美国弗吉尼亚州阿巴拉契亚和非阿巴拉契亚县之间的健康差距。
Health disparities between Appalachian and non-Appalachian counties in Virginia USA.
机构信息
Department of Public Health Sciences, School of Medicine,University of Virginia, PO Box 800717, Charlottesville, VA 22908, USA.
出版信息
J Community Health. 2011 Jun;36(3):348-56. doi: 10.1007/s10900-010-9315-9.
UNLABELLED
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.
目的：调查美国弗吉尼亚州阿巴拉契亚县（Appalachian）与其他县居民的健康差异，寻找改善美国社区健康的策略。
方法：对弗吉尼亚州所有县的社区居民进行了一项随机抽样成年人的电话调查。
发现：弗吉尼亚州阿巴拉契亚县社区居民的健康状况较差，且不论是否有医疗保险，情况均无改善。阿巴拉契亚县社区居民的健康感知明显差于非阿巴拉契亚社区居民（分别有 30.5%和 17.4%的人自评健康状况为差/差），即使是在没有慢性病的人群中也是如此。在阿巴拉契亚县社区，黑人居民的健康感知明显好于白人居民。
结论：弗吉尼亚州阿巴拉契亚县社区居民的医疗服务不足，即使有医疗保险也未能改善这种情况。需要进一步开展更多的针对少数民族的研究，以调查社区内自我报告的健康状况和医疗服务利用方面的种族/民族差异。
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