Song Eun-Young, Leichliter Jami S, Bloom Frederick R, Vissman Aaron T, O'Brien Mary Claire, Rhodes Scott D
Department of Social Sciences and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC 27157-1063, USA.
J Health Care Poor Underserved. 2012 May;23(2):678-93. doi: 10.1353/hpu.2012.0063.
We explored the relationships between behavioral, socio-cultural, and psychological characteristics and the use of prescription medications obtained from non-medical sources among predominantly Spanish-speaking Latinos in the rural southeastern U.S. Respondent-driven sampling (RDS) was used to identify, recruit, and enroll immigrant Latinos to participate in an interviewer-administered assessment. A total of 164 respondents were interviewed in 2009. Average age was 34 years old, 64% of respondents were female, and nearly 85% reported being from Mexico. Unweighted and RDS-weighted prevalence estimates of any non-medical source of prescription medications were 22.6% and 15.1%, respectively. In multivariable modeling, respondents who perceived their documentation status as a barrier to health care and those with higher educational attainment were significantly more likely to report use of non-medical sources. Interventions are needed to increase knowledge of eligibility to sources of medical care and treatment and ensure culturally congruent services for immigrant communities in the U.S.
我们探究了行为、社会文化和心理特征与从非医疗渠道获取处方药的使用之间的关系,研究对象主要是美国东南部农村地区以西班牙语为主的拉丁裔群体。采用应答者驱动抽样法(RDS)来识别、招募和登记移民拉丁裔参与由访员进行的评估。2009年共对164名受访者进行了访谈。平均年龄为34岁,64%的受访者为女性,近85%的受访者称来自墨西哥。来自任何非医疗渠道的处方药的未加权患病率估计值和RDS加权患病率估计值分别为22.6%和15.1%。在多变量模型中,那些认为其证件状况是获得医疗保健的障碍的受访者以及受教育程度较高的受访者报告使用非医疗渠道的可能性显著更高。需要开展干预措施,以增加对获得医疗护理和治疗渠道资格的了解,并确保为美国的移民社区提供符合文化习俗的服务。