健康保险状况、心理过程与美国老年非裔美国人的预防性保健利用情况
Health insurance status, psychological processes, and older African Americans' use of preventive care.
作者信息
O'Neal Catherine W, Wickrama K A S, Ralston Penny A, Ilich Jasminka Z, Harris Cynthia M, Coccia Catherine, Young-Clark Iris, Lemacks Jennifer
机构信息
University of Georgia, USA.
出版信息
J Health Psychol. 2014 Apr;19(4):491-502. doi: 10.1177/1359105312474911. Epub 2013 Mar 1.
The current study examined the influence of health insurance, psychological processes (i.e. psychological competency and vulnerability), and the interaction of these two constructs on older African Americans' utilization of five preventive care services (e.g. cholesterol screening and mammogram/prostate examination) using data from 211 older African Americans (median age = 60). In addition to direct effects, the influence of health insurance sometimes varied depending on respondents' psychological competency and/or vulnerability. Policies and interventions to increase older African Americans' use of preventive health services should consider structural (e.g. health insurance) and psychological (e.g. psychological competency and vulnerability) factors along with the interaction between these factors.
本研究利用211名老年非裔美国人（中位年龄 = 60岁）的数据，考察了医疗保险、心理过程（即心理能力和易感性）以及这两个构念的相互作用对老年非裔美国人使用五项预防保健服务（如胆固醇筛查和乳房X光检查/前列腺检查）的影响。除了直接影响外，医疗保险的影响有时会因受访者的心理能力和/或易感性而有所不同。旨在增加老年非裔美国人预防性健康服务使用的政策和干预措施应考虑结构性因素（如医疗保险）和心理因素（如心理能力和易感性）以及这些因素之间的相互作用。
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