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身体残疾者对辅助技术的使用:按种族对预测因素的考察。

Utilization of assistive technology by persons with physical disabilities: an examination of predictive factors by race.

作者信息

Loggins Shondra, Alston Reginald, Lewis Allen

机构信息

Department of Kinesiology and Community Health, University of Illinois , Champaign, IL , USA.

出版信息

Disabil Rehabil Assist Technol. 2014 Nov;9(6):487-92. doi: 10.3109/17483107.2013.836683. Epub 2013 Sep 12.

Abstract

PURPOSE

Examine the relationship between race, use of assistive technology (AT), gender, educational attainment, income, employment status and access to health care.

METHODS

Data were analyzed from the national Behavioral Risk Factor Surveillance System (BRFSS) collected in USA in 2007. Descriptive statistics and logistic regression were performed.

RESULTS

Among those who used AT, more European Americans (EAs) were educated, employed, made >$25,000 per year and had better access to health coverage. In contrast, more African Americans (AAs) who used AT were less educated, unemployed, made <$25,000 per year and had worse health coverage. Overall, AAs used AT more than EAs. The trend was consistent with predictive factors. AAs were 29% more likely to use AT compared to EAs. For EAs and AAs, predictors for use of AT were age, gender, education, employment status, income, health coverage and medical costs.

CONCLUSIONS

Racial differences between AAs and EAs were observed in the use of AT by persons with physical disabilities based on age, gender, education, employment status, income levels, health care coverage and medical costs. Even though EAs and AAs had the same predictors, there were racial differences in the magnitude of the predictors.

摘要

目的

研究种族、辅助技术(AT)的使用、性别、教育程度、收入、就业状况与医疗保健可及性之间的关系。

方法

对2007年在美国收集的全国行为风险因素监测系统(BRFSS)的数据进行分析。进行描述性统计和逻辑回归分析。

结果

在使用AT的人群中,更多的欧裔美国人受过教育、有工作、年收入超过25,000美元且享有更好的医疗保险。相比之下,更多使用AT的非裔美国人受教育程度较低、失业、年收入低于25,000美元且医疗保险较差。总体而言,非裔美国人使用AT的比例高于欧裔美国人。这一趋势与预测因素一致。与欧裔美国人相比,非裔美国人使用AT的可能性高29%。对于欧裔美国人和非裔美国人来说,使用AT的预测因素包括年龄、性别、教育程度、就业状况、收入、医疗保险和医疗费用。

结论

基于年龄、性别、教育程度、就业状况、收入水平、医疗保险覆盖范围和医疗费用,在身体残疾者使用AT方面观察到非裔美国人和欧裔美国人之间的种族差异。尽管欧裔美国人和非裔美国人有相同的预测因素,但预测因素的影响程度存在种族差异。

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