 147，个人; n = 76，夫妻）被从事对简要夫妇干预感兴趣的参与者收集。使用方法在Mplus中进行个人和二元路径分析，以解释数据的依赖。结果：关系侵略是与多元分析中的医疗利用相关的唯一婚姻因素，而建设性通信仅与双变量相关性的医疗利用相关联，r = .24，p <.05。二次结果表明，男子的医疗利用可能会受益于合作伙伴的关系侵略，而妇女的利用可能受到自我报告的关系侵略的负面影响。讨论：必须考虑个人的社会背景，以便完全理解医疗保健利用的障碍。此外，应考虑包含夫妇/二元水平干预措施，以改善阿巴拉契亚地区的医疗利用和类似农村地区。

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